Preferred Pharmacies—Rxtra Program

Transcription

Preferred Pharmacies—Rxtra Program
Preferred Pharmacies—Rxtra Program
NABP #
103236
104769
104783
106624
107638
110774
111524
111649
111928
113023
113085
114063
114621
114695
114974
115003
115572
115673
115685
116081
118819
118821
118871
118883
118895
119291
119304
Pharmacy Name
KMART PHARMACY3194
KMART PHARMACY4817
KMART PHARMACY4308
KMART PHARMACY3848
KMART PHARMACY4312
KMART PHARMACY3063
KMART PHARMACY7640
KMART PHARMACY7045
KMART PHARMACY3082
KMART PHARMACY7066
KMART PHARMACY3359
KMART PHARMACY4760
KMART PHARMACY9560
KMART PHARMACY9571
KMART PHARMACY9639
KMART PHARMACY9620
KMART PHARMACY7360
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9622
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
635 SKYLAND BLVD
230 GREEN SPRINGS HWY
7845 CRESTWOOD BLVD
105 COX CREEK PKWY SOUTH
1401 MEMORIAL PKWY NW
3101 MC CLELLAN BLVD
312 Z SCHILLINGER ROAD
3401 WOODWARD AVE
2185 REEVES STREET
1101 BELTLINE RD
901 DECATUR HWY
2003 US HWY 280 BYPASS
101 CRACKER BARREL ROW SW
1731 2ND AVE SW
22991 JOHN T REID PKWY
7200 US HIGHWAY 431
2214 ROSS CLARK CIRCLE SW
2110 OAKWOOD AVENUE
8404 S MEMORIAL PARKWAY
1401 GILMER AVENUE
3100 HOUGH RD
517 WEST AVALON AVE
300 HIGHWAY 78 E
9248 PARKWAY EAST
7201 AARON ARONOV DRIVE
92 PLAZA LANE
685 SCHILLINGER RD
City
TUSCALOOSA
HOMEWOOD
BIRMINGHAM
FLORENCE
HUNTSVILLE
ANNISTON
MOBILE
MUSCLE SHOALS
DOTHAN
DECATUR
GARDENDALE
PHENIX CITY
FORT PAYNE
CULLMAN
SCOTTSBORO
ALBERTVILLE
DOTHAN
HUNTSVILLE
HUNTSVILLE
LANETT
FLORENCE
MUSCLE SHOALS
JASPER
BIRMINGHAM
FAIRFIELD
OXFORD
MOBILE
State
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3540535209352103563035801362013660835661363033560135071-2767
3686735968-3368
3505535768359503630135810358023686335630356613550135206350643620336695Last Updated 12/21/2012
1
NABP #
119431
119671
119809
119811
119873
120092
120131
120383
120395
120458
120686
120965
120977
121018
121020
121032
121195
121359
121400
121513
121525
121537
121549
121575
121599
121602
121753
121880
121892
121905
121917
122022
122058
122060
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9648
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
4180 US HWY 431
626 OLIVE STREET SW
3801 EASTERN BLVD
6495 ATLANTA HWY
27520 HWY 98
101 SOUTH BELTLINE HIGHWAY
4310 MONTGOMERY HWY
2453 2ND AVENUE EAST
2575 US HWY 43
104 HIGHWAY 31 N
300 DEANS RD
1608 W MAGNOLIA AVE.
1991 M. L. KING JR. EXPRESSWAY
4538 US HWY 231
2643 HWY 280 WEST
1450 NO BRINDLEE MTN PKWY
1706 MILITARY STREET SOUTH
2473 HACKWORTH ROAD
34301 HWY 43
13675 HWY 43
42417 HWY 195
5245 SER RD SOUTH
1011 US HWY 72 EAST
890 ODUM ROAD
340 EAST MEIGHAN BLVD
1095 INDUSTRIAL PKWY
1420 US 231 SOUTH
1625 PELHAM SOUTH
6140A UNIV DRIVE
2780 JOHN HAWKINS PKWY
3700 HWY 280/431 N.
2900 S MEM PKWY DRAKE AVE
11610 MEMORIAL PKWY SOUTH
1717 SOUTH COLLEGE STREET
City
ROANOKE
CULLMAN
MONTGOMERY
MONTGOMERY
FOREST
MOBILE
DOTHAN
ONEONTA
WINFIELD
ATHENS
AUBURN
GENEVA
ANDALUSIA
WETUMPKA
ALEXANDER CITY
ARAB
HAMILTON
ADAMSVILLE
THOMASVILLE
RUSSELLVILLE
HALEYVILLE
MOBILE
ATHENS
GARDENDALE
GADSDEN
SARALAND
TROY
JACKSONVILLE
HUNTSVILLE
HOOVER
PHENIX CITY
HUNTSVILLE
HUNTSVILLE
AUBURN
State
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
36274350553611636117365263660636303351213559435611368303634036420360923501035016355703500536784356533556536619356113507135903365713608136265358063524436867358013580336830Last Updated 12/21/2012
2
NABP #
122109
122349
122678
122680
122717
123086
123315
123339
123341
123377
123389
123529
123531
123670
123694
123783
124038
124127
124139
124266
124329
124367
124519
124634
124696
124797
124812
124862
125004
125028
125256
125369
125383
126018
Pharmacy Name
WAL-MART PHARMACY
KMART PHARMACY3672
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3929
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3931
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4835
KROGER PHARMACY
KMART PHARMACY4769
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
Address Line 1
1972 HWY 431
1700 MC FARLAND BLVD
24833 JOHNT REIDPRKW
1903 COBBS FORD RD
501 WILLOW LANE
465 PIKE ST
1501 SKYLAND BLVD E
214 HAYNES STREET
209 LAKESHORE PARKWAY
2578 DOUGLAS AVENUE
3176 S EUFAULA
2200 SPARKMAN DRIVE
630 COLONIAL PROMENADE PKWY
1600 MONTCLAIR RD
973 GILBERT FERRY ROAD SE
PRATTVILLE MKT PL1880 E MAIN ST
2800 SPRING AVN SW
969 US HWY 80 WEST
11697 US HWY 431
5560 MCCLELLAN BLVD
1801 HWY 78 EAST
5980 CHALKVILLE MTN RD
2900 PEPPERRELL PKWY
600 BOLL WEEVIL CIRCLE
1525 CHESTNUT BYPASS
1101 BELTLINE ROAD
803 MARTIN STREET S
2200 SOUTH MCKENZIE ST
1537 HWY 231 SOUTH
1415 7TH STREET SOUTH
1201 HWY 31 N.W.
5335 HWY 280 SOUTH
300 HUGHES ROAD
5710 MCFARLAND BLVD
City
BOAZ
NORTHPORT
SCOTTSBORO
PRATTVILLE
GREENVILLE
MONROEVILLE
TUSCALOOSA
TALLADEGA
HOMEWOOD
BREWTON
EUFAULA
HUNTSVILLE
ALABASTER
BIRMINGHAM
ATTALLA
PRATTVILLE
DECATUR
DEMOPOLIS
GUNTERSVILLE
ANNISTON
JASPER
BIRMINGHAM
OPELIKA
ENTERPRISE
CENTRE
DECATUR
PELL CITY
FOLEY
OZARK
CLANTON
HARTSELLE
HOOVER
MADISON
NORTHPORT
State
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
359573547635768360663603736460354053516035209364263602735810350073521035954360663560336732359763620635501352353680136330359603560135128-2135
36535363603504535640352423575835476Last Updated 12/21/2012
3
NABP #
126020
126070
126246
126258
126311
126626
126981
127034
127111
127503
127515
127589
128884
129038
129204
129266
129278
129886
130207
130233
130663
130699
131475
131487
131704
131805
131956
132251
132388
132491
132580
132693
132794
133075
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
15445 HIGHWAY 24
8551 WHITFIELD AVE
3186 HWY 171 NORTH
1501 HWY 14 EAST
750 ACADEMY DRIVE
41301 US HWY 280
10675 HWY 5
2001 GLENN BLDV SW
6070 MOORES MILL ROAD
3300 SOUTH OATES STREET
3501 20TH AV
241 HWY 31 SW
8650 MADISON BLVD.
1080 EASTERN BLVD
701 MCMEANS AVENUE
4206 COLLEGE AVENUE
690 HIGHWAY 78
5919 TRUSSVILLE CROSSINGS PKWY
2009 DRAKE AVENUE
201 LAKESHORE PARKWAY
5100 HIGHWAY 31
3053 JOHN HAWKINS PARKWAY
1970 SOUTH UNIVERSITY BLVD
1916 CENTER POINT ROAD
5651 HOLMES AVENUE NW
165 VAUGHAN LANE
1950 WEST MAIN STREET
7855 MOFFETT ROAD
2181 PELHAM PARKWAY
5940 TRUSSVILLE CROSSING PKWAY
170 FORT MORGAN ROAD
601 E I65 SERVICE ROAD SO
330 SUTTON ROAD
2235 NATIONAL BLVD SW
City
MOULTON
LEEDS
FAYETTE
SELMA
BESSEMER
SYLACAUGA
BRENT
FORT PAYNE
HUNTSVILLE
DOTHAN
VALLEY
HARTSELLE
MADISON
MONTGOMERY
BAY MINETTE
JACKSON
SUMITON
BIRMINGHAM
HUNTSVILLE
HOMEWOOD
CALERA
HOOVER
MOBILE
CENTER POINT
HUNTSVILLE
PELL CITY
CENTRE
SEMMES
PELHAM
TRUSSVILLE
GULF SHORES
MOBILE
HUNTSVILLE
HUNTSVILLE
State
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
35650350943555536701350223515035034359683581136301368543564035758361173650736545351483523535801352093504035244366093521535816351253596036575351243517336542366063576335803Last Updated 12/21/2012
4
NABP #
133479
133758
133796
133809
134306
134318
134419
134421
134433
134508
134510
134534
134952
135120
135310
135625
136867
137061
137403
137554
200193
201272
201501
201575
201955
201979
201981
201993
202034
202159
202224
202298
202426
202503
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
THE KROGER COMPANY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
TVPC PHARMACY
SAMS PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
160 SPRINGVILLE STATION BLVD
3440 ROSS CLARK CIRCLE NW
3900 GRANTS MILL ROAD
851 ANN STREET
10710 CHANTILLY PARKWAY
312 PALISADES BLVD
145 KELLEY BLVD
29683 FREDERICK BLVD
16077 HIGHWAY 280
10040 COUNTY ROAD 48
1300 MONTGOMERY HIGHWAY
2460 ENTERPRISE DR
2335 BENT CREEK ROAD
2500 DAWES ROAD
6350 COTTAGE HILL RD
1007 RED FARMER DRIVE
7090 UNIVERSITY DR NW
25241 PERDIDO BEACH BLVD
201 GOVERNORS DR SW STE 305
1401 SKYLAND BLVD E
1000 E NORTHERN LIGHTS BLVD
3755 AIRPORT WAY
2000 WEST DIMOND BLVD
8181 OLD GLACIER HWY
7701 DEBARR RD
8900 OLD SEWARD HWY
1350 S SEWARD MERIDIAN PKWY
3101 A STREET
43843 STERLING HWY
930 OLD STEESE HIGHWAY
1501 EAST PARKS DRIVE
2911 MILL BAY ROAD
18600 EAGLE RIVER ROAD
4230 DON KING ROAD
City
SPRINGVILLE
DOTHAN
IRONDALE
MONTGOMERY
MONTGOMERY
BIRMINGHAM
MILLBROOK
DAPHNE
CHELSEA
FAIRHOPE
VESTAVIA HILLS
OPELIKA
AUBURN
MOBILE
MOBILE
HUEYTOWN
HUNTSVILLE
ORANGE BEACH
HUNTSVILLE
TUSCALOOSA
ANCHORAGE
FAIRBANKS
DIMOND
JUNEAU
ANCHORAGE
ANCHORAGE
WASILLA
ANCHORAGE
SOLDATNA
FAIRBANKS
WASILLA
KODIAK
EAGLE RIVER
KETCHIKAN
State
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AL
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
AK
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3514636303352103610736117352093605436526350433653335216368023683036695366093502335806-1728
3656135801-5170
35405995089970999515998019950499515996549950399669-7641
9970199659996159957799901Last Updated 12/21/2012
5
NABP #
202541
202565
202591
226642
227339
227442
227834
228076
138138
303874
307478
307644
307694
309991
310691
310704
310881
310893
312099
312265
312277
313279
313306
313344
313685
313697
313700
313712
314550
314562
314625
314649
314651
314663
Pharmacy Name
SAMS PHARMACY
SAMS PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART
FRYS FOOD AND DRUG
KMART PHARMACY3188
KMART PHARMACY3108
FRYS FOOD AND DRUG
KMART PHARMACY3228
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
SMITHS PHARMACY #190
SMITHS PHARMACY #191
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
Address Line 1
8801 OLD SEWARD HWY
48 COLLEGE ROAD
2300 ABBOTT ROAD
13401 OLD GLENN HWY
650 SOUTH COBB ST
537 JOHANSEN EXPRESSWAY
6525 GLACIER HIGHWAY
10096 KENAI SPUR HWY
8580 HIGHWAY 72 W
4724 N 20TH STREET
2840 E MAIN ST
3401 W GREENWAY RD
3232 S MILL AVE
2526 W NORTHERN AVENUE
7050 E GOLF LINKS RD
7812 E SPEEDWAY BLVD
1915 S POWER ROAD
7770 E MC DOWELL RD
1385 E FLORENCE BLVD
5771 W THUNDERBIRD RD
3640 S 16TH AVENUE
3920 E GRANT RD
555 E GRANT ROAD
3770 W INA ROAD
731 E BELL ROAD
825 W UNIVERSITY DR
981 W ELLIOTT RD
3421 W THUNDERBIRD RD
3490 STOCKTON HILL RD
1775 LAKESIDE DR
18420 N 19TH AVENUE
7628A E INDIAN SCHOOL RD
5116 W OLIVE AVE
4315 W BELL ROAD
City
ANCHORAGE
FAIRBANKS
ANCHORAGE
EAGLE RIVER
PALMER
FAIRBANKS
JUNEAU
KENAI
MADISON
PHOENIX
MESA
PHOENIX
TEMPE
PHOENIX
TUCSON
TUCSON
MESA
SCOTTSDALE
CASA GRANDE
GLENDALE
TUCSON
TUCSON
TUCSON
TUCSON
PHOENIX
MESA
CHANDLER
PHOENIX
KINGMAN
BULLHEAD
PHOENIX
SCOTTSDALE
GLENDALE
GLENDALE
State
AK
AK
AK
AK
AK
AK
AK
AK
AL
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9951599701995079957799645997019980199611-7807
35758-9578
8501685213-9377
8505385282-3656
850218573085710852068525785222-5318
8530685713857128570585741850228520185225-1881
85053-5602
86409-3680
8644285023852518530285308Last Updated 12/21/2012
6
NABP #
315108
315300
315312
315362
315451
315487
315499
315514
315639
315704
315728
315956
316047
316100
316112
316124
316150
316225
316237
316287
316477
316528
316530
316542
316554
316578
316681
316693
316821
316833
316845
316857
316908
316922
Pharmacy Name
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WALMART PHARM
WAL-MART PHARMACY
KMART PHARMACY9528
KMART PHARMACY3707
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
KMART PHARMACY3375
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
KMART PHARMACY3695
Address Line 1
950 FAIR STREET
9401 E 22ND ST
2700 W BASELINE RD
201 N SWITZER CANYON ROAD
520 E BASELINE RD
4036 N 1ST STREET
7050 E 22ND ST
2480 N SWAN RD
7455 W CACTUS RD
755 SO 20TH AVE
2001 E IRVINGTON RD
1835 E GUADALUPE RD
500 N HWY 90
2750 S WOODLANDS VILLAGE BLVD
1741 E. FLORENCE BLVD
5401 SOUTH WHITE MOUNTAIN ROAD
3340 E ANDY DEVINE AVE
1870 MC CULLOCH BLVD
3036 E THOMAS ROAD
2003 E RODEO DRIVE
390 N LITCHFIELD ROAD
455 EAST WETMORE
7150 EAST SPEEDWAY
100 WEST WHITE PARK DRIVE
700 MIKES PIKE ST
1100 HIGHWAY 279
100 SOUTH RAGUS RD
2250 S HWY 95 SUITE 256
4025 E THUNDERBIRD RD
10660 NW GRAND AVENUE
2727 E BROADWAY RD
744 W CAMELBACK RD
300 N BEELINE HWY
2011 EAST FRY BLVD
City
PRESCOTT
TUCSON
TEMPE
FLAGSTAFF
PHOENIX
TUCSON
TUCSON
TUCSON
PEORIA
SAFFORD
TUCSON
TEMPE
SIERRA VISTA
FLAGSTAFF
CASA GRANDE
SHOW LOW
KINGMAN
LAKE HAVASU CITY
PHOENIX
COTTONWOOD
GOODYEAR
TUCSON
TUCSON
NOGALES
WINSLOW
COTTONWOOD
CLAYPOOL
BULLHEAD CITY
PHOENIX
SUN CITY
MESA
PHOENIX
PAYSON
SIERRA VISTA
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8630185710-7343
852838600185042-6554
8571985710-5113
85712-5701
85345855468571485283856358600185122-4763
85901864018640385016863268533885705857108562186047863268553286442-6012
85032-5836
8535185204850138554185635Last Updated 12/21/2012
7
NABP #
316934
316946
317013
317025
317253
317277
317289
318205
318231
318281
318510
318611
318700
318786
318798
318813
318851
318926
318938
318940
318976
318990
319029
319031
319120
319182
319233
319283
319411
319497
320111
320286
320298
320440
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
KMART PHARMACY3924
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WALMART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #188
FRYS FOOD AND DRUG
WAL-MART PHARMACY
KMART PHARMACY3923
KMART PHARMACY4880
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
Address Line 1
5695 HWY 95 NORTH
18680 S NOGALES HWY
6601 W INDIAN SCHOOL ROAD
4202 W CACTUS ROAD
3751 E BASELINE RD
800 WEST WARNER ROAD
5845 WEST BELL ROAD
500 W 24TH STREET
750 W DEUCE OF CLUBS
7975 W PEORIA AVENUE
2900 S PACIFIC AVE
1017 WEST HAUL ROAD
4617 EAST BELL ROAD
2075 N ALMA SCHOOL RD
2115 US HIGHWAY 60 SUITE 200
2555 W. APACHE TRL
6131 EAST SOUTHERN AVE.
3255 S RURAL RD
902 W IRVINGTON RD
2020 NORTH 75TH AVE.
3050 NORTH HWY 69
1650 WEST VALENCIA
80 ACOMA BLVD N
10450 N 90TH ST
1380 WEST ELLIOTT ROAD
300 WEST MARIPOSA ROAD
7550 E HIGHWAY 69
199 WEST 5TH ST
1950 W RAY ROAD
4353 W BETHANY HOME RD
10450 N LA CANADA DR
10661 N ORACLE RD
3616 E RAY ROAD
3396 N STOCKTON HILL ROAD
City
LAKE HAVASU CITY
SAHUARITA
PHOENIX
PHOENIX
GILBERT
CHANDLER
GLENDALE
YUMA
SHOW LOW
PEORIA
YUMA
PAGE
PHOENIX
CHANDLER
MIAMI
APACHE JUNCTION
MESA
TEMPE
TUCSON
PHOENIX
PRESCOTT
TUCSON
LAKE HAVASU CITY
SCOTTSDALE
TEMPE
NOGALES
PRESCOTT VALLEY
DOUGLAS
CHANDLER
GLENDALE
ORO VALLEY
ORO VALLEY
PHOENIX
KINGMAN
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8640385629850338502985234852248530685364859018534585364860408503285224-2823
8553985220-5204
8520685282-3853
85714-2437
85035863018574686403-6932
85258-4406
85283856218631485607852248530185737-7027
857378504486401Last Updated 12/21/2012
8
NABP #
320515
320755
320844
321036
321050
321098
321276
321478
321529
322090
322153
322278
322305
322317
322381
322571
322684
322747
322975
323028
323131
323319
323345
323357
323369
323383
323698
323799
323852
324006
324032
324044
324056
324385
Pharmacy Name
KMART PHARMACY7655
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
SAMS PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
KMART PHARMACY4996
SMITHS PHARMACY #473
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1445 POWER ROAD
4949 W RAY ROAD
4915 NORTH PIMA ROAD
1607 WEST BETHANY HOME RD
5941 E MC KELLIPS RD
4505 E THOMAS ROAD
855 W WARNER RD
6080 E THOMAS ROAD
4329 W NORTHERN AVE
6321 E GREENWAY RD
857 N DOBSON
4842 E BELL ROAD
9043 W OLIVE AVE
1825 W BELL ROAD
1245 W MAIN STREET
7870 N SILVERBELL ROAD
4351 E HIGHWAY 90
13055 W RANCHO SANTE FE BLVD
554 W BASELINE ROAD
10675 W INDIAN SCHOOL RD
714 S VAL VISTA DR
700 NORTH 54TH STREET
9245 W UNION HILLS DR
1575 N DYSART RD
435 E ELLSWORTH RD
185 W APACHE TRL
20220 N 59TH AVENUE
1955 SO STAPLEY DRIVE
7055 EAST BROADWAY
4747 HWY 95
15255 N NORTHSIGHT BLVD
2840 HWY 95
15355 NORTH NORTHSIGHT BLVD
13770 WEST BELL ROAD
City
MESA
CHANDLER
SCOTTSDALE
PHOENIX
MESA
PHOENIX
GILBERT
SCOTTSDALE
GLENDALE
SCOTTSDALE
MESA
SCOTTSDALE
PEORIA
PHOENIX
MESA
MARANA
SIERRA VISTA
AVONDALE
MESA
AVONDALE
GILBERT
CHANDLER
PEORIA
AVONDALE
MESA
APACHE JUNCTION
GLENDALE
MESA
TUCSON
FT MOHAVE
SCOTTSDALE
BULLHEAD CITY
SCOTTSDALE
SURPRISE
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
85208852268525185015852158501885233-7267
8525185301-1647
8525485201852548534585023852018574385635853238521085323-5645
85296-3140
8522685382-8154
85323-1204
8520885120-3433
8530885204857108642785260864428526085374Last Updated 12/21/2012
9
NABP #
324436
324753
324878
324979
325046
325060
325072
325084
325096
325109
325111
325123
325135
325147
325159
325161
325173
325185
325197
325337
137732
325921
325995
326416
326555
326632
326719
326771
326860
326947
327014
327038
327153
327216
Pharmacy Name
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
INC.
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
SAMS PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
SAMS PHARMACY
FRYS FOOD AND DRUG
SAMS PHARMACY
FRYS FOOD AND DRUG
SAMS PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
Address Line 1
3721 EAST THOMAS ROAD
15510 W BELL ROAD
7635 N LA CHOLLA BLVD
4230 WEST MCDOWELL RD
8325 W INDIAN SCHOOL RD
5100 S MCCLINTOCK DR
4440 EAST MAIN STREET
4707 EAST SHEA BLVD
2727 WEST BELL ROAD
3246 EAST BELL ROAD
8900 E VIA LINDA
1935 NORTH STAPLEY DRIVE
1815 W GLENDALE AVENUE
1845 EAST BASELINE ROAD
6611 WEST BELL ROAD
9900 SOUTH RURAL ROAD
3949 EAST CHANDLER BLVD
3511 WEST PEORIA AVENUE
850 EAST HATCHER RD
1695 N ARIZONA BLVD
1106 BRADSHAW DR
4150 E 22ND ST
3100 N GLASSFORD HILL RD
1851 E BUTLER AVENUE
4815 E CAREFREE HWY SUITE 100 BLDG
2010 S ALMA SCHOOL RD
1525 W BELL ROAD
14845 E SHEA BLVD
4701 N STONE AVE
8375 W DEER VALLEY RD
1225 N GILBERT ROAD
6625 W HAPPY VALLEY ROAD
87 E WILLIAMS FIELD RD
18551 N 83RD AVENUE
City
PHOENIX
SURPRISE
TUCSON
PHOENIX
PHOENIX
TEMPE
MESA
PHOENIX
PHOENIX
PHOENIX
SCOTTSDALE
MESA
PHOENIX
GILBERT
GLENDALE
TEMPE
PHOENIX
PHOENIX
PHOENIX
COOLIDGE
FLORENCE
TUSCON
PRESCOTT VALLEY
FLAGSTAFF
CAVE CREEK
CHANDLER
PHOENIX
FOUNTAIN HILLS
TUCSON
PEORIA
GILBERT
GLENDALE
GILBERT
GLENDALE
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AL
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
85018853418574185009850338528285205850288502385032852588520385015852348530885284850448502985020852283563085711863148600185331-7418
85248-2072
85023852688570485382852348531085295-5202
85308Last Updated 12/21/2012
10
NABP #
327228
327418
327420
327468
327519
327800
328028
328030
328042
328054
328066
328131
328256
328319
328321
328333
328434
328484
328509
352144
352156
352168
352182
352322
352334
352346
352358
352360
352384
352550
352562
352574
352586
352613
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL MART PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
FRYS FOOD AND DRUG
Address Line 1
18501 NORTH 83RD AVENUE
5010 NORTH 95TH AVE
8280 NORTH CORTARO
2626 SOUTH 83RD AVENUE
985 E RIGGS RD
3198 WILLOW CREEK RD
542 E HUNT HWY
5122 EAST UNIVERSITY DRIVE
730 EAST MCKELLIPS ROAD
4505 EAST MCKELLIPS ROAD
1459 NORTH DYSART ROAD
11425 W BUCKEYE ROAD
5605 WEST NORTHERN AVENUE
3261 E PECOS RD
8340 W MCDOWELL
1916 S. LINDSAY RD
5250 WEST INDIAN SCHOOL ROAD
8335 E. GUADALUPE ROAD
2250 E BASELINE ROAD
1462 S. PACIFIC AVENUE
7575 WEST LOWER BUCKEYE ROAD
2501 SOUTH AVENUE B
5140 W BASELINE ROAD
4230 WEST UNION HILLS DRIVE
2501 S MARKET ST
2501 WEST HAPPY VALLEY ROAD
1280 GAIL GARDNER WAY
6145 NORTH 35TH AVENUE
13982 W WADDELL ROAD
8921 WEST THOMAS ROAD
3925 EAST GRANT ROAD
7450 WEST GLENDALE AVE.
1375 S ARIZONA AVE
1300 S WATSON RD
City
GLENDALE
GLENDALE
MARANA
PHOENIX
CHANDLER
PRESCOTT
SAN TAN VALLEY
MESA
MESA
MESA
AVONDALE
AVONDALE
GLENDALE
GILBERT
PHOENIX
MESA
PHOENIX
MESA
PHOENIX
YUMA
PHOENIX
YUMA
LAVEEN
PHOENIX
GILBERT
PHOENIX
PRESCOTT
PHOENIX
SURPRISE
PHOENIX
TUCSON
GLENDALE
CHANDLER
BUCKEYE
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
85308853058565385043852498630585143-5212
85205852038521585323853238530185295-1200
8503785204-7108
850318521285040853658504385364853398530885296850278630585017853798503785712853038528685326-6303
Last Updated 12/21/2012
11
NABP #
352625
352651
352699
352726
352790
352853
352865
353021
353122
353134
353273
354201
354376
354439
354465
354542
354566
354578
354580
354592
354655
354720
354794
354857
354869
354972
355049
355051
355063
355102
355114
355126
355203
355215
Pharmacy Name
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
8080 S HOUGHTON ROAD
4435 WEST ANTHEM WAY
1710 S GREENFIELD RD
1175 SOUTH ARIZONA AVENUE
20797 N JOHN WAYNE PKWY
2750 E. GERMANN ROAD
1100 NORTH ESTRELLA PARKWAY
600 HIGHWAY 95 SUITE 200
2823 WEST VALENCIA ROAD
14200 WEST INDIAN SCHOOL ROAD
1725 WEST HUNT HIGHWAY
20427 N HAYDEN RD
7951 NORTH ORACLE ROAD
6710 W BETHANY HOME RD
201 SOUTH PRICKLY PEAR AVE
39508 N DAISY MOUNTAIN DR
6150 SOUTH 35TH AVE
240 WEST BASELINE ROAD
1606 SOUTH SIGNAL BUTTE ROAD
29411 N CAVE CREEK RD
8151 EAST 32ND STREET
2725 EAST MCKELLIPS
12900 WEST THUNDERBIRD
1060 SOUTH WATSON
5290 S POWER RD
6645 WEST PEORIA
4747 EAST CACTUS ROAD
12100 N THORNEYDALE RD
15950 S RANCHO SAHUARITA BLVD
15431 WEST GREENWAY RD
2435 EAST BASELINE RD
2621 S MARKET ST
1613 NORTH MAIN STREET
5500 E. 22ND ST.
City
TUCSON
PHOENIX
MESA
CHANDLER
MARICOPA
CHANDLER
GOODYEAR
BULLHEAD CITY
TUCSON
GOODYEAR
QUEEN CREEK
SCOTTSDALE
ORO VALLEY
GLENDALE
BENSON
ANTHEM
PHOENIX
MESA
MESA
CAVE CREEK
YUMA
MESA
EL MIRAGE
BUCKEYE
GILBERT
GLENDALE
PHOENIX
MARANA
SAHUARITA
SURPRISE
PHOENIX
GILBERT
SAN LUIS
TUCSON
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
857478508685206-3481
8524885239-5575
852498533886429857468533885143-5203
8525585704853038560285086-1646
850418521085206853318536585213853358532685295853018503285653856298537485042852968534985711-5523
Last Updated 12/21/2012
12
NABP #
355265
355277
355328
355342
355378
355455
355520
355568
355722
356039
356065
356089
356128
356231
356279
356522
356558
356837
356887
357182
357233
400185
400250
400705
406783
409587
410097
410263
410542
410833
410922
410934
411051
411176
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAM'S PHARMACY
WAL-MART PHARMACY
APOTHECARY INC.
WAL-MART PHARMACY
FRYS FOOD AND DRUG
WAL-MART PHARMACY
MORTAR & PESTLE
FRYS FOOD AND DRUG
FRYS FOOD AND DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
#699
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
6550 WEST HAPPY VALLEY RD
PARKWAY
21055 SOUTH RITTENHOUSE RD
155 W COMBS RD
2858 N PINAL AVE
2175 W RUTHRAUFF RD
2150 EAST TANGERINE RD
5757 E. STATE RT 69
16573 W BELL RD
41650 W MARICOPA CASA GRANDE
21755 N 77TH AVE
100 RIVERSIDE DR
15215 N COTTON LANE
800 E SOUTHERN AVE
2708 N 4TH ST STE C-2
6470 S HIGLEY RD
16380 W YUMA RD
2601 E HUNTINGTON DR
5137 W OLIVE AVE
11203 E. SOUTH FRONTAGE RD.
34399 CAVE CREEK RD
8824 GEYER SPRINGS RD
6929 JFK BLVD
4403 CAMP ROBINSON RD
6420 COLONEL GLENN RD
2901 HWY 412 EAST
2004 SOUTH PLEASANT
2875 MARTIN LUTHER KING JR. BLVD
406 SOUTH WALTON BLVD
1601 ALBERT PIKE BLV
303 ST LOUIS STEET
101 WEST OAK ST
2110 WEST WALNUT
109 W.P. MALONE DR
City
PHOENIX
PEORIA
QUEEN CREEK
SAN TAN VALLEY
CASA GRANDE
TUCSON
ORO VALLEY
PRESCOTT VALLEY
SURPRISE
MARICOPA
PEORIA
PARKER
SURPRISE
TEMPE
FLAGSTAFF
GILBERT
GOODYEAR
FLAGSTAFF
GLENDALE
YUMA
CAVE CREEK
LITTLE ROCK
N LITTLE ROCK
N. LITTLE ROCK
LITTLE ROCK
SILOAM SPRINGS
SPRINGDALE
FAYETTEVILLE
BENTONVILLE
HOT SPRINGS
BATESVILLE
CONWAY
ROGERS
ARKADELPHIA
State
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AZ
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
85085853828524285140-9108
85122-7917
857058573786314-2801
85374851388538285344853888528186004-1829
85298853388600485302853678533172209721167211872204727617276472704727127191372501720327275671923Last Updated 12/21/2012
13
NABP #
411188
411594
411607
411809
411835
411962
412089
412091
412243
412279
412445
412508
412673
412685
412952
412964
413120
413295
413310
413548
413675
413752
413803
413839
413942
413954
413966
413978
413980
414007
414021
414095
414108
414463
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
BILLS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7356
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2409 EAST MAIN STREET
60 79-BYPASS NORTH
427 HWY 425 NORTH
1100 EAST ROOSEVELT
367 WEST CHERRY ST
600 HWY 71 NORTH
3919 NO. MALL AVE
4019 CENTRAL AVENUE
17309 I-30
1910 MARTIN LUTHER KING BLVD
3700 EAST HWY 18
601 MAIN ST
2425 SOUTH ZERO ST
1415 HWY 67 SOUTH
2100 NO 62ND ST
8301 ROGERS AVENUE
1051 WEST KEISER AVENUE
315 NORTH SHACKLEFORD
3509 EAST RACE AVENUE
133 ARKANSAS BLVD
1000 WEST TRIMBLE
3150 HARRISON STREET
161 N WALMART DR
65 WAL-MART DRIVE
2010 SOUTH CARAWAY ROAD
1155 HWY 65 NORTH
1815 EAST HIGHLAND DRIVE
800 HWY 64 EAST
910 UNITY ROAD
798 WEST SERVICE ROAD
926 E. COLLIN RAYE DR.
1966 HWY 65 SOUTH
2000 JOHN HARDEN DR
219 HIGHWAY 412
City
RUSSELLVILLE
MAGNOLIA
MONTICELLO
LITTLE ROCK
ALMA
MENA
FAYETTEVILLE
HOT SPRINGS
BENTON
MALVERN
BLYTHEVILLE
AUGUSTA
FORT SMITH
POCAHONTAS
FT. SMITH
FORT SMITH
OSCEOLA
LITTLE ROCK
SEARCY
TEXARKANA
BERRYVILLE
BATESVILLE
HARRISON
MOUNTAIN HOME
JONESBORO
CONWAY
JONESBORO
WYNNE
CROSSETT
WEST MEMPHIS
DE QUEEN
CLINTON
JACKSONVILLE
ASH FLAT
State
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
728027175371655722067292171953727037191372015721047231572006-0270
72901724557290472903723707221172143718547261672501726017265372401720327240172396716357230171832720317207672513Last Updated 12/21/2012
14
NABP #
414475
414487
414499
414514
414526
414780
414805
415035
415047
415059
415453
415465
415477
415489
415720
415833
416099
416102
416176
416188
416429
1563736
416758
416796
417306
417421
417774
417851
417952
417976
417990
418067
418081
418334
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KMART PHARMACY3933
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9711
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2700 S SHACKLEFORD DR
2802 WEST KINGS HIGHWAY
1501 EAST WALNUT STREET
2214 FAYETTEVILLE RD
1516 NORTH 18TH STREET
3341 CENTRAL AVENUE
1621 NORTH BUSINESS 9
1172 NO. HWY 7
1500 HWY 25B NORTH
2400 N HERVEY ST
409 SYLAMORE AVENUE
168 WALMART DRIVE
4450 EAST MCCAIN BLVD
322 BROWNSVILLE LOOP
406 E 22ND STREET
1555 EAST MAIN
1710 SO. 4TH ST
2500 MALCOLM ST/HWY 67 NORTH
3801 CAMP ROBINSON RD
1230 MARKET STREET
1600 WEST MAIN
3819 STATE ROAD 26 E
14000 CANTRELL RD
1 KMART PLAZA STATE HWY 89
512 INDUSTRIAL DRIVE
EAST LEE STREET
8801 BASELINE ROAD
US 65 SOUTH
602 SHELIA STREET
1911 WEST PARKER RD
1900 WEST MAIN
2821 E MAIN ST
702 SW 8TH STREET
1123 HIGHWAY 79 167 BYPASS
City
LITTLE ROCK
PARAGOULD
PARIS
VAN BUREN
OZARK
HOT SPRINGS
MORRILTON
DARDANELLE
HEBER SPRINGS
HOPE
MOUNTAIN VIEW
FLIPPIN
ROCK
LONOKE
STUTTGART
BOONEVILLE
NASHVILLE
NEWPORT
ROCK
CLARKSVILLE
WALNUT RIDGE
LAFAYETTE
LITTLE ROCK
CABOT
TRUMANN
HUNTSVILLE
LITTLE ROCK
MCGEHEE
WEST HELENA
JONESBORO
CORNING
RUSSELLVILLE
BENTONVILLE
FORDYCE
State
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
IN
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
72205724507285572956729497190172110728347254371801725607263472117720867216072927718527211272118728307247647905-4872
72212720237247272740722097165472390724047242272802-9662
7271271742Last Updated 12/21/2012
15
NABP #
418346
418358
418601
418776
418827
419122
419235
419247
419336
419398
419590
419728
419730
419742
419754
419766
419778
419918
420000
420062
420264
420290
420303
420404
420416
420579
420707
420757
420858
420909
420947
421002
421216
421254
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3120
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
Address Line 1
205 DEADRICK ROAD
1308 SOUTH ROCK STREET
950 CALIFORNIA AVE
1359 WEST 2ND STREET
215 AIRPORT RD
855 SALEM RD
297 HWY 32 BY PASS EAST
1410 MILITARY RD
2730 NORTHWEST AVE
1525 S CARAWAY RD
300 INTERSTATE 40 SERVICE RD
2509 MCCAIN BLVD
8415 W MARKAM
101 COMMERCE
900 PERSHING RD
614 N BEECHWOOD
1900 NORTH POLK
103 GREGORY PLACE
304 SOUTH ROCKWOOD
400 W MOUTRIE
3081 N HIGHWAY 112
8801 HWY 107
3510 SE 14TH STREET
1375 MARKET SQUARE DRIVE
4900 ROGERS AVE SUITE 101J
16105 B CHENAL PARKWAY
4407 CENTRAL SO STATE HWY7
2690 EAST CITIZENS DRIVE
3900 DAVE WARD DRIVE
10901 RODNEY PARHAM
900 SOUTH BOWMAN ROAD
5600 LANDERS ROAD
1003 W MAIN ST
400 BRYANT AVENUE
City
FORREST CITY
SHERIDAN
CAMDEN
WALDRON
HOT SPRINGS
CONWAY
ASHDOWN
BENTON
EL DORADO
JONESBORO
WEST MEMPHIS
N. LITTLE ROCK
LITTLE ROCK
MAUMELLE
N. LITTLE ROCK
LITTLE ROCK
LITTLE ROCK
JACKSONVILLE
CABOT
BLYTHVILLE
FAYETTEVILLE
SHERWOOD
BENTONVILLE
SPRINGDALE
FORT SMITH
LITTLE ROCK
HOT SPRINGS
FAYETTEVILLE
CONWAY
LITTLE ROCK
LITTLE ROCK
SHERWOOD
RUSSELLVILLE
BRYANT
State
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
72335721507170172958719017203471822720157173072401723017211672205721137211472205722077207672023723157270472120727127276272903722237191372703720347221272211721177280172022Last Updated 12/21/2012
16
NABP #
421420
421711
421723
421773
421925
421963
422004
422066
422167
422509
422814
422838
422876
423020
423145
423171
423359
423537
423602
423614
423638
423727
501230
501533
501709
501862
502395
502737
502802
502840
503501
503892
504010
504058
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAM'S PHARMACY
KROGER PHARMACY #582
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PCH MEDICAL PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAIGON PHARMACY
PHARMACY, INC.
CURSON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7287
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1819 SOUTH 8TH ST
551 LIBERTY DRIVE
301 PINE BLUFF HIGHWAY
7700 ROGERS AVE
5501 SOUTH OLIVE STREET
1295 WEST MAIN ST
19301 CANTRELL ROAD
3604 NORTH HIGHWAY 7
4208 PLEASANT CROSSING BLVD
3500 SOUTHEAST CLUB BLVD
12001 MAUMELLE BOULEVARD
2708 RIFE DR
117 AUDUBON DRIVE
3553 E ROBINSON AVE
5000 PAULINE WHITAKER PKWY
HIDGON FERRY & HWY 270
10300 N RODNEY PARHAM RD
616 N GARLAND AVE STE 363
905 S GENTRY BLVD
3475 W BLACK FOREST DR
881 W BUCCANAN
800 1ST AVE SE
306 E PACIFIC COAST HWY
3661 TRUXEL ROAD
1260 E ONTARIO AVE
14384 BROOKHURST ST
6744 BALBOA BLVD
7559 SANTA MONICA BLVD
13003 WHITTIER BLVD
30901 RIVERSIDE DR
8400 ROSEDALE HWY
301 GARDNER FIELD ROAD
301 RANCH DRIVE
180 NIBLICK ROAD
City
ROGERS
GREENWOOD
ENGLAND
FT SMITH
PINE BLUFF
CABOT
LITTLE ROCK
VILLAG
ROGERS
BENTONVILLE
N LITTLE ROCK
ROGERS
MAUMELLE
SPRINGDALE
ROGERS
HOT SPRINGS
LITTLE ROCK
FAYETTEVILLE
GENTRY
FAYETTEVILLE
PRAIRIE GROVE
GRAVETTE
LONG BEACH
SACRAMENTO
CORONA
GARDEN GROVE
VAN NUYS
LOS ANGELES
WHITTIER
LAKE ELSINORE
BAKERSFIELD
TAFT
MILPITAS
PASO ROBLES
State
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
AR
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7275672936720467290371603720237222371909727587271272113727587211372764727587191372227-4824
72701-3116
7273472704727537273690806-0813
9583392881928439140690046-6406
906029253093312932689503593446Last Updated 12/21/2012
17
NABP #
504084
505252
505579
505769
505911
506634
506913
507422
507686
507763
508020
508246
508385
508551
508599
508652
508816
508880
508967
1720499
509010
509539
509678
509907
509983
510190
510241
510479
510582
510594
510897
510900
511053
511077
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
OC PHARMACY
DRUG STORES
TAFT PHARMACY
MONTEBELLO PHARMACY
TRAN PHARMACY
AND MEDICAL SUPPL
CO
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
TANBINH PHARMACY INC
SAVON PHARMACY
LINDA VISTA PHARMACY
SAVON PHARMACY
EMERSON PHARMACY
DILLON PHARMACY
RALPHS PHARMACY
UNLIMITED PHCY
DELTA DRUGS
WAL-MART PHARMACY
HADO PHARMACY
PHARMACY
DRUGS
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
31700 GRAPE STREET
44665 VALLEY CENTRAL WAY
775 TUCKER RD
1575 WEST PACHECO BLVD
14150 BROOKHURST ST
6542 HOLLYWOOD BLVD
20056 VENTURA BLVD
817 W WHITTIER BLVD
14291 EUCLID ST
1220 S CENTRAL AVE
11500 S VERMONT AVE
5412 VILLAGE RD
1168 WEST BRANCH ST
2225 PLAZA PARKWAY
15434 BROOKHURST ST
20261 HWY 18
520 W 17TH ST
2899 JAMACHA RD
8400 LINCOLN BLVD
20300 W KELLOGG DR
2250 E CARSON ST
1141 W REDONDO BEACH BLVD
13085 CENTRAL AVE
2150 NO. WATERMAN AVENUE
7245 RESEDA BLVD
3597 N LOS COYOTES DIAG.
6253 FOOTHILL BLVD
710 DENNERY ROAD
298 E LIVE OAK AVE
38727 TIERRA SUBIDA AVE
705 COLLEGE BLVD
440 NORTH EUCLID STREET
1919 DAVIS STREET
6650 HEMBREE LANE
City
LAKE ELSINORE
LANCASTER
TEHACHAPI
LOS BANOS
GARDEN GROVE
HOLLYWOOD
WOODLAND HILLS
MONTEBELLO
GARDEN GROVE
GLENDALE
LOS ANGELES
LONG BEACH
ARROYO GRANDE
MODESTO
WESTMINSTER
APPLE VALLEY
SANTA ANA
EL CAJON
LOS ANGELES
GODDARD
LONG BEACH
GARDENA
CHINO
EL CENTRO
RESEDA
LONG BEACH
TUJUNGA
SAN DIEGO
ARCADIA
PALMDALE
OCEANSIDE
ANAHEIM
SAN LEANDRO
WINDSOR
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
KS
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
925309353493561936359284390028-6277
9136490640-4736
92843912049004490808-1698
9342095350926839230792706920199004567052-9500
9080790247-3586
91710922439133590808-2404
9104292154910069355192057928019457795492Last Updated 12/21/2012
18
NABP #
511091
511510
511700
511774
511899
512055
512067
512118
512182
512207
512497
512512
512524
512536
512548
512889
513108
513312
513336
513362
513374
513401
513413
513449
513463
513603
514186
514249
514554
514580
515037
515619
516685
516762
Pharmacy Name
WAL-MART PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
PHARMACY
SAVON PHARMACY
PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SUPER RITE DRUGS
NEW HOPE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PROFESSIONAL
S AND S PHARMACY
PHARMACY
SAMS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
Address Line 1
2220 SOUTH BRADLEY
655 S GRAND AVE
16325 VENTURA BLVD
260 S LA BREA AVE
255 COCHRAN STREET
7771 BEVERLY BLVD
8920 FLETCHER PKWY
14860 ROSCOE BLVD STE 102
3410 W THIRD ST
2201 W REDONDO BCH BLVD
1413 HAWTHORNE BLVD
27760 N MCBEAN PKWY
12475 RANCHO BERNARDO RD
11727 OLYMPIC BLVD
4311 LINCOLN BLVD
14425 BURBANK BLVD
12309 HAWTHORNE BLVD.
3223 EAST HAMMER LANE
6225 COLONY ST.
355 ORO DAM BLVD
1977 WEST CLEVELAND AVE
15272 BEAR VALLEY ROAD
911 SOUTH CHINA LAKE BLVD
1025 SOUTH MAIN
600 W MANCHESTER AVE
2922 DIVISION ST
2233 W LOMITA BLVD
7480 CARSON BLVD
5601 WILSHIRE BLVD
8657 VILLA LA JOLLA DRIVE
26502 TOWNE CENTER DRIVE
5135 LOS ANGELES AVE
6290 E PCH
1233 N LA BREA AVE
City
SANTA MARIA
GLENDORA
ENCINO
LOS ANGELES
SIMI VALLEY
LOS ANGELES
LA MESA
PANORAMA CITY
LOS ANGELES
GARDENA
REDONDO BEACH
VALENCIA
SAN DIEGO
LOS ANGELES
MARINA DEL REY
VAN NUYS
HAWTHORNE
STOCKTON
BAKERSFIELD
OROVILLE
MADERA
VICTORVILLE
RIDGECREST
RED BLUFF
LOS ANGELES
LOS ANGELES
LOMITA
LONG BEACH
LOS ANGELES
LA JOLLA
FOOTHILL RANCH
SIMI VALLEY
LONG BEACH
WEST HOLLYWOOD
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
934559174091436900369306590036-2151
91942914029002090247902789135492128900649029291401-4895
902509521293307-6538
959659363792392935559608090044-5700
90065-1298
90717-1401
90808900369203792610930659080390038Last Updated 12/21/2012
19
NABP #
517144
518122
518223
518348
518350
518920
518956
518970
519023
519629
520379
520634
520773
521395
521535
521737
521775
521799
521838
522020
522157
522664
522688
523084
523109
523135
523185
523642
523793
523806
523933
524048
524226
524288
Pharmacy Name
FAIRFAX PHARMACY
NOVA PHARMACY
SAVON PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
SAIL DRUG
MEDICAL SUPPLIE
PHARMACY
BEVERLY PHARMACY
DISCOUNT CENTER
RALPHS PHARMACY
PHARMACY
LAUREL PHARMACY
PHARMACY 9
RALPHS PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
RX PLUS
WEBSTER'S PHARMACY
PHARMACY
SAVON PHARMACY
QUALITY PHARMACY
WAL-MART PHARMACY
FARMACIA M
WAL-MART PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SERVAC PHARMACY
Address Line 1
1111 N FAIRFAX AVE STE 110
290 N HILL AVE
12630 S HAWTHORNE BLVD
16940 DEVONSHIRE ST
951 AVENIDA PICO
156 N HARVARD ST
518 W VALLEY BLVD
11700 NATIONAL BLVD
7909 BEVERLY BLVD
12350 CALIFORNIA ST
1240 LOS OSOS VALLEY RD
2413 S FAIRVIEW ST
13686 VAN NUYS BLVD
122 N EUCLID
20137 PIONEER BLVD
3131 SANTA ANITA AVE
250 S 12TH AVE
14211 EUCLID ST
1425 E LINCOLN AVE
2450 N LAKE AVE
2729 MACDONALD AVE
1132 W BRANCH WAY
2605 W ORANGETHORPE AVE
2203 LOVERIDGE ROAD
7965 SIERRA AVE
40130 10TH ST. WEST
2601 FASHION PLACE
4315 MISSION BLVD
4501 ROSEWOOD DRIVE
3382 MURPHY CANYON ROAD
27470 ALICIA PKWY
323 WEST SHAW AVENUE
600 SHOWERS DRIVE
3586 REDONDO BEACH BLVD
City
LOS ANGELES
PASADENA
HAWTHORNE
GRANADA HILLS
SAN CLEMENTE
HEMET
COLTON
LOS ANGELES
LOS ANGELES
YUCAIPA
LOS OSOS
SANTA ANA
PACOIMA
SANTA ANA
LAKEWOOD
EL MONTE
HANFORD
GARDEN GROVE
ANAHEIM
ALTADENA
RICHMOND
ARROYO GRANDE
FULLERTON
PITTSBURG
FONTANA
PALMDALE
BAKERSFIELD
PACIFIC BEACH
PLEASANTON
SAN DIEGO
LAGUNA NIGUEL
CLOVIS
MOUNTAIN VIEW
TORRANCE
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
900469110690250913449267392543-4212
923249006490048923999340292704-5339
91331-3688
92703-3005
9071591733-1369
93230928439280591001-2467
94804-3088
93420928339456592336935519330692109945889212392677936129404090504-1113
Last Updated 12/21/2012
20
NABP #
524353
524428
524733
524923
524973
526218
526876
526941
526977
527044
527094
527309
527359
527549
527830
528200
528426
528971
529000
529187
529389
529430
529644
529745
529808
529810
529923
529959
530077
530205
530510
423955
530712
531144
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
CORONA DRUG INC
KMART PHARMACY3369
AND MEDICAL SUPPLY
KMART PHARMACY7486
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
321 PHARMACY
SAVON PHARMACY
NEW LAND PHARMACY
PHARMACY
WAL-MART PHARMACY
ARMEN PHARMACY INC
SIX TWELVE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
KMART PHARMACY9746
KAREN PHARMACY
PROFESSIONAL PHCY
WAL-MART PHARMACY
WAL-MART PHARMACY
BIXBY PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4857
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4705
WESTLAKE PHARMACY
Address Line 1
1600 S MOUNTAIN AVENUE
75 N BROADWAY
2105 S SAN PEDRO ST
2344 SUNRISE BLVD
1015 S FAIRFAX AVE
520 S CHEROKEE LANE
4251 OCEANSIDE BLVD
19781 RINALDI ST
50 929 WASHINGTON ST
1644 CLOVERFIELD AVE
310 E 2ND ST
4541 CAMPUS DR
8401 WESTMINSTER BLVD
12500 BURBANK BLVD
7011 MAIN STREET
1025 E BROADWAY
107 W HUNTINGTON DR
1231 SO. SANDERSON AVENUE
79295 US HWY 111
5601 EAST RAMON ROAD
8920 WILSHIRE BLVD STE 108
111 W MCNIGHT WAY
1730 W VERDUGO AVE
4477 W 118TH ST
1250 WEST HENDERSON AVENUE
3400 FLORAL AVENUE
3816 WOODRUFF AVE
3680 WEST SHAW
14011 PALM DRIVE
621 MONTARA ROAD
43543 20TH ST W
2510 CANTRELL RD
333 SIERRA
2500 WILSHIRE BLVD
City
DUARTE
CHULA VISTA
LOS ANGELES
RANCHO CORDOVA
LOS ANGELES
LODI
OCEANSIDE
NORTHRIDGE
LA QUINTA
SANTA MONICA
LOS ANGELES
IRVINE
WESTMINSTER
VALLEY VILLAGE
AMERICAN CANYON
GLENDALE
ARCADIA
HEMET
LA QUINTA
PALM SPRINGS
BEVERLY HILLS
GRASS VALLEY
BURBANK
HAWTHORNE
PORTERVILLE
SELMA
LONG BEACH
FRESNO
SPRINGS
BARSTOW
LANCASTER
LITTLE ROCK
KINGSBURG
LOS ANGELES
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
AR
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
910109191090011-1125
9567090019952409205691326922539040490012-4203
9261292683916079450391205-1205
9100792545922539226290211-2007
9594991506-2148
90250-2256
9325793662908089371192240923119353672202-2116
9363190057Last Updated 12/21/2012
21
NABP #
531269
531423
531586
531699
531891
531904
531916
531930
532069
532110
532172
532653
532920
533100
533186
533201
533299
622565
533617
622577
533706
533756
534190
534241
535089
535116
535166
535243
535356
535457
535510
535572
535596
535661
Pharmacy Name
COMMUNITY PHARMACY
SAVON PHARMACY
CORPORATION
WAL-MART PHARMACY
ROYAL CARE PHARMACY
WAL-MART PHARMACY
KARE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SUNSHINE PHARMACY
SAVON PHARMACY
KMART PHARMACY4751
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4819
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
Address Line 1
11004 VALLEY MALL
15970 LOS SERRANOS CTRY CL DR
10301 BOLSA AVE
2900 MAIN STREET
7300 W SUNSET BLVD STE L
2540 ROCKWOOD AVENUE
12146 SOUTH ST
7901 WATT AVENUE
1150 HARTER ROAD
900 E WASHINGTON BLVD
357 N FAIRFAX AVE
1500 NORTH H ST
710 WEST TEHACHAPI
1610 SOUTH RIVERSIDE AVENUE
4210 EAST HIGHLAND AVE
57980 29 PALMS HWY
27871 LA PAZ RD
5141 CHAMBERS RD
927 S CHINA LAKE BLVD
3615 W BOWLES AVE
12549 FOOTHILL BLVD
2663 CANYON SPRINGS PARKWAY
13487 CAMINO CANADA
2019 S MAIN
6755 WMINSTER AVE
19640 BEACH BLVD
4155 TWEEDY BLVD
9831 CAMPO RD
14837 POMERADO RD
2320 S BROADWAY
5950 BALBOA AVE
7201 BOULDER
2050 WEST REDLANDS BLVD
18571 SOLEDAD CANYON
City
EL MONTE
CHINO HILLS
WESTMINSTER
SUSANVILLE
LOS ANGELES
CALEXICO
ARTESIA
ANTELOPE
YUBA CITY
CRESCENT CITY
LOS ANGELES
LOMPOC
TEHACHAPI
RIALTO
HIGHLAND
YUCCA VALLEY
LAGUNA NIGUEL
DENVER
RIDGECREST
LITTLETON
CUCAMONGA
RIVERSIDE
EL CAJON
LAKEPORT
WESTMINSTER
BEACH
SOUTH GATE
SPRING VALLEY
POWAY
SANTA MARIA
SAN DIEGO
HIGHLAND
REDLANDS
CANYON COUNTRY
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CA
CO
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
917319170992683-6784
9613090046-3402
92231907019584395993955319003693436935619237692346922849267780239-4231
9355580123-7922
9173992507920219545392683926489028091977920649345492111923469237491351Last Updated 12/21/2012
22
NABP #
535673
535724
535736
535902
535914
535926
535952
535976
536029
536055
536168
536170
536207
536271
536358
536459
536473
536497
536500
536524
536548
536574
536637
536663
536687
536726
536803
536827
536889
536916
537069
537095
537209
537259
Pharmacy Name
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
ROSA PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
M J KELLY PHARMACY
SAVON PHARMACY
SAVON PHARMACY
PROFESSIONAL
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SUN DRUG PHARMA INC
SYD'S PHARMACY
WAL-MART PHARMACY
PHARMACY
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
13045 ROSEDALE HWY
7201 YORKTOWN AVE
8465 ELK GROVE BLVD
110 E CARSON ST
11875 PIGEON PASS RD
19725 COLIMA RD
9200 VALLEY BLVD
2500 E IMPERIAL HWY
4100 N HARBOR BLVD
6235 E SPRING ST
22840 VICTORY BLVD
312 W 5TH ST STE 103
1000 S CENTRAL AVE
6240 FOOTHILL BLVD
1403 W 54TH ST
7676 FIRESTONE BLVD
9051 ATLANTA AVE
2115 ARTESIA BLVD
25872 MUIRLANDS BLVD
810 S STATE COLLEGE
30530 RANCHO CALIFORNIA RD
19307 SATICOY ST
16600 BOLSA CHICA ST
8800 VALLEY VIEW STREET
450 E CYPRESS AVE
3901 CRENSHAW BLVD
2035 HILLHURST AVE
18730 E AMAR RD
1803 N HILLHURST AVE
7111 BEVERLY BLVD
479 N MCKINLEY ST
2768 W 8TH STREET
1235 S DIAMOND BAR BLVD
2975 VAN BUREN BLVD
City
BAKERSFIELD
BEACH
ELK GROVE
CARSON
MORENO VALLEY
ROWLAND HEIGHTS
ROSEMEAD
BREA
FULLERTON
LONG BEACH
WOODLAND HILLS
LOS ANGELES
GLENDALE
TUJUNGA
LOS ANGELES
DOWNEY
BEACH
REDONDO BEACH
MISSION VIEJO
ANAHEIM
TEMECULA
RESEDA
BEACH
BUENA PARK
REDLANDS
BALDWIN HILLS
LOS ANGELES
WALNUT
LOS ANGELES
LOS ANGELES
CORONA
LOS ANGELES
DIAMOND BAR
RIVERSIDE
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
93312926489575890745925579174891770-1900
9282192835908089136790013-1900
912049104290062-2895
9024192646902789269192806925919133592649906209237390008900279178990027-4498
90036-2538
92879900059176592503Last Updated 12/21/2012
23
NABP #
537312
537641
537689
538085
538225
538251
538388
538491
538542
538631
538857
539619
539621
539633
539710
539722
540737
540799
540802
540826
541208
541258
541424
541501
541640
541652
541664
541676
541943
542111
542200
542402
542705
542717
Pharmacy Name
SAVON PHARMACY
WAL-MART PHARMACY
I AND G PHARMACY
DNM PHARMACY
PHARMACY
BINH DAN PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
T AND C PHARMACY
KMART PHARMACY3725
KMART PHARMACY4749
KMART PHARMACY7552
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PROFESSIONAL PHCY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3828
KMART PHARMACY3982
PHARMACY SERVICES
KMART PHARMACY3945
SAVON PHARMACY
CENTRAL PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY7195
PHARMACY 2000
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
40101 MONTEREY AVE
170 TOWN CENTER PARKWAY
815 E COLORADO BLVD
6221 WILSHIRE BLVD
1127 E BROADWAY ST
14516 BROOKHURST ST
2111 FULKERTH ROAD
19821 RINALDI STREET
22554 VENTURA BLVD
4893 LONE TREE WAY
2340 E PACIFIC COAST HWY
1702 FREEDOM BLVD
1670 EAST FOURTH
1570 W BRANCH ST
1540 W FOOTHILL BLVD
900 PLEASANT GROVE BLVD
2700 LAS POSITAS ROAD
2160 APPIAN WAY
1670 MITCHELL ROAD
5125 EAST KINGS CANYON
26471 YNEZ ROAD
215 WEST HANFORD ARMONA RD
31 E SANTA ANITA AVE
912 COUNTY LINE ROAD
13401 WASHINGTON BLVD
2300 MACDONALD AVE
8200 EL CAMINO REAL
3010 W GRANT LINE ROAD
804 AVENIDA PICO
6865 HOLLISTER AVENUE
1646 WESTWOOD BLVD
20251 HWY 18
701 W CENTRAL AVENUE
7150 CAMINO ARROYO
City
RANCHO MIRAGE
SANTEE
GLENDALE
LOS ANGELES
GLENDALE
WESTMINSTER
TURLOCK
PORTER RANCH
WOODLAND HILLS
ANTIOCH
LONG BEACH
FREEDOM
ONTARIO
ARROYO GRANDE
UPLAND
ROSEVILLE
LIVERMORE
PINOLE
CERES
FRESNO
TEMECULA
LEMOORE
BURBANK
DELANO
MARINA DEL REY
RICHMOND
ATASCADERO
TRACY
SAN CLEMENTE
GOLETA
LOS ANGELES
APPLE VALLEY
LOMPOC
GILROY
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9227092071912059004891205-1397
92683-5150
953809132691364945099080495019917649342091786956789455094564-2515
9530793727925919324591502-1924
932159029294804-1878
9342295304926729311790024923079343695020Last Updated 12/21/2012
24
NABP #
542729
542731
542743
543086
543137
543199
543214
543290
543391
543656
544088
544266
544432
544672
544684
544759
544925
545092
545193
545814
546032
546044
546056
546070
546094
546119
546739
622591
547123
547604
548175
548377
548644
549848
Pharmacy Name
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4987
SAVON PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
DISCOUNT PHARMACY
SAVON PHARMACY
RALPHS PHARMACY
PHARMACY
KMART PHARMACY3916
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON COM
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
#499
V N DRUGS
THE MEDICINE CABINET
EXPRESS RX INC
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
Address Line 1
13220 HARBOR BLVD
1101 SANGUINETTI ROAD
30600 DYER STREET
2001 NORTH ROSE AVENUE
3055 LOUGHBOROUGH DRIVE
2701 N TEXAS ST
470 AIRPORT AVENUE
500 CARSON TOWN CENTER
7227 VAN NUYS BLVD
101 G STREET
23072 ALICIA PKWY
1150 N HARBOR BLVD
8440 E CHAPMAN AVE
710 N ROSE DR
14618 VICTORY BLVD
1475 HILLMAN ST
3412 COLLEGE AVE.
2770 CARSON STREET
6336 COLLEGE GROVE WAY
260 W FOOTHILL PKWY
15960 DAM ROAD
1155 AIRPORT PARK BLVD
5200 VAN BUREN BLVD
2510 EL CAMINO REAL STE A
10355 WICKLOW WAY
25450 THE OLD ROAD
14340 PENASQUITOS DR
685 E COOPER AVE STE A112
13075 HARBOR BLVD
7119 RITA AVE
1711 W TEMPLE ST
2044 FOREST AVENUE
14124 FOOTHILL BLVD
1950 AUTO CENTER DRIVE
City
GARDEN GROVE
SONORA
UNION CITY
OXNARD
MERCED
FAIRFIELD
WILLOWS
CARSON
VAN NUYS
SAN DIEGO
MISSION VIEJO
ANAHEIM
ORANGE
PLACENTIA
VAN NUYS
TULARE
SAN DIEGO
LAKEWOOD
SAN DIEGO
CORONA
CLEARLAKE
UKIAH
RIVERSIDE
CARLSBAD
MARTELL
STEVENSON RANCH
SAN DIEGO
ASPEN
GARDEN GROVE
HUNTINGTON PARK
LOS ANGELES
CHICO
SYLMAR
GLENDORA
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
92843953709458793030953489453495988907459140592101926929280392869928709141193274921159071292115928829542295482925039200895642913819212981611-2011
9268390255-4766
900269592891342-8049
91740Last Updated 12/21/2012
25
NABP #
549850
549862
550740
550891
551007
551071
551108
551110
551146
551158
551196
551348
551425
552112
552201
552504
553075
553316
553380
553582
554089
554243
554750
555106
555308
555461
555512
555790
556021
556045
556259
556261
556297
556348
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
CARE PHARMACY
SAVON PHARMACY
NOBLE PHARMACY INC
HONOLULU PHARMACY
SERVICES
SAVON PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
CRESCENT DRUGS, INC.
RALPHS PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
PHARMACEUTICALS
SAVON PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
1800 UNIVERSITY DRIVE
14501 LAKEWOOD BLVD
8938 TRAUTWEIN RD
1800 N MAIN ST
1906 FORT JONES ROAD
1268 MADERA RD
1120 S MT VERNON AVENUE
1501 HELEN POWER DRIVE
1515 DANA DRIVE
5502 MONTEREY RD
2560 NORTH PERRIS BLVD
1110 EAST PROSPERITY AVE
4625 REDWOOD DRIVE
814 S ALVARADO ST
2100 W 3RD ST STE
801 S CHEVY CHASE DRIVE
18579 BROOKHURST ST
321 E ALAMEDA AVE STE L
450 S CENTRAL AVE
2929 F ST
21035 HAWTHORNE BLVD
12701 TOWNE CENTER DR
674 LAS POSAS
315 E ALESSANDRO BLVD
5915 BLACKWELDER ST
1121 N HARBOR BLVD
22333 SHERMAN WAY
1608 BROADWAY
721 S GLASGOW AVE
3443 S SEPULVEDA BLVD
7369 MILLIKEN AVE
2661 GREEN RIVER RD
1120 E CLARK AVE
10740 WESTVIEW PKWY
City
VISTA
PARAMOUNT
RIVERSIDE
SALINAS
YREKA
SIMI VALLEY
COLTON
VACAVILLE
REDDING
SAN JOSE
PERRIS
TULARE
ROHNERT PARK
LOS ANGELES
LOS ANGELES
GLENDALE
FOUNTAIN VALLEY
BURBANK
GLENDALE
BAKERSFIELD
TORRANCE
CERRITOS
CAMARLLO
RIVERSIDE
CULVER CITY
FULLERTON
CANOGA PARK
EL CAJON
INGLEWOOD
LOS ANGELES
R CUCAMONGA
CORONA
ORCUTT
SAN DIEGO
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
92083907239250893906-5117
9609793065923249568796003951389257193274949289005790057-1904
91205927089150291204933019050390703930109250890232928329130392021903019003491730928829345592126Last Updated 12/21/2012
26
NABP #
556526
556691
557061
557112
557150
557213
557340
557491
557617
558001
558176
558253
558289
558316
558479
559041
559419
559976
559988
560070
560272
560284
560638
561224
561248
561806
561995
562098
562137
562428
562656
562668
562858
563076
Pharmacy Name
RALPHS PHARMACY
PHARMACY
RALPHS PHARMACY
CENTER
RESEDA PHARMACY INC
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
INC
SAVON PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SPAULDING PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
RALPHS PHARMACY
SAMS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
1020 UNIVERSITY AVE
7325 MEDICAL CENTER DR
12842 VENTURA BLVD
9730 WILSHIRE BLVD
6900 RESEDA BLVD
14437 VENTURA BLVD
3533 CANNON RD
42150 WASHINGTON ST
17500 CRENSHAW BLVD
3730 W SUNSET BLVD
33601 DEL OBISPO
951 NORTH MILLIKEN
41200 MURRIETA HOT SPRINGS RD
681 LINCOLN AVENUE
541 S REINO RD
8850 FOOTHILL BLVD
1290 EAST ONTARIO AVE
1505 E VALLEY PKWY
1735 ARTESIA BLVD
10655 FOLSOM BLVD
7722 SANTA MONICA BLVD
3380 LOS COYOTES DIAG
1770 CARSON ST
1375 EAST ONTARIO AVE
2401 NORTH ROSE AVE
100 W CARRILLO ST
1301 S LONE HILL AVE
5035 PACIFIC COAST HWY
24975 PICO CANYON RD
10861 WEYBURN AVE
4420 FLORIN ROAD
2601 SKYPARK DRIVE
4421 UNIVERSITY AVE
21500 YORBA LINDA BLVD
City
SAN DIEGO
WEST HILLS
STUDIO CITY
BEVERLY HILLS
RESEDA
SHERMAN OAKS
OCEANSIDE
BERMUDA DUNES
TORRANCE
LOS ANGELES
DANA POINT
ONTARIO
MURRIETA
NAPA
NEWBURY PARK
CUCAMONGA
CORONA
ESCONDIDO
GARDENA
RANCHO CORDOVA
LOS ANGELES
LONG BEACH
TORRANCE
CORONA
OXNARD
SANTA BARBARA
GLENDORA
TORRANCE
STEVENSON RANCH
WESTWOOD
SACRAMENTO
TORRANCE
SAN DIEGO
YORBA LINDA
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
92103913079160490212-2107
913359140392056922019050490026926299176492562945599132091730928819202790247956709004690808905019288293030931019174090505913819002495823905059210592887Last Updated 12/21/2012
27
NABP #
563127
563189
563317
563329
563557
563569
563571
563608
563658
563735
565145
565284
565412
565549
565563
565575
565602
565614
565626
565929
565981
566325
566426
566907
566921
566957
567264
567276
568040
568141
568254
568420
568785
568848
Pharmacy Name
SAVON PHARMACY
DE LA STAR PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAMS PHARMACY
NORMS PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
PASEO PHARMACY
REXFORD PHARMACY
KMART PHARMACY3968
RALPHS PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
2010 PHARMACY
RONCO DRUG
REMEDY PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
Address Line 1
2707 VIA DE LA VALLE
1721 W MAGNOLIA BLVD
1050 N WESTERN AVE
14574 BASELINE AVE
306 TWIN OAKS VALLEY RD
33145 TEMECULA PARKWAY
659 E PALOMAR ST
12470 SEAL BEACH BLVD
7663 NO BLACKSTONE AVE
18368 CLARK ST
2291 W MALVERN AVE
1021 ARNOLD DR
725 E HUNTINGTON DR
8230 TALBERT AVENUE
37140 47TH STREET EAST
1731 EAST AVENUE J
7065 NORTH INGRAM AVENUE
17150 EAST GALE AVENUE
80 RIO RANCHO ROAD
200 E SEPULVEDA BLVD
133 W ROUTE 66
245 E GREEN ST
9406 W PICO BLVD
2785 HIGHWAY 46
30019 HAWTHORNE BLVD
26521 AGOURA RD
3925 MISSION AVE
1018 RILEY STREET
1751 N SUNRISE WAY
7785 WESTMINSTER BLVD
18607 VENTURA BLVD
459 W BROADWAY ST
49908 JEFFERSON ST
475 W LOS ANGELES AVE
City
DEL MAR
BURBANK
SAN PEDRO
FONTANA
SAN MARCOS
TEMECULA
CHULA VISTA
SEAL BEACH
FRESNO
TARZANA
FULLERTON
MARTINEZ
MONROVIA
BEACH
PALMDALE
LANCASTER
FRESNO
CITY OF INDUSTRY
POMONA
CARSON
GLENDORA
PASADENA
LOS ANGELES
WASCO
PALOS VERDES
CALABASAS
OCEANSIDE
FOLSOM
PALM SPRINGS
WESTMINSTER
TARZANA
GLENDALE
INDIO
MOORPARK
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9201491506-1839
9073292336920789259291911907409372091356-3502
92833945539101692646935529353593650917459176690745917409110190035-1290
93280902759130292054956309226292683-4025
9135691204-1208
9220193021Last Updated 12/21/2012
28
NABP #
622628
568862
568937
569030
569369
569802
570451
570689
570778
571364
571681
571732
571958
572001
572037
572140
572657
572962
572974
573205
573522
573736
573801
573976
574310
574358
574738
574776
574980
575095
575108
575122
575374
575401
Pharmacy Name
WAL-MART PHARMACY
SAVON PHARMACY
A PLUS PHARMACY
CENTER
SAVON PHARMACY
SAVON PHARMACY
PHARMACY
PHARMACY
SUN LAKE DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
SAMS PHARMACY
SAVON PHARMACY
B AND G PHARMACY INC
ASTRAL PHARMACY
SAVON PHARMACY
GENESSEE PHARMACY
BOULEVARD PHARMACY
SO LOW DRUG
KMART PHARMACY3376
PHARMACY
SAVON PHARMACY
ST PAULS PHARMACY 2
DONG TAM PHARMACY
WAL-MART PHARMACY
ABM PHARMACY
PHARMACY
PHCY INC
ANA PHARMACY
MISSION DRUGS
WAL-MART PHARMACY
LOMA LINDA PHARMACY
WAL-MART PHARMACY
Address Line 1
850 E 88TH AVE
989 AVENIDA PICO
6888 LINCOLN AVE
1041 E YORBA LINDA BLVD
720 3RD AVE
3500 PANAMA RD
2121 W 6TH ST
250 N ROBERTSON BLVD
2860 SUNSET BLVD
1720 EAST MAIN STREET
17251 FOOTHILL BLVD
100 E VALENCIA MESA DR
900 WALTON AVE
1520 BRUNDAGE LN
5101 HOLLYWOOD BLVD
6368 HOLLYWOOD BLVD
41000 CALIFORNIA OAKS RD
7764 SANTA MONICA BLVD
10771 SHERMAN WAY
11270 LOS ALAMITOS BLVD
8501 AUBURN BLVD
336 E HILLCREST BLVD
2630 E WORKMAN
8809 WHITTIER BLVD
3163 SAN GABRIEL BLVD
1275 NORTH AZUSA AVENUE
1385 E COLORADO ST
8733 BEVERLY BLVD
1000 W 9TH ST
3513 JOHNSON AVE
1050 ATLANTIC BLVD
3943 GRAND AVENUE
25620 BARTON RD
1340 SOUTH BEACH BLVD
City
THORNTON
SAN CLEMENTE
BUENA PARK
PLACENTIA
CHULA VISTA
BAKERSFIELD
LOS ANGELES
BEVERLY HILLS
LOS ANGELES
WOODLAND
FONTANA
FULLERTON
YUBA CITY
BAKERSFIELD
LOS ANGELES
LOS ANGELES
MURRIETA
WEST HOLLYWOOD
SUN VALLEY
LOS ALAMITOS
CITRUS HGTS
INGLEWOOD
WEST COVINA
PICO RIVERA
ROSEMEAD
COVINA
GLENDALE
LOS ANGELES
LOS ANGELES
EL MONTE
LONG BEACH
CHINO
LOMA LINDA
LA HABRA
State
CO
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
80229-4999
9267390620928709191093313900579021190026-2187
957769233592835959939330490027-6105
90028925629004691352907209561090301-2406
9179090660917709172291205-1462
90048-1890
90015-1377
9173190813-3478
917109235490631Last Updated 12/21/2012
29
NABP #
575413
575653
575805
575843
576186
576237
576302
576326
576415
576439
576477
576491
576617
576679
576693
576744
576910
577215
577695
578027
578471
578510
578546
578560
578623
578697
578762
579029
579031
579118
579120
579536
579625
579651
Pharmacy Name
SAMS PHARMACY
PHARMACY
PHARMACY
REMEDY DRUGS
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAVON PHARMACY
SAVON PHARMACY
DOYLES RX PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
CATINAT PHARMACY
PHARMACY AND GIFT
SVCS INC
SAVON PHARMACY
KING PHARMACY
RALPHS PHARMACY
NATICO PHARMACY
SAVON PHARMACY
PACIFICA PHARMACY
OAKLAND PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
PHARMACY
AMERI CARE DRUGS
SAMS PHARMACY
HAU GIANG PHARMACY
SAVON PHARMACY
Address Line 1
1500 HELEN POWER DRIVE
801 E BROADWAY STE A
6333 WILSHIRE BLVD
1510 W GLENOAKS
2800 COCHRAN ST
2000 E 17TH ST
13425 COMMUNITY ROAD
1819 EAST NOBLE AVENUE
1205 SOUTH MAIN STREET
1390 SOUTH BEACH BLVD
543 SWEETWATER RD
1000 N AZUSA RD
8618 S SEPULVEDA BLVD
2595 EAST IMPERIAL HWY
3600 WEST MCFADDEN AVENUE
2300 NORTH TUSTIN STREET
2400 W COMMONWEALTH AVE
2619 W EDINGER AVE
8500 WILSHIRE BLVD
4709 E CHAPMAN AVENUE
1930 N PLACENTIA AVE
2707 WHITTIER BLVD
1776 S VICTORIA AVE
10212 WESTMINSTER AVE
1736 AVENIDA DE LOS ARBOLES
23560 S MADISON ST
407 EIGHTH STREET
2350 WEST KETTLEMAN LANE
5770 LINDERO CANYON RD
2143 FOOTHILL BLVD
500 W WILLOW ST
3951 GRAND AVENUE
14411 BROOKHURST AVE
31960 US HWY 79 S
City
VACAVILLE
GLENDALE
LOS ANGELES
GLENDALE
SIMI VALLEY
SANTA ANA
POWAY
VISALIA
MANTECA
LA HABRA
SPRING VALLEY
COVINA
LOS ANGELES
BREA
SANTA ANA
ORANGE
ALHAMBRA
SANTA ANA
BEVERLY HILLS
ORANGE
FULLERTON
LOS ANGELES
VENTURA
GARDEN GROVE
THOUSAND OAKS
TORRANCE
OAKLAND
LODI
WESTLAKE VILLAGE
LA CANADA
LONG BEACH
CHINO
GARDEN GROVE
TEMECULA
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9568791205-4528
90048-5001
91201930659270692064932929533790631919779172290045928219270492865918039270490211928679283190023930039284391362-1301
90505-5019
94607-4422
95242913629101190806917109284392592Last Updated 12/21/2012
30
NABP #
357485
580058
580060
580363
580743
580781
581466
581555
581935
582052
582090
582658
582684
582696
582850
584068
584575
584943
584981
584993
585185
585438
585630
585743
585781
586670
586858
587026
587103
587230
587634
587646
588446
588903
Pharmacy Name
QUICK PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ATLANTIC PHARMACY
WAL-MART PHARMACY
OWL DRUG
RALPHS PHARMACY
SAVON PHARMACY
PHCY
SAVON PHARMACY
COMPOUNDING
PICO UNION PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
TLC PHARMACY INC
SAVON PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
TAPO PHARMACY
SAN JACINTO PHARMACY
SAVON PHARMACY
RALPHS PHARMACY
PHARMACY
DRUG
RALPHS PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
THE PHARMACY
RALPHS PHARMACY
Address Line 1
549 W THOMAS RD
13331 BEACH BLVD
8333 VAN NUYS BLVD
5119 E BEVERLY BLVD
2100 VISTA WAY
728 FAIRPLEX DR
5429 HOLLYWOOD BLVD
8310 LIMONITE AVE
240 S LA CIENEGA BLVD
23893 CLINTON KEITH RD
72624 EL PASEO
1273 S UNION AVE
8500 WASHINGTON BLVD
13310 TELEGRAPH ROAD
1745 GARFIELD AVE
845 PACIFIC COAST HIGHWAY
1100 HAMNER AVE
6363 VALLEY SPRINGS PARKWAY
151 EAST 5TH STREET
7750 CARSON BLVD
2950 N SYCAMORE DR
100 E MAIN ST
4550 E CHAPMAN AVE
8626 FIRESTONE BLVD
8930 S SEPULVEDA BLVD
10728 E RAMONA BLVD
23801 WASHINGTON AVE
17120 COLIMA RD
4300 MISSOURI FLAT ROAD
4101 SOUTH CRENSHAW BLVD
220 E BONITA AVE
6045 COFFEE RD
11905 S CENTRAL AVE
1100 N FERNANDO BLVD
City
PHOENIX
WESTMINSTER
PANORAMA CITY
LOS ANGELES
OCEANSIDE
POMONA
LOS ANGELES
RIVERSIDE
BEVERLY HILLS
WILDOMAR
PALM DESERT
LOS ANGELES
PICO RIVERA
SANTA FE SPRINGS
SOUTH PASADENA
HERMOSA BEACH
NORCO
RIVERSIDE
LONG BEACH
LONG BEACH
SIMI VALLEY
SAN JACINTO
ORANGE
DOWNEY
LOS ANGELES
EL MONTE
MURRIETA
HACIENDA HEIGHTS
PLACERVILLE
LOS ANGELES
SAN DIMAS
BAKERSFIELD
LOS ANGELES
BURBANK
State
AZ
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
85013-4211
9268391402900229205491768-1100
900279250990211-3375
925959226090015906609067091030902549286092507908029080893065-1210
92583-4297
928699024190045-3606
917319256291745956679000891773933089005991504Last Updated 12/21/2012
31
NABP #
589094
589789
590352
590996
591025
591114
591342
592205
592243
622630
592584
593079
593411
594730
596354
597609
597685
598043
599906
599918
600672
600684
600711
600735
600747
600759
600761
600773
600785
600797
600812
600824
600836
600848
Pharmacy Name
PARKSIDE PHARMACY
MINH PHARMACY
NTM PHARMACY
PHARMACY
PHARMACY
SAMS PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
TANA PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
NGOC MAI PHARMACY
PLAZA WEST PHARMACY
LAX PHARMACY INC
COLES CARE PHARMACY
ORANGE PHARMACY
CAL PHARMACY
SAVON PHARMACY
WESTWOOD PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
Address Line 1
2428 SANTA MONICA BLVD
5110 WESTMINSTER AVE
2317 E ANAHEIM ST
7223 BALBOA BLVD
7256 SUNSET BLVD
7147 GREENBACK LANE
1100 PACIFIC COAST HWY
8450 LA PALMA AVENUE
10512 BOLSA AVE
665 N MURRAY BLVD
14201 JEFFREY RD
9014 BOLSA AVE
8704 SEPULVEDA BLVD
4457 LENNOX BLVD
16854 IVY STE C
9972 BOLSA AVE
9746 WESTMINSTER AVE
3255 GRAND AVE
1820 WESTWOOD BLVD
7631 WESTMINSTER BLVD
5050 S FEDERAL BLVD
1355 KRAMERIA
3050 W NORTHERN
655 PEORIA ST
2325 S COLLEGE
3100 S SHERIDAN BLVD UNIT 2
3400 YOUNGFIELD
9731 W 58TH AVE
750 E 104TH AVE
6470 E HAMPDEN AVE
6550 LOOKOUT RD
1155 E 9TH AVE
1155 S HAVANA
1927 S WADSWORTH BLVD
City
SANTA MONICA
SANTA ANA
LONG BEACH
VAN NUYS
LOS ANGELES
CITRUS HEIGHTS
HERMOSA BEACH
BUENA PARK
WESTMINSTER
SPRINGS
IRVINE
WESTMINSTER
NORTH HILLS
LENNOX
FONTANA
WESTMINSTER
GARDEN GROVE
CHINO HILLS
LOS ANGELES
WESTMINSTER
ENGLEWOOD
DENVER
PUEBLO
AURORA
FORT COLLINS
DENVER
WHEAT RIDGE
ARVADA
THORNTON
DENVER
BOULDER
DENVER
AURORA
LAKEWOOD
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
90404-2045
92703-1153
908049140690046-3410
95621902549062092683-6727
80915-3405
9262092683-5531
9134390304-2303
9233592683-6000
928449170990025-4612
92683-3919
80110-6342
80220-2729
81004-2317
80010-8228
80525-1721
80227-5541
80033-5245
80002-2009
80229-4301
80222-7605
80301-3303
80218-3438
80012-0417
80227-3271
Last Updated 12/21/2012
32
NABP #
600850
601030
601105
601117
601181
601218
601220
601232
601345
601701
606458
606674
606725
606749
606751
606763
606838
606876
606903
606939
607056
607068
607070
607121
607234
607246
607486
607981
608248
608274
608363
608464
608515
608541
Pharmacy Name
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
KMART PHARMACY3043
PHARMACY
KMART PHARMACY4131
KMART PHARMACY4332
PHARMACY
PHARMACY
PHARMACY
KMART PHARMACY4187
PHARMACY
KMART PHARMACY4917
KMART PHARMACY4224
PHARMACY
PHARMACY
PHARMACY
KMART PHARMACY4129
KMART PHARMACY4453
KMART PHARMACY3171
KMART PHARMACY4471
PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
PHARMACY
Address Line 1
2712 11TH AVE
1575 W 84TH AVE
3600 TABLE MESA DR
890 S MONACO PKWY
5125 W FLORIDA
4850 E 62ND AVE
1750 W UINTAH
8031 WADSWORTH BLVD
5050 E ARAPAHOE RD
15200 E COLFAX AVE
3190 S PARKER RD
200 W BELLEVIEW
3020 N NEVADA ST
101 ENGLEWOOD PKY
12043 W ALAMEDA PKWY
6760 S PIERCE
2770 W EVANS AVE
2255 N MAIN STREET
1400 E 104TH AVENUE
2150 S MONACO ST PARKWAY
102 W 29TH AVE
253 E 29TH ST
12350 W 64TH AVE
9881 W 58TH AVE
3415 N ELIZABETH ST
3900 NORTHERN AVE
2535 S COLLEGE
5301 W 38TH AVE
12167 SHERIDAN BLVD
505 W VICTORY WAY
1015 S TAFT HILL RD
3130 MAIN AVENUE
1725 SHERIDAN BLVD
7575 S UNIVERSITY BLVD
City
GREELEY
FEDERAL HEIGHTS
BOULDER
DENVER
DENVER
COMMERCE CITY
SPRINGS
ARVADA
LITTLETON
AURORA
AURORA
ENGLEWOOD
SPRINGS
ENGLEWOOD
LAKEWOOD
LITTLETON
DENVER
LONGMONT
THORNTON
DENVER
PUEBLO
LOVELAND
ARVADA
ARVADA
PUEBLO
PUEBLO
FORT COLLINS
WHEATRIDGE
BROOMFIELD
CRAIG
FORT COLLINS
DURANGO
EDGEWATER
CENTENNIAL
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
80631-8443
8022180303-5895
80222-1574
80219-3605
8002280904-2958
80005-1639
80122-2302
8001180014-3110
801108090780110-2459
8022880128-4574
8021980501-1417
802338022281003-1002
80538-2799
80004-4016
8000281008810058052580212-7058
80020-2459
8162580521-4240
813018021480122-3180
Last Updated 12/21/2012
33
NABP #
608565
608604
608642
608882
608971
608983
608995
609125
609137
609517
609543
609644
609670
609745
609757
609769
609860
610027
610231
610243
610255
610267
610306
610318
610407
610421
610609
610849
611308
611358
611459
611461
611473
611548
Pharmacy Name
KMART PHARMACY7000
PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
PHARMACY
PHARMACY
KMART PHARMACY7329
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
CITY MARKET PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
PHARMACY
CITY MARKET PHARMACY
CITY MARKET PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2809 NORTH AVE
17000 E ILIFF AVE
4910 S YOSEMITE
569 32 ROAD
9800 W BELLEVIEW
15109 E COLFAX AVE
6930 N ACADEMY BLVD
2665 W EISENHOWER
0072 BEAVER CREEK PLACE
9983 WADSWORTH PKWY
131 MARKET STREET
2770 HWY 50 SOUTH
1545 S KIPLING
1555 QUAIL
1650 30TH ST
2727 W EVANS AVE
10351 N FEDERAL BLVD
135 S PLUM
1331 N SPEER BLVD
15250 E MISSISSIPPI
815 CHEYENNE MEADOWS
8200 S HOLLY ST
777 GOLDHILL PL
1173 BERGEN PKWY
6350 SHERIDAN BLVD
508 E MAIN STREET
1703 FREMONT
2910 S ACADEMY BLVD
4200 DILLION DRIVE
3801 E 120TH AVE
3333 CLARK STREET
1510 WEST MAIN
7865 WEST HWY 50
2285 E KEN PRATT BLVD
City
GRAND JUNCTION
AURORA
VILLAGE
GRAND JUNCTION
LITTLETON
AURORA
SPRINGS
LOVELAND
AVON
WESTMINSTER
ALAMOSA
GRAND JUNCTION
LAKEWOOD
LAKEWOOD
BOULDER
DENVER
WESTMINISTER
FRUITA
DENVER
AURORA
SPRINGS
LITTLETON
WOODLAND PARK
EVERGREEN
ARVADA
CORTEZ
CANON CITY
COLORADO SPRING
PUEBLO
THORNTON
ALAMOSA
STERLING
SALIDA
LONGMONT
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8150180013-1520
801118150480123-2101
80011-5729
80918-1195
805378162080030811018150380232-6236
80226-2743
80302-1014
80219-5507
80260-7431
8152180204-2512
80012-3731
80906-4929
80122-4012
8086380439-9525
800038132181212809168100880241-1659
81101807518120180501Last Updated 12/21/2012
34
NABP #
611586
611613
611637
611649
611651
611702
611714
611788
611790
611803
611853
611889
611891
612045
612057
612110
612158
612285
612398
612401
612449
612526
612564
612665
612742
612754
612817
612855
612918
613059
613073
613097
613162
613198
Pharmacy Name
CITY MARKET PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3890
Address Line 1
128 S TOWNSEND
1325 NORTH DENVER AVE
1835 EAST MAIN ST
2921 TOUPAL DRIVE
4271 SOUTH BUCKLEY RD
3103 23RD AVENUE
4400 FRONT STREET
NO 6 TOWN PLAZA SHOPPING CTR
4080 WEST NORTHERN AVE.
840 SUMMIT BLVD
250 W 65TH
3105 HWY 50 EAST
1825 CENTRAL PARK PLZ
745 NORTH HWY 287
16750 SOUTH TOWNSEND
3010 BLAKE AVENUE
825 S COLORADO BLVD
171 YODER AVENUE
3201 EAST PLATTE AVE
9901 GRANT ST.
6675 BUSINESS CENTER DR.
6310 SOUTH US HWY 85 87
2881 NORTH AVENUE
7700 WEST QUINCY AVENUE
6 CONLEY ROAD
707 SOUTH 8TH ST
200 ROOD AVENUE
14000 EAST EXPOSITION AVENUE
900 NORTH MAIN STREET
122 GUNNISON RIVER DRIVE
60 WEST BROMLEY LANE
1320 RAILROAD AVENUE
5650 SOUTH CHAMBERS ROAD
825 SOUTH KUNER RD
City
MONTROSE
LOVELAND
CORTEZ
TRINIDAD
AURORA
GREELEY
CASTLE ROCK
DURANGO
PUEBLO
FRISCO
LOVELAND
CANON CITY
SPRINGS
LAFAYETTE
MONTROSE
SPRINGS
DENVER
AVON
SPRINGS
THORNTON
HIGHLANDS RANCH
FOUNTAIN
GRAND JUNCTION
LITTLETON
LAJUNTA
SPRINGS
GRAND JUNCTION
AURORA
GUNNISON
DELTA
BRIGHTON
RIFLE
AURORA
BRIGHTON
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8140180537813218108280014-2951
806318010481301810058044380538812128047780026814018160180022-8006
8162080909802298013080817815018012381050809058150180012812308141680601816508001580601Last Updated 12/21/2012
35
NABP #
613237
613340
613427
613441
613592
613605
613732
613768
613845
614025
614215
614342
614354
614405
614467
614532
614835
614900
615027
615039
615231
615279
615293
615306
615407
615558
615611
615647
615798
615801
615813
615875
616031
616156
Pharmacy Name
CITY MARKET PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
KMART PHARMACY7560
WAL-MART PHARMACY
KMART PHARMACY7303
WAL-MART PHARMACY
CITY MARKET PHARMACY
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
CITY MARKET PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
CITY MARKET PHARMACY
PHARMACY
CITY MARKET PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
CITY MARKET PHARMACY
Address Line 1
300 DILLON RIDGE RD
1375 S BOULDER RD
1805 CENTRAL PARK DRIVE
2100 35TH AVENUE
8250 RAZORBACK RD
11747 W KEN CARYL AVE
1198 WEST VICTORY
7455 WEST COLFAX AVENUE
363 BROADWAY
9499 SHERIDAN BLVD
250 E VALLEY RD
1051 HIGHWAY 133
2930 11TH AVE
438 S HWY 24
400 N PARK AVE
952 SWEDE GULCH ROAD
16400 S TOWNSEND
19711 E SMOKY HILL ROAD
0103 MARKET STREET
100 FOUNDERS PKWY
2109 N FRONTAGE ROAD WEST
2750 S COLORADO BLVD
850 CASTLE VALLEY BLVD
165 COUNTRY CENTER DR
9551 S UNIVERSITY BLVD
880 N MAIN
715 S ACADEMY BOULEVARD
1155 SOUTH CAMINO DEL RIO
4503 JOHN F KENNEDY PKWY
12959 S PARKER ROAD
995 S HOVER ST
1432 EAST OLIVE
1850 EAST WOODMEN ROAD
215 SIXTH STREET
City
DILLON
LOUISVILLE
SPRINGS
GREELEY
SPRINGS
LITTLETON
CRAIG
LAKEWOOD
DENVER
WESTMINSTER
EL JEBEL
CARBONDALE
EVANS
BUENA VISTA
BRECKENRIDGE
N
MONTROSE
AURORA
EAGLE
CASTLE ROCK
VAIL
DENVER
NEW CASTLE
PAGOSA SPRINGS
HIGHLANDS RANCH
GUNNISON
SPRINGS
DURANGO
FORT COLLINS
PARKER
LONGMONT
LAMAR
SPRINGS
HOTCHKISS
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8043580027-2301
8047780632-3910
8092080127-3700
816258021480203-3920
8003181623-7736
81623-1874
80620-1011
8121180424804018140180015-3101
8163180104-7528
8165780122-6602
81647811478021681230809108130380525-3250
8013480501810528092081419Last Updated 12/21/2012
36
NABP #
616182
616194
616360
616372
616396
616524
616548
616675
616803
616930
616980
617019
617300
617362
617374
617627
617677
617843
617893
617970
617982
617994
618011
618023
618035
618124
618136
618150
618162
618275
618299
618388
618453
618530
Pharmacy Name
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
Address Line 1
17171 S GOLDEN ROAD
1070 W BAPTIST RD
3570 HARTSEL DRIVE
6412 S PARKER RD
1150 HWY 287
5990 DAHLIA ST.
1275 EAGLE DR
8126 SOUTH WADSWORTH BLVD
500 EAST BROMLEY LANE
17031 LINCOLN AVE
11101 SO PARKER ROAD
601 ENGLEWOOD PKWY
2205 W WILDCAT RESERVE PKWY
7817 PARK MEADOWS DRIVE
7370 WEST 52ND AVENUE
1250 EAST MAGNOLIA ST
1040 INDEPENDENT AVE
9601 GRANT STREET
9400 EAST HAMPDEN AVENUE
7284 LAGAE RD
7800 EAST SMITH ROAD
7805 EAST 35TH AVENUE
880 SOUTH ABILENE STREET
505 S BROADWAY
1200 EAST EISENHOWER
15200 W 64TH AVE
6000 S HOLLY ST
1575 SPACE CENTER DRIVE
1300 NORTH BARLOW ROAD
8673 S QUEBEC STREET
920 47TH AVENUE
2810 QUEBEC ST
6030 STETSON HILLS BLVD
2545 RIMROCK AVE
City
GOLDEN
SPRINGS
SPRINGS
AURORA
BROOMFIELD
COMMERCE CITY
LOVELAND
LITTLETON
BRIGHTON
PARKER
PARKER
ENGLEWOOD
LITTLETON
LONE TREE
ARVADA
FORT COLLINS
GRAND JUNCTION
THORNTON
AURORA
CASTLE ROCK
DENVER
DENVER
AURORA
DENVER
LOVELAND
ARVADA
VILLAGE
SPRINGS
FORT MORGAN
HIGHLANDS RANCH
GREELEY
DENVER
SPRINGS
GRAND JUNCTION
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
804018092180920-4170
80016800208002280537-8058
801288060180134-9183
801348011080129801248000280524815058022980231801088020780238800128020980537800078011180915807018012680634802078092281505Last Updated 12/21/2012
37
NABP #
618542
618566
618578
618605
618629
618631
618679
618681
618744
618845
618895
618934
619001
619051
619075
619087
619099
619114
619152
619164
619188
619277
619291
619455
619532
619594
619671
619746
619784
619809
620028
620181
620193
620371
Pharmacy Name
WAL-MART PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
SAMS PHARMACY
PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
CITY MARKET PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1000 AIRPORT ROAD
1520 MAIN STREET
4000 RED CEDAR DR
13700 COLORADO BLVD
18605 GREEN VALLEY RANCH BLVD
1611 PACE STREET
13420 COAL MINE AVE
5550 EAST WOODMEN ROAD
7984 W ALAMEDA AVE
7901 S BROADWAY
8055 SHERIDAN BLVD
18211 E HAMPDEN AVE
480 N HIGHWAY 287
412 EAGLERIDGE BLVD
3250 CENTENNIAL BLVD
4700 BOARDWALK DRIVE
500 SUMMIT BLVD
37 STAFFORD LANE
6201 SOUTH AURORA PARKWAY
6101 SOUTH AURORA PARKWAY
1001 TOMPSON ROAD
6110 FIRESTONE BLVD
10900 EAST BRIARWOOD AVENUE
100 LITTLETON BLVD
2602 S TIMBERLINE RD
3301 NORTH TOWER ROAD
750 RIDGE ROAD
25637 CONIFER ROAD
2514 MAIN STREET
78 NORTH MCCULLOCH BLVD
16218 JACKSON CREEK PARKWAY
200 WEST 136TH AVE
440 WADSWORTH BLVD
11550 MERIDIAN MARKET VIEW
City
RIFLE
WINDSOR
HIGHLANDS RANCH
THORNTON
DENVER
LONGMONT
LITTLETON
SPRINGS
LAKEWOOD
LITTLETON
ARVADA
AURORA
LAFAYETTE
PUEBLO
SPRINGS
FT COLLINS
BROOMFIELD
DELTA
AURORA
AURORA
GRANBY
FIRESTONE
CENTENNIAL
LITTLETON
FORT COLLINS
AURORA
CASTLE ROCK
CONIFER
LONGMONT
PUEBLO WEST
MONUMENT
WESTMINSTER
LAKEWOOD
FALCON
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
816508055080126806028024980501-3052
80127809208022680122800038001380026810088091980525800218141680016800168044680504801118012080525800118010480433805048100780132802348022680831Last Updated 12/21/2012
38
NABP #
620395
620410
620434
620509
620698
620876
620989
621210
621222
621311
621323
621690
621703
621880
621979
622008
622010
622200
701549
701652
714611
715118
715512
715524
716463
716639
716730
716742
716829
717201
717225
717249
717314
718138
Pharmacy Name
PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
PHARMACY
SAM'S PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
PHARMACY
CITY MARKET PHARMACY
PHARMACY #117
PHARMACY
THE KROGER CO. KS113
BORDONAROS
HANCOCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
REDDING PHARMACY
Address Line 1
9225 N UNION BLVD
19600 EAST HIGHWAY 24
1045 FIRST ST
2000 WEST VICTORY WAY
7155 SHERIDAN BLVD
3620 AUSTIN BLUFFS PKWAY
3247 23RD AVENUE
4500 WEITZEL ST
2355 W 136TH
4827 S WADSWORTH WAY
2100 LEGACY CIR
7101 E. 128TH AVE
4651 W 121ST AVE
4600 LEETSDALE DR
630 24 RD
6922 10TH STREET
1842 NORTH COLLEGE AVENUE
1220 S LIPAN ST
283 MAIN ST
840 E MAIN ST
420 BUCKLAND HILLS DR
474 BOSTON POST ROAD
220 SALEM TURNPIKE
150 GOLD STAR HWY
625 SCHOOL STREET
844 NO. COLONY ROAD
465 BRIDGEPORT AVENUE
155 WATERFORD PARKWAY NO.
970 TORRINGFORD STREET
161 BERLIN ROAD
69 PROSPECT HILL ROAD
120 COMMERCIAL PARKWAY
1100 NEW HAVEN ROAD
73 REDDING RD
City
SPRINGS
WOODLAND PARK
BENNETT
CRAIG
WESTMINSTER
SPRINGS
EVANS
TIMNATH
BROOMFIELD
LITTLETON
ELIZABETH
THORNTON
BROOMFIELD
GLENDALE
GRAND JUNCTION
GREELEY
FORT COLLINS
DENVER
PORTLAND
MERIDEN
MANCHESTER
NORTH WINDHAM
NORWICH
GROTON
PUTNAM
WALLINGFORD
SHELTON
WATERFORD
TORRINGTON
CROMWELL
EAST WINDSOR
BRANFORD
NAUGATUCK
GEORGETOWN
State
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CO
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8092080866801028162580003809188062080547800238012380107-8331
8060280020-5662
80246-1311
81505-1239
806348052480223-3069
0648006450-6096
06040062560636006340-3442
06260064920648406385067900641606088064050677006829-0359
Last Updated 12/21/2012
39
NABP #
718518
718582
718708
718710
718758
718760
718950
718962
719015
719142
719229
719243
719267
719281
719293
719510
719849
719914
720070
720688
720880
721402
722098
722428
722505
722618
802810
802822
802909
802959
802973
802997
803189
803254
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAM'S PHARMACY
HIGGANUM PHARMACY
LONG WHARF
EAST ROCK PHARMACY
INC
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY7725
SAVON PHARMACY
Address Line 1
235 QUEEN STREET
80 TOWN LINE ROAD
656 NEW HAVEN AVENUE
650 MAIN AVENUE
255 W MAIN STREET
1400 FARMINGTON AVENUE
180 RIVER ROAD
665 BOSTON POST ROAD
3164 BERLIN TURNPIKE
150 BARNUM AVENUE CUTOFF
2300 DIXWELL AVENUE
69 PAVILIONS DRIVE
910 WOLCOTT STREET
67 NEWTOWN ROAD
164 DANBURY ROAD
680 CONNECTICUT AVENUE
315 FOXON BLVD
2 BOSTON POST ROAD
495 FLATBUSH AVE
515 SAWMILL ROAD
1365 BOSTON POST ROAD
3465 BERLIN TPKE
3A CANDLEWOOD HILL RD
1 LONG WHARF DR STE 116
767 ORANGE ST
2366 MAIN ST
146 FOX HUNT DR ROUTE 40
1001 N DUPONT HWY RT 13
RT 7 AND VALLEY RD
939 N.DUPONT HWY
36 JEROME DR
950 ELKTON RD
19563 COASTAL HWY UNIT A
1308 CENTERVILLE RD
City
SOUTHINGTON
ROCKY HILL
DERBY
NORWALK
AVON
BRISTOL
LISBON
OLD SAYBROOK
NEWINGTON
STRATFORD
HAMDEN
MANCHESTER
WATERBURY
DANBURY
NEW MILFORD
NORWALK
NEW HAVEN
ORANGE
HARTFORD
WEST HAVEN
MILFORD
NEWINGTON
HIGGANUM
NEW HAVEN
NEW HAVEN
BRIDGEPORT
BEAR
DOVER
HOCKESSIN
MILFORD
DOVER
NEWARK
REHOBOTH BEACH
WILMINGTON
State
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
CT
DE
DE
DE
DE
DE
DE
DE
DE
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
06489060670641806851060010601006351064750611106614065140604006705068100677606854065130647706106065160646006111-5106
06441-4202
06511-5991
06511-2534
06606-5339
19701199011970719963199011971119971-1141
19808Last Updated 12/21/2012
40
NABP #
803317
803646
803711
803785
803800
803925
803963
804066
804078
804080
804131
844731
844957
1000291
1000443
1000455
1000861
1000873
1001495
1002132
1002170
1002182
1002194
1002207
1002776
1002904
1003475
1003499
1003514
1003944
1004910
1004946
1006281
1006293
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4807
KMART PHARMACY7110
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAMS PHARMACY
PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
751 NORTH DUAL HWY
117 WILTON BLVD
401 GOVERNOR PLACE
333 NAAMANS ROAD
4 COLLEGE PARK LANE
18922 REHOBOTH MALL BLVD
236 E GLENWOOD AVE
263 WAL-MART DRIVE
460 E MAIN ST
1572 NO DUPONT HWY
1914 N MARKET ST
1251 CENTERVILLE RD
705 MIDDLETOWN WARWICK RD
6745 NORTH CHURCH AVE
6192 GUNN HIGHWAY
464016 STATE ROAD 200
6868 U.S. HWY 129
151 SW 184 AVENUE
4375 W 16TH AVE
1601 RINEHART ROAD
1675 ST. LUCIE WEST BLVD
8220 NORTH DALE MABRY HIGHWAY
33501 SO. DIXIE HWY.
13360 CORTEZ BLVD
1900 SOUTH JEFFERSON STREET
6216 ELLIOT DRIVE
2120 US HWY 92 WEST
8885 NORTH FLORIDA AVENUE
740 NORTH BEAL PARKWAY
1707 WEST 23RD
6225 EAST STATE ROAD 64
5555 WEST ATLANTIC BLVD
904 CYPRESS PARKWAY
4375 BELVEDERE ROAD
City
SEAFORD
NEW CASTLE
BEAR
CLAYMONT
GEORGETOWN
REHOBOTH BEACH
SMYRNA
CAMDEN
MIDDLETOWN
DOVER
WILMINGTON
WILMINGTON
MIDDLETOWN
MULBERRY
TAMPA
YULEE
LIVE OAK
PEMBROKE PINES
HIALEAH
SANFORD
PORT ST LUCIE
TAMPA
FLORIDA CITY
BROOKSVILLE
PERRY
TAMPA
AUBURNDALE
TAMPA
FT WALTON BEACH
PANAMA CITY
BRADENTON
MARGATE
POINCIANA
WEST PALM BEACH
State
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
19973197201970119703-2894
199471997119977199341970919901198021980819709338603362532097320603302933012-7628
327713498633614330343461332348336153382333604325473240534208330633475933406Last Updated 12/21/2012
41
NABP #
1007207
1007221
1007271
1007283
1008677
1008691
1008704
1008728
1008881
1010115
1010711
1011307
1011333
1011737
1011838
1011977
1012741
1012765
1013488
1013731
1015610
1015634
1015658
1016725
1017462
2243777
1017640
1017842
1017905
1018212
1018262
1018856
1018868
1018870
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4415
WAL-MART PHARMACY
ATLANTIS PHARMACY INC
SAMS PHARMACY
WAL-MART PHARMACY
TOWN DRUG
HEART MED PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SERVICES INC
DISCOUNT INC
SAMS PHARMACY
PHARMACEUTICAL SVC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3122 DICK WILSON BLVD
9570 SW HIGHWAY 200
9885 COLLIER BLVD
550 US HIGHWAY 27
2700 CLEARLAKE ROAD
3501 34TH STREET SOUTH
3950 WICKHAM ROAD NORTH
3550 SOUTH BABCOCK ROAD
1300 INTERNATIONAL SPEEDWAY
201 SOUTH CHICKASAW TRAIL
136 NW 57TH AVE
27727 STATE ROAD 56
3250 VINELAND ROAD
2730 HOLLYWOOD BLVD
2351 NW 93RD AVE
3920 SKYLINE BLVD
5420 JULIET BOULEVARD
1040 MALABAR ROAD S.E.
1425 NORTHEAST 163RD STREET
13140 SOUTH TAMIAMI TRAIL
600 SOUTH ALAFAYA TRAIL
7450 CYPRESS GARDENS BLVD
1450 JOHNS LAKE ROAD
201 NW 70TH AVE
12812 SW 8TH ST
1 TOBIAS BOLAND WAY
1725 NW 79TH AVE
9205 GIBSONTON DRIVE
433 SOUTH AVALON PARK BLVD
508 10TH STREET EAST
13227 CITY SQUARE DRIVE
35 MIKE STEWART DRIVE
4250 PHILLIPS HIGHWAY
17000 TAMIAMI TRAIL
City
TALLAHASSEE
OCALA
NAPLES
CLERMONT
COCOA
ST PETERSBURG
MELBOURNE
MELBOURNE
DAYTONA BEACH
ORLANDO
MIAMI
WESLEY CHAPEL
KISSIMMEE
HOLLYWOOD
MIAMI
CAPE CORAL
NAPLES
PALM BAY
BEACH
OSPREY
ORLANDO
WINTER HAVEN
CLERMONT
PLANTATION
MIAMI
WORCESTER
DORAL
GIBSONTON
ORLANDO
PALMETTO
JACKSONVILLE
CRAWFORDVILLE
JACKSONVILLE
NORTH PORT
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
MA
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3230134481341143471132922337113293532901321143282533126335433474633020-4894
3317233914341093290733162342293282633884347113331733184-1399
01607-2103
3312633534328283422132218323273220734287Last Updated 12/21/2012
42
NABP #
1019163
1019288
1019733
1019745
1019769
1019795
1020445
1020469
1022122
1022134
1022540
622503
1023643
1023655
1023667
1024354
1024467
1024619
1024823
1024835
1024847
1024897
1025091
1025180
1025356
1025471
1025849
1026005
1026017
1026043
1026752
1026839
1026865
1027312
Pharmacy Name
KMART PHARMACY4122
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KMART PHARMACY3144
KMART PHARMACY4311
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4420
KMART PHARMACY4356
KMART PHARMACY4327
SAMS PHARMACY
KMART PHARMACY4355
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3329
KMART PHARMACY7067
KMART PHARMACY3140
WAL-MART PHARMACY
Address Line 1
4211 MOBILE HWY
5559 CLARCONA OCOEE ROAD
19501 NORTHWEST 27TH AVE.
101 NORTH CONGRESS AVE
375 KINGS HIGHWAY
17650 NORHWEST 2ND AVE.
3001 NORTH STATE ROAD 7
1905 NORTH NOVA ROAD
1580 BRANNAN FIELD ROAD
501 NORTH NAVY BLVD
5990 N FEDERAL HWY
14605 W 64TH AVE
9360 NAVARRE PARKWAY
4085 WEDGEWOOD LANE
10900 S US HWY
4383 N TAMIAMI TRAIL
1602 W BRANDON BLVD
713 715 N STATE RD 7
101 HOWLAND BLVD
6650 COLLIER BLVD
1850 S.W. GATLIN BLVD
5010 AIRPORT PULLING ROAD NO
3711 E SILVER SPRING BLVD
1000 MISSOURI AVE
5725 US 19
3530 LAKELAND HIGHLANDS RD
4501 66TH STREET N
10635 WEST ATLANTIC BLVD
505 PINE ISLAND ROAD SW
8990 TURKEY LAKE ROAD
12412 US 19
3853 CLEVELAND AVE S
26996 US HWY 19 NORTH
7818 COLONIAL WEST DRIVE
City
PENSACOLA
ORLANDO
MIAMI GARDENS
LAKE PARK
PORT CHARLOTTE
MIAMI GARDENS
LAUDERDALE LAKES
HOLLY HILL
MIDDLEBURG
PENSACOLA
FORT LAUDERDALE
ARVADA
NAVARRE
THE VILLAGES
PORT ST LUCIE
NAPLES
BRANDON
HOLLYWOOD
DELTONA
NAPLES
PORT ST LUCIE
NAPLES
OCALA
LARGO
NEW PORT RICHEY
LAKELAND
ST PETERSBURG
CORAL SPRINGS
CAPE CORAL
ORLANDO
HUDSON
FORT MYERS
CLEARWATER
ORLANDO
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
CO
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3250632810330563340333983331693331332117320683250733308-2633
80004-3514
32566321623495234103335113302132738341143495334105344703377034652338033370933071339913281934667339013376132818Last Updated 12/21/2012
43
NABP #
2640135
2640147
1027742
3198531
1028530
1028794
3198618
1030472
1030802
1162546
1031133
1031157
3844215
3844227
1032159
1032161
1032173
1032553
1032565
1032591
1032630
1032731
1033656
622527
622539
1033985
1033997
1034420
1034672
1035244
1035422
1035446
1035585
1035941
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
INC
PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
PHARMACY
KMART PHARMACY3353
KMART PHARMACY4245
WAL-MART PHARMACY
SAMS PHARMACY
WAL MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3355
KMART PHARMACY4283
KMART PHARMACY4286
WAL-MART PHARMACY
WAL-MART PHARMACY
MEDSTAR INC
PATY INC
KMART PHARMACY3657
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3074
KMART PHARMACY7071
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
AND DISCOUNT
KMART PHARMACY4243
KMART PHARMACY3164
KMART PHARMACY3457
Address Line 1
3150 REPUBLIC RD
1320 S GLENSTONE AVE
9361 W 40TH ST
115 CHRISTOPHER DR
4650 UNIVERSITY DRIVE
2990 SOUTH BLUE ANGEL PARKWAY
121 WEST BROADWAY
380 BLANDING BLVD
8245 N FLORIDA AVE
2912 MAIN ST W
1750 SW GATLIN BLVD
9131 COLLEGE PKWY
17255 NW CORNELL RD
19133 WILLAMETTE DR
1329 W 15TH ST
5751 BEACH BLVD
4645 BLANDING BLVD
5991 NEW GOLDENROD RD
12610 NORTH US HIGHWAY 19
2108 WEST 68TH STREET
626 SW 109TH AVE
16900 NEW US 441 WEST
1885 NORTH PINE ISLAND RD
16746 E SMOKY HILL RD
1442 S PARKER RD
14091 SW 88TH ST
500 ATLANTIC BLVD
4021 LANGNIAPPE WAY
1800 NE 12TH AVE
6901 OKEECHOBEE BLVD
2295 NW 28TH STREET
670 E OAKLAND PK BLVD
1220 NORTHLAKE BLVD
501 NORTH BENEVA ROAD
City
SPRINGFIIELD
SPRINGFIELD
MIAMI
JERSEY CITY
CORAL SPRINGS
PENSACOLA
PATERSON
ORANGE PARK
TAMPA
SNELLVILLE
PORT ST LUCIE
FORT MYERS
BEAVERTON
WEST LINN
PANAMA CITY
JACKSONVILLE
JACKSONVILLE
ORLANDO
HUDSON
HIALEAH
MIAMI
MOUNT DORA
PLANTATION
CENTENNIAL
DENVER
MIAMI
NEPTUNE BEACH
TALLAHASSEE
GAINESVILLE
WEST PALM BEACH
MIAMI
OAKLAND PARK
LAKE PARK
SARASOTA
State
MO
MO
FL
NJ
FL
FL
NJ
FL
FL
GA
FL
FL
OR
OR
FL
FL
FL
FL
FL
FL
FL
FL
FL
CO
CO
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6581065804-0302
3316507304330673250607522320733360430078-3148
3495333919-5818
97006-3297
97068-2019
32401322073221032822346673301633174327573332280015-2472
80231-2707
331863226632317326413341133142333343340334232Last Updated 12/21/2012
44
NABP #
1035965
1035989
1036145
1036943
1037286
1037779
1037793
1038163
1038276
622553
1038404
1038517
1038644
1039266
1039494
1039836
1040649
1040752
1040980
1041019
1041021
1041312
1042073
1042299
1042302
1042768
1043493
1043962
1044635
1045029
1045752
1045966
1045978
1046538
Pharmacy Name
KMART PHARMACY4296
KMART PHARMACY7233
KMART PHARMACY9511
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7294
SAM'S PHARMACY
PHARMACY #114
KMART PHARMACY7147
KMART PHARMACY3223
KMART PHARMACY7310
MEDIX PHARMACY
KMART PHARMACY7321
KMART PHARMACY7544
PRIDE PHARMACY INC
KMART PHARMACY4848
WAL-MART PHARMACY
SAM'S PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
DISCOUNT INC
WAL-MART PHARMACY
WAL-MART PHARMACY
MACDILL PHARMACY
KMART PHARMACY3573
WAL-MART PHARMACY
SUNSHINE PHARMACY
SAM'S PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FLORIDA PHARMACY # 2
Address Line 1
651 S 60TH AVE
2211 WEST VINE STREET
111 TOWN COUNTRY DRIVE
1041 US HIGHWAY 27 NORTH
6900 US 19 NORTH
1199 SOUTH FEDERAL HWY
1601 WEST KENNEDY BLVD
1501 US 1
5565 20TH STREET
15051 E. 104TH AVE
5400 E BUSCH BLVD
200 IRWIN NE
4711 BABCOCK ST NEUNIT 1
4850 WEST OAKLAND BLVD
7350 MANATEE AVE WEST
7850 SEMINOLE MALL
1421 EAST OAKLAND PARK BLVD.
1501 NORMANDY VILLAGE PK
1803 N HIGHLAND AVE
755 N HWY 27/441
3911 S. JOG RD
6177 JOG RD
22177 S DIXIE HWY
3221 N MONROE ST
4225 45TH ST
2800 NORTH MACDILL AVE
1527133 MC GREGOR BLVD
10251 SHOPS LANE
120 CARTER BLVD
450 TOWNSEND RD
13817 WALSINGHAM RD
2911 53RD AVENUE EAST
2649 NW 13TH STREET
4633 NW 199 STREET
City
HOLLYWOOD
KISSIMMEE
PALATKA
AVON PARK
PINELLAS PARK
POMPANO BEACH
TAMPA
VERO BEACH
VERO BEACH
COMMERCE CITY
TAMPA
BEACH
PALM BAY
LAUDERDALE LAKES
BRADENTON
SEMINOLE
OAKLAND PARK
JACKSONVILLE
CLEARWATER
THE VILLAGES
GREENACRES
LAKE WORTH
MIAMI
TALLAHASSEE
W. PALM BEACH
TAMPA
FT MYERS
JACKSONVILLE
POLK CITY
COCOA
LARGO
BRADENTON
GAINESVILLE
MIAMI GARDENS
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
CO
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
33023347413217733825337813306933606329603296680022336173254832905333133420933772-4703
3333432221337553215933467-1590
3346733170-2840
3230333407336073390832258338683292633774342033260933055Last Updated 12/21/2012
45
NABP #
5055656
1046831
1047489
1047491
1048330
5643057
1049685
1049697
1049700
1049964
1049976
1049988
1049990
1050006
1051034
1051185
1051197
357411
1051351
1051426
1051438
1051440
1051779
1051820
1051882
1052187
1052199
1052202
1052531
1052543
1052606
1052783
1052911
1052959
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY & SUPPLIES
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
INCORPORATED
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7335
LIABILITY COMPA
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1100 GRAND CENTRAL AVE
2602 JIM REDMAN PARKWAY
2355 US HWY 1SOUTH
1050 VAN FLEET DRIVE
1521 W GRANADA BLVD
22030 SHERMAN WAY
545 PINE ISLAND RD
3175 CHENEY HWY
17030 US HWY 441
12650 HWY 301 SOUTH
2600 SW 19TH AVE
1480 US HWY 17 N
1024 SO STATE ROAD19
36205 US HIGHWAY 27
1825 COLLIER PKWY
19100 MURDOCK CIRCLE
2767 W US HWY 90
14111 N PRASADA GATEWAY AVE
3525 US HWY 27 NORTH
1500 E MERRITT ISLAND CSWY
5001 TAYLOR ROAD
3501 S FLORIDA AVE
4150 S TAMIAMI TRAIL
1070 E. BRANDON BLVD
1619 DEL PRADO BLVD
3653 ORLANDO DR
2501 N CITRUS BLVD
2725 SOUTHEAST HWY 70
4444 WEST VINE
2000 STATE ROAD 60 EAST
10301 SE US HWY 441
23904 STATE ROAD 54 STE 102
3101 W PRINCETON ST
10270 FRONT BEACH RD
City
VIENNA
PLANT CITY
ST AUGUSTINE
BARTOW
ORMOND BEACH
CANOGA PARK
N FT MYERS
TITUSVILLE
MOUNT DORA
DADE CITY
OCALA
WAUCHULA
PALATKA
HAINES CITY
LUTZ
PORT CHARLOTTE
LAKE CITY
SURPRISE
SEBRING
MERRITT ISLAND
PUNTA GORDA
LAKELAND
VENICE
BRANDON
CAPE CORAL
SANFORD
LEESBURG
ARCADIA
KISSIMMEE
LAKE WALES
BELLEVIEW
LUTZ
ORLANDO
BEACH
State
WV
FL
FL
FL
FL
CA
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
AZ
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
26105-1049
3356632086338303217491303-1851
339033278032757335253447433873321773384433549-8718
3394832055853883387032952339503380334293335113399032773347483426634746338983442033559-6796
3280432407Last Updated 12/21/2012
46
NABP #
1052961
1053266
1053355
1053595
1053608
1053696
1053709
1053925
1053937
1053949
1054244
1054256
1054268
1054270
1054282
1054294
1054410
1054472
1054484
1054624
1054636
1054701
1054977
1055626
1055703
1055878
1055880
1055917
1486693
1058026
1058557
1058658
1058660
1058913
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DISCOUNT, INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3424
WALMART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1699 NO. WOODLAND BLVD
11720 DR MARTIN L KING JR BLVD
11250 E. COLONIAL DR
3351 S FERDON BLVD
748 BEAL PKWY N.W.
10500 WEST COLONIAL DRIVE
8101 SOUTH JOHN YOUNG PARKWAY
355 CYPRESS GARDEN BLVD
10855 S US HWY 1
1001 EAST EAU GALLIE BLVD
2163 WEST C-48
11012 NO. WILLIAMS ST.
1485 COMMERCIAL WAY
4965 HIGHWAY 90
5555 20TH STREET
1700 S ORG BLSMTRAIL
1001 SW 8TH ST
949 EAST BLOOMINGDALE AVE
1239 STATE ROAD 436, UNIT 101
1385 AMELIA PLAZA
845 PALM BAY ROAD
900 NW 76 BOULEVARD
1575 LAND O. LAKES BLVD
8745 STATE ROAD 54
401 N WICKHAM RD
5315 CORTEZ RD WEST
14821 SIX MILE CYPRESS PKWY
2101 S HIGHWAY 77
301 N 8TH ST STE 1A100-A
6885 S SUNCOAST BLVD
3535 APALACHEE PKWY
5100 OKEECHOBEE ROAD
3570 SOUTHWEST ARCHER RD
8701 US HWY 19
City
DE LAND
SEFFNER
ORLANDO
CRESTVIEW
FT WALTON BEACH
OCOEE
ORLANDO
WINTER HAVEN
PORT ST LUCIE
BEAC
BUSHNELL
DUNNELLON
SPRING HILL
PACE
VERO BEACH
APOPKA
MIAMI
BRANDON
CASSELBERRY
BEACH
WEST MELBOURNE
GAINESVILLE
LUTZ
NEW PORT RICHEY
MELBOURNE
BRADENTON
FORT MYERS
LYNN HAVEN
SPRINGFIELD
SPRINGS
TALLAHASSEE
FORT PIERCE
GAINESVILLE
PORT RICHEY
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
IL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3272033584328173253932547347613281933880349523293733513344323460632571-1408
329663270333130-3601
335113270732034329043260633549-2930
3465532935-8659
342103391232444-4631
62701-1041
3444732311349473260834668Last Updated 12/21/2012
47
NABP #
1058925
1058937
1059028
1059030
1059042
1059054
1059066
1059078
1059410
1059864
1059890
1059991
1060095
1060108
1060209
1060211
1060336
1060348
1060350
1060514
1060639
1060932
1061009
1061148
1061150
1061213
1061225
1061251
1061821
1061946
1062001
1062328
1062431
1062948
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CIRCLE S PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3677
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3668
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3701
KMART PHARMACY3317
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3155 STATE ROAD 44
6767 103RD STREET
2001 US HIGHWAY 1
2461 E GULF TO LAKES HWY
4400 13TH ST.
3451 TAMIAMI TRAIL E
10991-1 SAN JOSE BLVD.
4001 SE FEDERAL HWY
3838 S SEMARON BLVD
8808 BEACH BLVD.
323 BACOM POINT RD STE 100
174 CYPRESS POINT PRKWY
1226 FREEPORT ROAD
725 NO. TYNDALL PKWY
4928 STATE ROAD 674
2650 CREIGHTON ROAD
6830 NORMANDY BLVD
8320 LOCKWOOD RIDGE
899 BLANDING BLVD
3302 BONITA BEACH ROAD
13490 BEACH BLVD
13300 CORTEZ BLVD
13105 W COLONIAL DR
9218 S STATE ROAD 228
12100 LEM TURNER RD
8970 PENSACOLA BLVD
5500 THOMASVILLE ROAD
1140 E JOHN SIMS PARKWAY
1401 W PALMETTO PARK RD
5800 N. HWY 98
14500 US HWY 301 SO.
2500 SO. KIRKMAN RD
2201 NO. YOUNG BLVD
3306 NORTH UNIVERSITY DRIVE
City
BEACH
JACKSONVILLE
SEBASTIAN
INVERNESS
SAINT CLOUD
NAPLES
JACKSONVILLE
STUART
ORLANDO
JACKSONVILLE
PAHOKEE
PALM COAST
DE FUNIAK SPRINGS
CALLAWAY
WIMAUMA
PENSACOLA
JACKSONVILLE
SARASOTA
ORANGE PARK
BONITA SPRINGS
BEACH
BROOKSVILLE
WINTER GARDEN
MACCLENNY
JACKSONVILLE
PENSACOLA
TALLAHASSEE
NICEVILLE
BOCA RATON
LAKELAND
STARKE
ORLANDO
CHIEFLAND
SUNRISE
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3216832210329583445334769341123222334997-4909
3282232216334763216432433324043359832504322053424332065341343222434613347873206332218325343230832578334863380932091328113262633351Last Updated 12/21/2012
48
NABP #
1063077
1063166
1063421
1063433
1063673
1063685
1063914
1063926
1063938
1063940
1064182
1064271
1064372
1064473
1064699
1064738
1064790
1065209
1065211
1065336
1065475
1065514
5643172
1065867
1065879
1065881
1066023
1066112
1067102
1067479
1067481
1067621
1067645
1067657
Pharmacy Name
KMART PHARMACY9714
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3761
KMART PHARMACY9793
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3651
KMART PHARMACY3874
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3939
WAL-MART PHARMACY
HARBOR PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3845
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4715
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
235 EAST 9 MILE
200 SOUTH STATE ROAD 434
15017 EMERALD COAST PKWY
2255 HIGHWAY 71
4545 HYPOLUXO ROAD
4400 W TENNESSEE
2400 VETERANS MEMORIAL PRKWY
3801 TURTLE CREEK DR
1101 BEVILLE ROAD
9890 HUTCHINSON PARK DRIVE
7422 GALL BOULEVARD
1660 HWY 41 NORTH
6294 FOREST HILL BLVD
8001 US HWY 19 NORTH
1425 TUSKAWILLAUNIT 225
1801 NORTHWEST HWY 19
7011 WATERS AVENUE WEST
1800 UNIVERSITY DRIVE
4600 MOBILE HWY/SUITE 122
3993 TYRONE BLVD
7100 W HWY 98
14941 NORTH DALE MABRY HWY
16040 HARBOR BLVD STE K
35404 US HIGHWAY 19
300 WEST COPANS ROAD
16205 SOUTH MILITARY DRIVE
9990 BELVEDERE ROAD
WILLOW BEND TN CTR 22920 ST RD 54
1590 DUNLAWTON AVE
15885 SW 88TH STREET
1111 NORTH MISSOURI AVENUE
901 US 27 NORTH SUITE 100
5851 N.W. 177TH ST.
1000 NORTH WICKHAM R
City
PENSACOLA
SPRINGS
DESTIN
MARIANNA
LAKE WORTH
TALLAHASSEE
ORANGE CITY
CORAL SPRINGS
DAYTONA BEACH
JACKSONVILLE
ZEPHYRHILLS
INVERNESS
WEST PALM BEACH
PINELLAS PARK
WINTER SPRINGS
CRYSTAL RIVER
TAMPA
MIRAMAR
PENSACOLA
ST PETERSBURG
BEACH
TAMPA
FOUNTAIN VALLEY
PALM HARBOR
POMPANO BEACH
DELRAY BEACH
WEST PALM BEACH
LUTZ
PORT ORANGE
KENDALL
LARGO
SEBRING
HIALEAH
MELBOURNE
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
CA
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3251432714325413244833463323043276333067321193221133541344503341533781327083442833634330253250633709324073361892708-1327
3468433064334843341133549321273318633770338703301532935Last Updated 12/21/2012
49
NABP #
1067974
1068572
1068584
1068887
1069005
1069269
1069271
1069928
1070072
1070476
1070870
1071050
1071062
1071264
1071529
1072305
1072723
1072898
1072937
1073410
1073977
1074006
1074703
1075147
1076187
1076428
1076430
1076581
1076911
1077545
1080061
1080124
1080136
1486782
Pharmacy Name
KMART PHARMACY3956
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4886
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3624
KMART PHARMACY7643
WAL-MART PHARMACY
KMART PHARMACY3793
KMART PHARMACY4893
KMART PHARMACY3975
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7366
KMART PHARMACY4870
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3818
KMART PHARMACY7711
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4767
KMART PHARMACY9614
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3615
KMART PHARMACY3613
INC
Address Line 1
4955 GOLDEN GATE PARKWAY
4980 EAST SILVER SPRINGS BLVD
7631 GALL BOULEVARD
4700 FLAMINGO ROAD
19400 TOLEDO BLADE ROAD
7300 WEST MCNAB ROAD
2931 SOUTH MCCALL ROAD
11225 TAMIAMI TRAIL NORTH
6015 CYPRESS GARDENS BLVD
1809 S BRYON BUTLER PKWY
5571 HILLSBORO BLVD
12350 SW 8TH STREET
6126 US HIGHWAY 301
6050 HIGHWAY 90
2551 E HALLANDALE BEACH BLVD
23106 US HWY 19 NORTH
10501 PINES BOULEVARD
1002 E HIGHWAY 50
8651 NW 13TH TERRACE
1621 MAIN STEET
3800 OAKWOOD BOULEVARD
20505 S DIXIE HIGHWAY
2523 LEE BLVD.
12555 WEST SUNRISE BLVD
1940 PAT THOMAS PKWY
2144 WEST INDIAN TOWN ROAD
11110 CAUSEWAY BLVD
5750 NW 183RD STREET
101499 OVERSEAS HIGHWAY
1505 N DALE MABRY HWY
4381 CATTLEMEN ROAD
7900 SW104TH STREET
900 N MIAMI BEACH BLVD
1554 TODD FARM DR
City
NAPLES
OCALA
ZEPHYRHILLS
COOPER CITY
MURDOCK
LAUDERDALE
ENGLEWOOD
NAPLES
WINTER HAVEN
PERRY
COCONUT CREEK
MIAMI
ELLENTON
MILTON
HALLANDALE
CLEARWATER
PEMBROKE PINES
CLERMONT
MIAMI
CHIPLEY
HOLLYWOOD
MIAMI
LEHIGH ACRES
SUNRISE
QUINCY
JUPITER
BRANDON
HIALEAH
KEY LARGO
TAMPA
SARASOTA
MIAMI
BEACH
ELGIN
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
34116344703354033330339483306834224341103388432348-5507
3307333184342223257033009337653302634711331263242833020-7114
33189339713332332351334583351133015330373360734233331563316260123-1287
Last Updated 12/21/2012
50
NABP #
1080871
1081861
1082584
1083221
1083423
1084021
1084033
1084211
1084526
1085857
1086671
1087813
1087849
1088168
1088170
1486807
1089564
1089576
1089588
1089728
1090199
1090202
1090214
1090389
1090391
1090555
1090567
1091595
1092523
1092535
1092864
1092876
1092915
1093169
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
DISCOUNT
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
REGIONAL PHARMACY
RX PLUS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
QUESTCARE PHARMACY
WAL-MART PHARMACY
Address Line 1
1005 WEST SUGARLAND HWY
3767 GULF BREEZE PARKWAY
11478 QUAIL ROOST DR
355 SEMORAN BLVD
4600 NORTH ROAD 98
7810 WEST COLONIAL DRIVE
7701 E COLONIAL DRIVE
9498 S ORANGE BLOSSOM TRAIL
2101 SOUTH PARROT AVE
4655 NW 7TH ST
582 MONROE RD STE 1412
5170 CLEVELAND AVE
2550 IMMOKALEE RD
5135 SOUTH DALE MABRY HWY
2701 EAST FLETCHER AVE
1000 S RANDALL RD
6373 YOUNGERMAN CIRCLE
10690 BEACH BLVD
300 BUSCH DRIVE
17861 SO. U.S. HWY 441
15835 NORTH DALE MABRY
2021 BRANDON BLVD WEST
4330 US 19
2575 GULF TO BAY BLVD
9300 N.W. 77TH AVENUE
7001 PARK BLVD
19910 BRUCE B. DOWNS ROAD
3200 OLD BOYNTON ROAD
1505 COUNTY ROAD 220
3921 SW COLLEGE ROAD
4295 45TH STREET
1900 UNIVERSITY DRIVE
5600 NW 102ND AVE SUITE M-4
1471 EAST OSCEOLA PARKWAY
City
CLEWISTON
GULF BREEZE
MIAMI
FERN PARK
LAKELAND
OCOEE
ORLANDO
ORLANDO
OKEECHOBEE
MIAMI
SANFORD
FORT MYERS
NAPLES
TAMPA
TAMPA
ELGIN
JACKSONVILLE
JACKSONVILLE
JACKSONVILLE
SUMMERFIELD
TAMPA
BRANDON
NEW PORT RICHEY
CLEARWATER
HIALEAH GARDENS
ST PETERSBURG
TAMPA
BOYNTON BEACH
ORANGE PARK
OCALA
W PALM BEACH
MIRAMAR
SUNRISE
KISSIMMEE
State
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
IL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
33440325633315732730338093281832807328373497433126327713390734110336113361260123-4108
322443224632218344913361833511346523376533016337813364733436320033447433407330253335134744Last Updated 12/21/2012
51
NABP #
1162332
1093664
1093676
1093880
1094426
1095125
1095341
1095719
1096076
1096088
1096254
1096521
1096533
1096545
1096975
1097333
1097383
1097395
1097484
1098525
1098676
1098955
1099046
1099197
1099387
1162647
1099678
1110117
5643235
1116169
1116892
1117248
1121590
1121879
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
FLORIDA PHARMACY INC
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KMART PHARMACY3083
WAL-MART PHARMACY
KMART PHARMACY3289
KMART PHARMACY4719
KMART PHARMACY4135
KMART PHARMACY3219
KROGER PHARMACY
Address Line 1
3059 LAWRENCE HWY
3801 TAMPA ROAD
6001 CORAL RIDGE DRIVE
1250 AIRPORT BLVD
300 NORTH CATTLEMEN ROAD
2951 SOUTH BLUE ANGEL PARKWAY
17700 MURDOCK CIRCLE
7233 SEACREST BLVD
1208 EAST BRANDON BLVD
2300 WEST ATLANTIC BLVD
8500 NORTH WICKHAM ROAD
1101 RINEHART ROAD
5300 30TH STREET EAST
7305 BROAD STREET
13550 W SUNRISE BLVD
4255 ALAFAYA TRAIL
11900 ATLANTIC BLVD
4763 WEST IRLO BRONSON MEM HWY
9600 PARKSOUTH COURT E
8425 NW 13TH TERRACE
4770 COLONIAL BLVD
950 UNIVERSITY DRIVE
5366 W 12TH AVE
5216 RED BUG LAKE ROAD
1175 BEVILLE ROAD
11770 HAYNES BRIDGE RD
4255 W NEW HAVEN AVENUE
526 BATTLEFIELD PARKWAY
3750 S MOONEY BLVD
2063 WATSON BLVD
102 HICKS DRIVE
1647 GORDON HWY
2525 DAWSON RD
318 MALL BOULEVARD
City
LAWRENCEVILLE
OLDSMAR
CORAL SPRINGS
PENSACOLA
SARASOTA
PENSACOLA
PORT CHARLOTTE
LANTANA
BRANDON
POMPANO BEACH
VIERA
SANFORD
BRADENTON
BROOKSVILLE
SUNRISE
OVIEDO
JACKSONVILLE
KISSIMMEE
ORLANDO
MIAMI
FORT MYERS
CORAL SPRINGS
HIALEAH
WINTER SPRINGS
DAYTONA BEACH
ALPHARETTA
MELBOURNE
FORT OGLETHORPE
VISALIA
WARNER ROBINS
ROME
AUGUSTA
ALBANY
SAVANNAH
State
GA
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
GA
FL
GA
CA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3004434677330763250434232325063394833462335113306932940327713420334601333233276532225347463283733126339123307133012327083211930009-1966
3290430742-3849
93277-8021
3109330161309063170831406Last Updated 12/21/2012
52
NABP #
1122441
1122566
1123239
1123392
1123405
1124180
1124483
1124926
1125497
1125500
1125512
1125536
1125601
1125790
1125827
1125889
1126172
1126312
1126552
1126639
1126641
1126970
1126982
1126994
1127869
1128037
1128645
1128823
1128974
1129255
1129306
1129318
1129457
1129469
Pharmacy Name
KMART PHARMACY4189
KMART PHARMACY7149
KMART PHARMACY4198
KMART PHARMACY7064
KMART PHARMACY7154
KROGER PHARMACY
KMART PHARMACY9625
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7388
KMART PHARMACY7437
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3602
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
33 W MONTGOMERY CROSS RD
3830 WASHINGTON RD
3200 MACON RD
1308 W WALNUT AVE
620 BANKHEAD AVENUE
4875 FLOYD RD SW
122 W C BRYANT PARKWAY
3959A LAVISTA ROAD
4115 COLUMBIA ROAD
51 N MORNINGSIDE DRIVE
3855 BUFORD HIGHWAY
3330 PIEDMONT ROAD NE
2500 AIRPORT THRUWAY
1203 CLEVELAND ROAD
1000 WHITLOCK AVE
1900 VICTORY DRIVE
4550 JONESBORO ROAD
501 15TH STREET
115 RICHARD RUSSELL PKWY
2090 DUNWOODY CLUB DR
8331 ROSWELL ROAD
2205 LAVISTA ROAD
1122 POWERS FERRY ROAD
1700 MONROE DRIVE
6010 SANDY SPRINGS CIRCLE
2301 COLLEGE STATION ROAD
4155 HIGHWAY 29 AND BEAVER RUN
120 BENJAMIN H HILL DR SW
2425 MEMORIAL DRIVE
131 N US 19 AND SYLVESTER RD
1715 HOWELL MILL ROAD
2420 WISTERIA DR
361 8TH AVENUE NE
3109 EAST 1ST STREET
City
SAVANNAH
MARTINEZ
COLUMBUS
DALTON
CARROLLTON
MABLETON
CALHOUN
TUCKER
MARTINEZ
CARTERSVILLE
ATLANTA
ATLANTA
COLUMBUS
DALTON
MARIETTA
SAVANNAH
UNION CITY
AUGUSTA
WARNER ROBINS
ATLANTA
ATLANTA
ATLANTA
MARIETTA
ATLANTA
ATLANTA
ATHENS
LILBURN
FITZGERALD
WAYCROSS
CAMILLA
ATLANTA
SNELLVILLE
CAIRO
VIDALIA
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
31406309073190630720301173012630701300843090730120303293030531904307213006431404302913090431088303503033830329300673032430328306053004731750315013173030318300783982830474Last Updated 12/21/2012
53
NABP #
1129508
1129647
1129659
1129798
1129801
1129887
1129926
1129940
1130068
1130195
1130347
1130361
1130551
1130563
1130575
1130587
1130664
1130789
1130854
1130866
1131060
1131173
1131197
1131236
1131399
1131577
1131589
1131591
1131604
1131767
1131779
1131781
1131844
1131856
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7610
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1205 CLEVELAND ROAD
3139 US HIGHWAY 278 NE
1745 HIGHWAY 138
751 W OGLETHORPE HWY
1711 E LAMAR STREET
15328 US 19 SOUTH
203A COMMERCE STREET
6199 HIGHWAY 92
340 NORMAN DRIVE
1232 SOUTH HAIRST0N RD
725 PONCE DE LEON AVE
641 VETERANS PARKWAY SOUTH
4650 FORSYTH ROAD
660 NORTH AVENUE
434 SOUTH COLUMBIA AVE
1215 EAST 16TH
3251 HIGHWAY 5
1750 MARIETTA HIGHWAY STE 100
8059 TARA BOULEVARD
7125 HIGHWAY 85
414 SO. MAIN ST.
8501 HOSPITAL DRIVE
1099 INDIAN DRIVE
2801 WASHINGTON ROAD
4880 LOWER ROSWELL ROAD
1830 US HIGHWAY 82 W
855 NORTH CHURCH ST.
6065 JONESBORO ROAD
136 EAST JARMAN ST.
1450 SOUTHEAST BOWENS MILL RD
125 PAVILLION PARKWAY
1735 S HWY 27
5600 N. HENRY BLVD.
1572 ANDERSON HWY
City
DALTON
COVINGTON
CONYERS
HINESVILLE
AMERICUS
THOMASVILLE
LAGRANGE
ACWORTH
VALDOSTA
STONE MT
ATLANTA
MOULTRIE
MACON
MACON
RINCON
CORDELE
DOUGLASVILLE
CANTON
JONESBORO
RIVERDALE
SWAINSBORO
DOUGLASVILLE
EASTMAN
AUGUSTA
MARIETTA
TIFTON
THOMASTON
MORROW
HAZLEHURST
DOUGLAS
FAYETTEVILLE
CARROLLTON
STOCKBRIDGE
HARTWELL
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3072030014300133131331709317573024030102316013008830308317883120131201313263101530135301143023630274304013013331023309093006831793-8164
3028630260315393153330214301173028130643Last Updated 12/21/2012
54
NABP #
1131868
1131933
1131945
1131957
1131969
1132048
1132050
1132062
1132098
1132252
1132276
1132288
1132315
1132428
1132430
1132442
1132478
1132492
1132567
1132632
1132668
1132721
1132860
1132872
1133040
1133052
1133088
1133254
1134369
1134383
1134434
1134509
1134511
1134523
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7637
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3685
WAL-MART PHARMACY
KMART PHARMACY3661
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
6020 HARRISON ROAD
3128 DEANS BRIDGE ROAD
2385 WESLEY CHAPEL RD
48 BULLSBORO DRIVE
4002 STONE MOUNTAIN HIGHWAY
4920 ROSWELL ROAD
134 BANKS CROSSING
2030 BARNETT SHOALS RD
400 SHALLOWFORD ROAD
1355 SOUTH PARK ST HWY 27
1605 BUFORD HIGHWAY
3600 DALLAS HIGHWAY
1025 BULLSBORO DR
30983 HWY 441 SOUTH
1308 S. HARRIS ST.
1825 ROCKBRIDGE RD
3000 OLD ALABAMA ROAD
453 EAST MAIN STREET
1785 COBB PARKWAY SOUTH
156 TOM HILL SENIOR BLVD
220 TOM HILL SR BLVD
12182 HWY 92
101 MARKET PLACE BLVD
4166 JIMMY LEE SMITH PKWY
450 W BELMONT DR
260 BOBBY JONES EXPRESSWAY
3455 PEACHTREE IND BLVD
10300 INDUSTRIAL BLVD
3209 DEANS BRIDGE RD
564 CROSSTOWN DRIVE
3795 BUFORD DRIVE
630 COLLINS HILL RD
5401 FAIRINGTON ROAD
4701 BUENA VISTA ROAD
City
MACON
AUGUSTA
DECATUR
NEWNAN
SNELLVILLE
ATLANTA
FAYETTEVILLE
ATHENS
GAINESVILLE
CARROLLTON
BUFORD
MARIETTA
NEWNAN
COMMERCE
SANDERSVILLE
STONE MOUNTAIN
ALPHARETTA
CARTERSVILLE
MARIETTA
MACON
MACON
WOODSTOCK
CARTERSVILLE
HIRAM
CALHOUN
AUGUSTA
DULUTH
COVINGTON
AUGUSTA
PEACHTREE CITY
BUFORD
LAWRENCEVILLE
LITHONIA
COLUMBUS
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
312063090630035302633003930342302143060530504301173051830064302653052931082-6913
300873002230121-3349
30060312103121030188301213014130701309073009630015309063026930519300453003831907Last Updated 12/21/2012
55
NABP #
1134787
1134799
1134890
1134939
1134941
1135208
1135311
1135323
1135335
1135513
1135575
1135715
1135866
1135878
1135993
1136123
1136414
1136464
1136565
1136868
1136882
1137024
1137036
1137048
1137149
1137151
1137238
1137264
1137303
1137315
1137327
1137404
1137480
1137529
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3946
WAL-MART PHARMACY
KMART PHARMACY3994
KMART PHARMACY3957
KMART PHARMACY3967
WAL-MART PHARMACY
KMART PHARMACY3713
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3978
KMART PHARMACY3966
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
100 SPALDING VILLAGE
455 HIGHWAY 20
2720 WATSON BLVD.
5448 B WHITTLESEY BLVD
1681 EATONTON ROAD
1585 ROME HIGHWAY
4004 LAWRENCEVILLE HWY NW
250 FURNITURE DR
7001 CONCOURSE PKWY
2100 RIVERSIDE PARKWAY
3595 CANTON ROAD
1911 EPPS BRIDGE PKWY
970 MANSELL ROAD
2510 REDMOND CIRCLE
1133 EW CONNECTOR SW
3040 BATTLEFIELD PKWY
3330 COBB PARKWAY
1569 NORTH EXPRESSWAY
1300 SOUTH MADISON AVE
2205 HARRISON ROAD SE
1970 N COLUMBIA
715 NORTHSIDE DRIVE EAST
116 HILLCREST PKWY
2423 HWY 80 W
6239 TURNER LAKE RD
955 ELBERT STREET
730 NORTHSIDE DRIVE EAST
14010 ABERCORN STREET
400 CROSSTOWN ROAD
4215 JIMMY LEE SMITH PKWY STE25
3618 HIGHWAY 138 SE
1550 SCENIC HIGHWAY
440 ATLANTA HWY NW
6586 HWY 40 EAST
City
GRIFFIN
LAWRENCEVILLE
WARNER ROBINS
COLUMBUS
MADISON
CEDARTOWN
LILBURN
CORNELIA
DOUGLASVILLE
LAWRENCEVILLE
MARIETTA
ATHENS
ROSWELL
ROME
AUSTELL
FORT OGLETHORPE
ACWORTH
GRIFFIN
DOUGLAS
THOMSON
MILLEDGEVILLE
STATESBORO
DUBLIN
DUBLIN
COVINGTON
ELBERTON
STATESBORO
SAVANNAH
PEACHTREE CITY
HIRAM
STOCKBRIDGE
SNELLVILLE
WINDER
ST MARYS
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
30223300453109331909306503012530047305313013430043300663060630076301653010630742301013022331533308243106130458310213102130014-2064
3063530458314193026930141-3736
30281300783068031558Last Updated 12/21/2012
56
NABP #
1137531
1137567
1137579
1137581
1137656
1137795
1137808
1137959
1137961
1137973
1137985
1138038
1138418
1138432
1138444
1139066
1139117
1139181
1139535
1139547
1139559
1140134
1140211
1140223
1140312
1140324
1140463
1140499
1140538
1140552
1140805
1141085
1141097
1141263
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3991
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
ARMUCHEE PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
3100 JOHNSON FERRY ROAD
2050 WEST SPRING ST
7050 HIGHWAY 85
3886 GA HWY 17
13427 HWY 27
150 ALTAMA CONNECTOR
3050 FIVE FORKS TRICKUM RD
2825 LEDO ROAD
6000 OGEECHEE ROAD
404 HWY 27 NO. BYPASS
2592 NO. COLUMBIA ST.
1367 SAM NUNN BLVD
1500 MARKETPLACE BLVD.
1955 E MONTGOMERY CROSSROADS
4735 JONESBORO ROAD
10945 STATE BRIDGE RD
1601 HIGHWAY 40 EAST
2685 METROPOLITAN PKWY
4355 WASHINGTON RD
6050 SINGLETON RD
3479 MEMORIAL DRIVE
180 N LEE ST
88 HIGHLAND XING
12050 HWY 92 SUITE 112
2795 CHASTAIN MEADOWS PKWY NW
730 NORTH MAIN STREET
4334 MARTHA BERRY HWY
2545 E WALNUT AVE
301 JONESBORO RD
2635 PLEASANT HILL ROAD
4045 MARIETTA HIGHWAY
3150 EAST HIGHWAY 34
1475 BUFORD DRIVE
630 THORNTON ROAD
City
MARIETTA
MONROE
RIVERDALE
TOCCOA
TRION
BRUNSWICK
LILBURN
ALBANY
SAVANNAH
BREMEN
MILLEDGEVILLE
PERRY
CUMMING
SAVANNAH
UNION CITY
ALPHARETTA
KINGSLAND
ATLANTA
EVANS
NORCROSS
DECATUR
FORSYTH
EAST ELLIJAY
WOODSTOCK
MARIETTA
CEDARTOWN
ROME
DALTON
MCDONOUGH
DULUTH
CANTON
NEWNAN
LAWRENCEVILLE
LITHIA SPRINGS
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3006230655302743057730753315253004731707314193011031061310693004131406302913002231548303153080930093300323102930540-6052
30188300663012530165-7706
30721302533009630114302653004430122Last Updated 12/21/2012
57
NABP #
1141275
1141287
1141299
1141580
1141655
1141718
1141720
1141732
1141821
1141972
1141984
1142049
1142215
1142417
1142493
1142506
1142619
1142621
1142633
1142873
1142885
1143041
1143053
1143130
1143142
1143154
1143407
1143659
1143661
1143875
1143899
1144219
1144384
1144562
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY9657
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
311 EAST GWINNETT ST
590 CASCADE ROAD
5928 ZEBULON RD
4725 EAST HWY 80
803 NEW FRANKLIN RD
4341 HARTLEY BRIDGE ROAD
12460 CRABAPPLE ROAD
400 PEACHTREE INDUSTRIAL BLVD
3651 PEACHTREE PARKWAY
365 HABERSHAM VILLAGE CIRCLE
4725 ASHFORD-DUNWOODY
910 ATHENS HIGHWAY
2626 RAINBOW WAY
950 HERRINGTON RD
1720 MARS HILL RD
136 WEST BELMONT DRIVE SW
2700 BRASELTON HIGHWAY
3895 CHEROKEE STREET NE
6678 COVINGTON HIGHWAY
1550 RIVERSTONE PWKY
1436 DOGWOOD DRIVE
1606 MEMORIAL DRIVE
2100 ROSWELL RD
5665 GEORGIA HIGHWAY 9
1101 PEACHTREE PKWY NORTH
3435 WRIGHTSBORO RD
270 WAL-MART WAY
2295 TOWNE LAKE PARKWAY
101 FAIRVIEW ROAD
2345 BETHELVIEW
5341 HIGHWAY 20 SOUTH
6625 HIGHWAY 53 EAST
555 WEST OGLETHORPE ROAD
400 PIO NONO AVENUE
City
SAVANNAH
ATLANTA
MACON
SAVANNAH
LA GRANGE
MACON
ALPHARETTA
SUWANEE
SUWANEE
CORNELIA
ATLANTA (N)
LOGANVILLE
DECATUR
LAWRENCEVILLE
ACWORTH
CALHOUN
DACULA
KENNESAW
LITHONIA
CANTON
CONYERS
WAYCROSS
MARIETTA
ALPHARETTA
PEACHTREE CITY
AUGUSTA
DAHLONEGA
WOODSTOCK
ELLENWOOD
CUMMING
COVINGTON
DAWSONVILLE
HINESVILLE
MACON
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
31401303103121031410302403121630004300243002430531-5325
303383005230034300443010130701300193014430058301143001331501300623000430269309093053330189302943004030016305343131331204Last Updated 12/21/2012
58
NABP #
1145057
1145095
1145146
1145285
1145300
1145312
1145336
1145437
1145689
1145742
1145766
1145893
1145906
1145918
1145956
1146011
1146059
1146097
1146213
1146263
1146388
1146427
1146489
1146528
1146530
1146542
1146631
1146679
1146770
1146782
1146794
1147037
1147227
1147289
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3996
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PHARMACY INC
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
Address Line 1
1750 HUDSON BRIDGE ROAD
3875 CHAPEL HILL ROAD
5664 JONESBORO ROAD
495 JOHNNY MERCER BLVD
1100 NORTH FIRST ST.
3274 INNER PERIMETER ROAD
5590 MABLETON PKWY STE 100
4375 LAWRENCEVILLE HWY
1670 HIGHWAY 124
6555 SUGARLOAF PARKWAY 200
4498 CHAMBLEE DUNWOODY RD
2875 NORTH DECATUR ROAD
10600 DAVIS DRIVE
805 SOUTH GLYNN STREET
3035 CENTERVILLE HIGHWAY
4357 LAWRENCEVILLE HIGHWAY
4450 ROCKMART HWY
6055 OLD NATIONAL HIGHWAY
1009 ST. PATRICKS DRIVE
3871 PEACHTREE ROAD NE
1690 POWDER SPRINGS ROAD
1365 WEST WALNUT AVE
12870 STATE HIGHWAY 9
2901 A CLAIRMONT ROAD
6995 CONCOURSE PARKWAY
1500 NORTH LIBERTY ST.
2300 HOLCOMB BRIDGE ROAD
965 NORTH HARRISTON ROAD
600 HWY 61
160 POOLER PARKWAY
4375 LEXINGTON ROAD
1720 EPPS BRIDGE ROAD
3425 CASCADE RD SW
3450 STEVE REYNOLDS BLVD
City
STOCKBRIDGE
DOUGLASVILLE
LAKE CITY
SAVANNAH
JESUP
VALDOSTA
MABLETON
TUCKER
SNELLVILLE
DULUTH
DUNWOODY
DECATUR
ALPHARETTA
FAYETTEVILLE
SNELLVILLE
TUCKER
SILVER CREEK
COLLEGE PARK
PERRY
ATLANTA
MARIETTA
DALTON
ALPHARETTA
ATLANTA
DOUGLASVILLE
WAYNESBORO
ROSWELL
STONE MOUNTAIN
VILLA RICA
POOLER
ATHENS
ATHENS
ATLANTA
DULUTH
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
30281301353026031410315453160230126-3342
300843007830097303383003330004302153003930084301733034931069303193006430720300043032930134308303007530088301803132230605306063031130096Last Updated 12/21/2012
59
NABP #
1147291
1147316
1147328
1147378
1147455
1147607
1147645
1147847
1147859
1148053
1148217
1148445
1148522
1148534
1148685
1148851
1148863
1149093
1149120
1149132
1149144
1149156
1149219
1149271
1149283
1149411
1149473
1149485
1149512
1149550
1149601
1149651
1149687
1149776
Pharmacy Name
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PEACHVIEW DRUGS
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
Address Line 1
7325 JONESBORO ROAD
150 COBB PARKWAY SOUTH
1940 MOUNTAIN INDUSTRIAL BLVD
1455 HWY 441 SOUTH
1401 GRAY HIGHWAY
2120 LAWRENCEVILLE SUWANEE ROAD
5633 HWY 21 SOUTH
2625 NO. HWY 27
4915 FLAT SHOALS PARKWAY
3162 JOHNSON FERRY ROAD
1850 REDMOND CIR NW STE 200
900 MARIETTA HWY
135 WILLOW LANE
1100 THORNTON ROAD
3630 THOMPSON BRIDGE ROAD
2960 SHALLOWFORD ROAD
1520 SCENIC HIGHWAY
3383 BUFORD DRIVE
2175 PARKLAKE DR NE
1595 PEACHTREE PARKWAY
3559 CHAMBLEE TUCKER ROAD
550 FRANKLIN RD
1911 GRAYSON HIGHWAY
10375 TARA BLVD
5200 WINDWARD PARKWAY
4628 PRESIDENTIAL PARKWAY
3105 N COBB PARKWAY
4469 WASHINGTON ROAD
7 DIAMOND CAUSEWAY
5900 PRICE QUARTERS ROAD
4365 ATLANTA HWY
3245 LAWRENCEVILLE SUWANEE RD
1160 MORELAND AVE
1765 JONESBORO ROAD
City
MORROW
MARIETTA
TUCKER
CLAYTON
MACON
SUWANEE
RINCON
LA FAYETTE
DECATUR
MARIETTA
ROME
ROSWELL
MCDONOUGH
LITHIA SPRINGS
GAINSVILLE
MARIETTA
SNELLVILLE
BUFORD
ATLANTA
CUMMING
CHAMBLEE
MARIETTA
GRAYSON
JONESBORO
ALPHARETTA
MACON
KENNESAW
EVANS
SAVANNAH
MCDONOUGH
BOGART
SUWANEE
ATLANTA
MCDONOUGH
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
30260300603008430525312113002431326307283003430062301653007530253301223050630062300783051930345300413034530067300173023630004312063015230809314063025330622300243031630253Last Updated 12/21/2012
60
NABP #
1149839
1150008
1150147
1150159
1150161
1150185
1150262
1150426
1150541
1150630
1150868
1150919
1151024
1151036
1151149
1151339
1151341
1151543
1151618
1151620
1151707
1151733
1151745
1152204
1152280
1152519
1152521
1152533
1152545
1152812
1152951
1153117
1153244
1153256
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SHANNON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
11877 DOUGLAS ROAD
2655 FREEDOM PARKWAY
4798 JIMMY LEE SMITH PARKWAY
4701 LOG CABIN DRIVE
2717 HIGHWAY 54 WEST
3030 HEADLAND DRIVE
8020 CUMMING HWY
5339 OLD HWY 5
3300 HAMILTON MILL ROAD
4400 BROWNSVILLE ROAD
4715 ATLANTA ROAD SE
2036 JOHNSON FERRY ROAD
2994 TURNER HILL ROAD
7380 SPOUT SPRINGS ROAD
4150 MACLAND ROAD
570 EAST CROSSVILLE ROAD
1476 TURNER MCCALL BLVD
815 SHUGART ROAD
5955 ZEBULON ROAD
4221 ATLANTA HIGHWAY
825 CARTERSVILLE HIGHWAY SE
4815 RIDGE ROAD
450 NORMAN DRIVE
191 ALPS ROAD
5855 NEW CALHOUN HWY
6435 BELLS FERRY ROAD
11465 TARA BLVD
980 WEST PARKER STREET
500 EAST ALICE STREET
115 BILL WIGINGTON PKWY
1400 LAWRENCEVILLE HIGHWAY
1225 CAROLINE STREET
201 WAL-MART DRIVE
8876 DALLAS ACWORTH HWY
City
ALPHARETTA
CUMMING
HIRAM
MACON
PEACHTREE CITY
ATLANTA
CANTON
WOODSTOCK
BUFORD
POWDER SPRINGS
SMYRNA
ATLANTA
LITHONIA
FLOWERY BRANCH
POWDER SPRINGS
ROSWELL
ROME
DALTON
MACON (N)
LOGANVILLE
ROME
DOUGLASVILLE
VALDOSTA
ATHENS
ROME
WOODSTOCK
LOVEJOY
BAXLEY
BAINBRIDGE
JASPER
LAWRENCEVILLE
ATLANTA
EATONTON
DALLAS
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
30005300413014131206302693031130115301883051930127300803031930058305423012730076301613072031201300523016130134316013060630161301893025031513398193014330044303073102430123Last Updated 12/21/2012
61
NABP #
1153268
1153369
1153422
1153511
1153713
1153814
1153826
1153838
1154056
1154068
1154513
1154626
1154640
1154789
1154791
1154804
1154816
1154943
1154955
1155109
1155224
1155236
1155248
1155541
1155577
1155779
1155919
1156428
1156911
1156923
1156935
1156961
1157002
1157115
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
LLC
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
THE KROGER COMPANY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
457 NATHAN DEAN BLVD
1100 HILLCREST PARKWAY
3093 STEVE REYNOLDS BLVD
210 COBB PARKWAY SOUTH
1227 ROCKBRIDGE ROAD
5720 OGEECHEE ROAD
3435 CENTERVILLE HIGHWAY
3615 MARIETTA HIGHWAY
2427 GRESHAM ROAD SE
502 BOOTH ROAD
156 POWER CENTER DRIVE
26 ROME RD
1975 E MONTGOMERY CROSSROADS
15 MILL CREEK CIRCLE
1400 HUDSON BRIDGE ROAD
1801 HOWELL MILL ROAD NW
3250 SARDIS CHURCH ROAD
6520 EARNEST BARRETT PARKWAY
3826 COBB PARKWAY NO
1751 NEWNAN CROSSING BLVD EAST
6149 OLD NATIONAL HIGHWAY
1871 CHAMBLEE TUCKER RD
5448 A WHITTLESEY BLVD
1685 OLD PENDERGRASS ROAD
3875 MUNDY MILL ROAD
1801 NATHAN DEAN BYPASS
3700 SALEM RD
3094 WATSON BLVD
3580 MEMORIAL DRIVE
6475 GATEWAY RD
HWY 9 COMMERCE BLVD
2801 AIRPORT THRUWAY
53 EXCHANGE ST
4753 ATLANTA HWY
City
DALLAS
DUBLIN
DULUTH
MARIETTA
STONE MOUNTAIN
SAVANNAH
SNELLVILLE
DALLAS
ATLANTA
WARNER ROBINS
DAWSONVILLE
CAVE SPRING
SAVANNAH
POOLER
STOCKBRIDGE
ATLANTA
BUFORD
MARIETTA
ACWORTH
NEWNAN
COLLEGE PARK
CHAMBLEE
COLUMBUS
JEFFERSON
OAKWOOD
ROCKMART
COVINGTON
WARNER ROBINS
DECATUR
COLUMBUS
ALPHARETTA
COLUMBUS
RICHMOND HILL
LOGANVILLE
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
30093310213009630060300873141930039301573031631088305343012431406313223028130318305193006430101302653034930341319093054930566301533001631099300323190930004319093132430052Last Updated 12/21/2012
62
NABP #
1157230
1157280
1157521
1157874
1158799
1158890
1159107
1159195
1159602
1160035
1160100
1160578
1160580
1160845
1160869
1161099
1161330
1161760
1161861
1161924
1162065
1203152
1203215
1203291
1203405
1203481
1203544
1203619
1203645
1203695
1204178
1204192
1204279
1239551
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
THE KROGER CO
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY #641
SAMS PHARMACY
WALMART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
635
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7680
KMART PHARMACY7480
KMART PHARMACY7683
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7478
WAL-MART PHARMACY
KMART PHARMACY7488
WAL-MART PHARMACY
KMART PHARMACY9430
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2940 ANVIL BLOCK RD
3839 MUNDY MILL ROAD
4025 WINDER HWY
6766 HICKORY FLAT HWY
662 HWY 75 S
2257 HWY 515
5010 STEINER WAY
774 HIGHWAY 96
596 BOBBY JONES EXPRESSWAY
1100 OLD PHILADELPHIA ROAD
6001 HWY 20
14030 ABERCORN ST
310 FISCHER RD
4949 BILL GARDNER PKWY
505 DACULA RD
1201 N WESTOVER BLVD
262 CORDELE RD
2809 N COLUMBIA ST
3240 S COBB DR SE
1030 DELTA BLVD
4200 SALEM RD
4561 SALT LAKE BLVD
500 NORTH NIMITZ HWY
745465 KAMAKAEHA AVENUE
3 3300 KUHIO HWY
75 1015 HENRY STREET
94825 LUMIAINA
325 MAKAALA ST
424 DAIRY ROAD
94 595 KUPUOHI ST
500 KAMOKILA BLVD
1000 KAMEHAMEHA HWY SUITE 100
101 PAKAULA STREET
700 KEEAUMOKU STREET
City
ELLENWOOD
OAKWOOD
FLOWERY BRANCH
CANTON
CLEVELAND
BLAIRSVILLE
GROVETOWN
BONAIRE
AUGUSTA
JASPER
SUGAR HILL
SAVANNAH
PEACHTREE CITY
LOCUST GROVE
DACULA
ALBANY
ALBANY
MILLEDGEVILLE
SMYRNA
ATLANTA
COVINGTON
HONOLULU
HONOLULU
KONA
LIHUE
KAILUA KONA
WAIPAHU
HILO
KAHULUI
WAIPAHU
KAPOLEI
PEARL CITY
KAHULUI
HONOLULU
State
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
GA
HI
HI
HI
HI
HI
HI
HI
HI
HI
HI
HI
HI
HI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
302943056630542301153052530512308133100530907301433051831419-1935
3027730248-3644
30019-2125
3170731705-2407
31061-8465
30080-4194
30354-1989
30016-4533
96818968179674096766967409679796720967329679796707967829673296814Last Updated 12/21/2012
63
NABP #
1239727
1239741
1240768
1300261
1300425
1301679
1302342
1303205
1303281
1303293
1303306
1303318
1303394
1303510
1303584
1303724
1303902
1303938
1304120
1304396
1304409
1304625
1304637
1304803
1304815
1305095
1305146
1305196
1305209
1305261
1305312
1305348
1305425
1305499
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
KMART PHARMACY3298
KMART PHARMACY7057
KMART PHARMACY7033
KMART PHARMACY7006
KMART PHARMACY3189
KMART PHARMACY9630
SMITHS PHARMACY #35
SMITHS PHARMACY #61
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #121
SAVON PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #123
KMART PHARMACY7207
SAVON PHARMACY
KMART PHARMACY4748
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
1131 KUALA STREET
750 KEEAUMOKU ST
91-600 FARRINGTON HWY
715 12TH AVE S
1555 NORTHGATE MILE
800 YELLOWSTONE HWY
590 E 17TH ST
10477 FAIRVIEW AVE
3945 POLE LINE RD
181521ST ST
2258 ADDISON AVE EAST
1813 CALDWELL BLVD
125 VALLEY RIVER DRIVE
1913 ADDISON AVE EAST
4845 YELLOWSTONE AVE
1650 W STATE ST
1653 S VISTA AVE
1024 21ST ST
330 E BENTON
5425 CHINDEN BLVD
50 SECOND STREET SOUTH
10500 OVERLAND RD
10700 USTICK RD
528 N MAIN ST
2500 BLAINE ST
400 SOUTH WOODRUFF
405 S 8TH ST
1520 N COLE RD
937 E MAIN ST
W 201 NEIDER ROAD
5100 OVERLAND RD
3101 EAST 17TH ST
640 HWY 16
909 E PARKCENTER BLVD
City
PEARL CITY
HONOLULU
KAPOLEI
NAMPA
IDAHO FALLS
POCATELLO
IDAHO FALLS
BOISE
POCATELLO
LEWISTON
TWIN FALLS
NAMPA
REXBURG
TWIN FALLS
CHUBBUCK
BOISE
BOISE
LEWISTON
POCATELLO
GARDEN CITY
NAMPA
BOISE
BOISE
MOUNTAIN HOME
CALDWELL
IDAHO FALLS
PAYETTE
BOISE
BURLEY
COEUR D ALENE
BOISE
AMMON
EMMETT
BOISE
State
HI
HI
HI
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
96782968149670783651834018320183404837048320183501833018365183440833018320283702837058350183201837148365183709837138364783605834018366183704833188381583705834068361783706Last Updated 12/21/2012
64
NABP #
1305514
1305526
1305538
1305576
1305590
1305627
1305689
1305778
1305843
1305944
1305956
1306023
1306047
1306059
1306061
1306073
1306136
1306148
1306186
1306439
1306756
1308724
1306768
1306819
1306984
1306996
1307001
1307013
1307087
1307099
1307138
1307152
1307164
1307215
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
#685
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
SAMS PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
Address Line 1
385 NORTH OVERLAND AVENUE
530 NORTH 2ND EAST
565 JENSEN GROVE DR.
1201 SO. 25TH EAST
7100 W STATE ST
4240 YELLOWSTONE AVE
20 E FAIRVIEW
10751 W OVERLAND ROAD
415 CLEVELAND BLVD
2400 12TH AVE RD
1901 S 2500 E
1850 EAST FAIRVIEW AVENUE
476999 HIGHWAY 95 NORTH
705 BLUE LAKES BLVD
3301 W CHERRY LN
250 S EAGLE RD
8300 W OVERLAND RD
560 WEST KATHLEEN
197 W PRAIRIE AVE
1219 BROADWAY AVE
6560 S FEDERAL WAY
1400 W CHINDEN BLVD
3614 W STATE ST
4700 N EAGLE RD
5108 EAST CLEVELAND BLVD
2100 12TH AVENUE ROAD
2745 AMERICAN LEGION BLVD.
2680 SOUTH LINCOLN
4051 EAST FAIRVIEW AVE.
3527 FEDERAL WAY
700 EAST 17TH STREET
5230 W FRANKLIN
3050 EAST MULLAN AVENUE
911 MAIN ST N
City
BURLEY
REXBURG
BLACKFOOT
AMMON
BOISE
CHUBBUCK
MERIDIAN
BOISE
CALDWELL
NAMPA
AMMON
MERIDIAN
PONDERAY
TWIN FALLS
MERIDIAN
EAGLE
BOISE
COUER D ALENE
HAYDEN
BOISE
BOISE
MERIDIAN
BOISE
BOISE
CALDWELL
NAMPA
MOUNTAIN HOME
JEROME
MERIDIAN
BOISE
IDAHO FALLS
BOISE
POST FALLS
HAILEY
State
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
ID
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8331883440832218340683714832028364283709-1330
8360583686834068364283852833018364283616837098381483835837068371683646-5328
837038371383607836868364783338836428370583401837068385483333Last Updated 12/21/2012
65
NABP #
1307253
1307518
1307683
1307746
1307861
1308229
1308419
1308433
1308635
1403447
1403461
1403473
1403497
1403536
1403548
1403574
1403598
1403613
1403637
1403649
1403663
1403675
1403687
1403699
1403702
1403740
1403764
1403776
1403827
1403841
1403891
1403916
1403928
1403942
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAV ON PHARMACY
3897
WAL-MART PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
Address Line 1
7319 WEST STATE STREET
500 SOUTH UTAH AVENUE
5875 EAST FRANKLIN ROAD
583 COMMERCE DRIVE
490 N 2ND E
252 CHENEY DR W
6405 W POINTE PARKWAY
550W HONEYSUCKLE AVE
2470 W PULLMAN RD
1670 LARKIN AVE
1038 SUMMIT ST
1403 W JEFFERSON
1501 E ALGONQUIN RD
33 PLUM GROVE
122 N VAIL AVE
153 SCHILLER
303 HOLMES AVE
1501 S LAKE ST
341 W IRVING PARK RD
507 WOODLAWN DR
763 E 162ND ST
1600 DEERFIELD RD
811 ELMHURST RD
1177 S MAIN ST
1480 LEE ST
3124 N LEWIS AVE
3153 W 183RD AVE
3531 N BROADWAY
4650 W 103RD ST
4734 N PUEBLO
6215 S MAIN ST
12803 S HARLEM AVE
7201 W 24TH ST
9534 S ROBERTS RD
City
GARDEN CITY
IDAHO FALLS
NAMPA
SMELTERVILLE
REXBURG
TWIN FALLS
POST FALLS
HAYDEN
MOSCOW
ELGIN
ELGIN
JOLIET
ALGONQUIN
PALATINE
HEIGHTS
ELMHURST
CLARENDON HILLS
MUNDELEIN
WOOD DALE
LA GRANGE PARK
SOUTH HOLLAND
HIGHLAND PARK
DES PLAINES
LOMBARD
DES PLAINES
WAUKEGAN
HOMEWOOD
CHICAGO
OAK LAWN
CHICAGO
DOWNERS GROVE
PALOS HEIGHTS
NORTH RIVERSIDE
HICKORY HILLS
State
ID
ID
ID
ID
ID
ID
ID
ID
ID
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
837148340283687838688344083301838548383583843-4034
6012060120-4320
6043560102600676000560126605146006060191605266047360035600186014860018600876043060657604536065660516604636054660457Last Updated 12/21/2012
66
NABP #
1403966
1404110
1404122
1404146
1404184
1404196
1405465
1405629
1405693
1405819
1405869
1405996
1406582
1406621
1406924
1407560
1407712
1407837
1407863
1407902
1408017
1408079
1408156
1408257
1408283
1408473
1408790
1408980
1410389
1410416
1410656
1410668
1411038
1411292
Pharmacy Name
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
INC
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
PEOTONE
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
INC.
PHARMACY INC
ONEILS STORE INC
OSCO DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
SQUARE DRUG
OSCO DRUG
Address Line 1
8730 W DEMPSTER
2940 N ASHLAND AVE
2775 PFINGSTEN
3644 S ARCHER AVE
5532 N CLARK
6107 S ARCHER AVE
124 N CONGRESS ST
107 AVENUE OF THE CITIES
1156 MAPLE AVE
335 E EUCLID AVE
7329 CASS AVE
222 HARLEM AVE RT 50
4222 ELM ST
1950 W GALENA
20 S WEBER RD
1535 N LARKIN AVE
481 BUSSE HWY
17113 S HARLEM AVE
1071 N ROSELLE RD
2031 N MAIN
8201 GOLF RD
5324 S PULASKI
6140 NW HWY
8801 S RIDGELAND
16 S WAUKEGAN RD
120 S MACOUPIN ST
1247 RICKERT DR
200 PITTSFIELD RD # B
101 W 87TH ST
2014 1ST STREET A
12003 S CRAWFORD
7900 N MILWAUKEE AVE
3401 BROADWAY
17705 S HALSTED ST
City
NILES
CHICAGO
GLENVIEW
CHICAGO
CHICAGO
CHICAGO
RUSHVILLE
EAST MOLINE
LISLE
MOUNT PROSPECT
DARIEN
PEOTONE
MCHENRY
AURORA
ROMEOVILLE
JOLIET
PARK RIDGE
TINLEY PARK
HOFFMAN ESTATES
WHEATON
NILES
CHICAGO
CRYSTAL LAKE
OAK LAWN
DEERFIELD
GILLESPIE
NAPERVILLE
MT STERLING
CHICAGO
MOLINE
ALSIP
NILES
MT VERNON
HOMEWOOD
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
60714606576002560609606406063862681-1434
61244605326005660561604686005060505604466043560068604776019560187607146063260014604536001562033-1515
60540-6535
62353606206126560803607146286460430Last Updated 12/21/2012
67
NABP #
1412030
1412092
1412232
1413967
1423348
1424504
1426368
1426469
1428855
1428970
1429566
1430278
1430836
1430848
1431078
1431155
1563798
1434062
1436624
1436674
1436701
1436713
1436737
1436749
1436751
1436888
1437551
1437614
1437777
1437880
1438123
1438426
1438438
1438464
Pharmacy Name
OSCO DRUG
OSCO DRUG
DOUBEK PHARMACY INC
CHENOA PHARMACY
HERRIN DRUG
SHAW PHARMACY
POTTER DRUG INC
NELSON DRUG STORE
WELLGROUP PHARMACY
KMART PHARMACY9335
KMART PHARMACY4984
KMART PHARMACY4381
KMART PHARMACY4423
KMART PHARMACY3233
KMART PHARMACY4375
KMART PHARMACY4031
PHARMACY
PHARMACY
KMART PHARMACY4433
OSCO DRUG
KMART PHARMACY3137
KMART PHARMACY3287
KMART PHARMACY3343
KMART PHARMACY9331
KMART PHARMACY4293
OSCO DRUG
KMART PHARMACY3105
KMART PHARMACY4459
KMART PHARMACY4214
OSCO DRUG
KMART PHARMACY3066
KMART PHARMACY3328
KMART PHARMACY4235
KMART PHARMACY4100
Address Line 1
50 E OGDEN
10203 W GRAND AVE
11350 S CICERO AVE
209 GREEN ST
116 N PARK
219 N MAIN ST
200 S. SIXTH STREET
918 N MAIN ST
333 DIXIE HWY
901 W LAKE AVE
16300 S HARLEM
7325 W 79TH ST
5909 E STATE ST
1321 SANDY HOLLOW RD
2909 COURT ST
1608 E EMPIRE ST
482 W NAVAJO ST STE A
1044 N FRANCISCO AVE
3701 BROADWAY ST
2520 N NARRAGANSETT AVE
3655 NAMEOKI RD
3840 46TH AVE
17355 TORRENCE AVE
6525 N ILLINOIS ST
1155 E PERSHING RD
5345 N BROADWAY
2901 E LINCOLNWAY
840 PLAINFIELD RD
1155 E OAKTON ST
2103 N VETERANS PKWY
1199 E OGDEN AVE
1500 W MAPLE ST
7050 S PULASKI RD
345 W ROOSEVELT RD
City
WESTMONT
FRANKLIN PARK
ALSIP
CHENOA
HERRIN
MARISSA
PETERSBURG
PRINCETON
CHICAGO HEIGHTS
PEORIA
TINLEY PARK
BRIDGEVIEW
ROCKFORD
ROCKFORD
PEKIN
BLOOMINGTON
WEST LAFAYETTE
CHICAGO
QUINCY
CHICAGO
GRANITE CITY
ROCK ISLAND
LANSING
FAIRVIEW HEIGHTS
DECATUR
CHICAGO
STERLING
WILLOWBROOK
DES PLAINES
BLOOMINGTON
NAPERVILLE
NEW LENOX
CHICAGO
LOMBARD
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IN
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
60559601316080361726-1129
6294862257-1343
6267561356-1397
60411-1790
61614-5968
6047760455-1581
61108-2429
61109-2120
61554-6203
61701-3511
47906-1940
60622-2795
62305-2821
6063962040-3710
61201-7137
60438-1018
62208-2001
62526-4726
6064061081-1780
60527-5340
60018-2046
6170460563-8568
60451-1529
60629-5824
60148-4219
Last Updated 12/21/2012
68
NABP #
1439353
1439365
1439391
1439430
1439442
1439581
1439593
1440027
1440229
1440255
1440546
1440623
1441031
1441043
1441055
1441574
1441651
1441663
1442209
1442211
1442261
1442499
1442502
1442665
1442893
1442994
1443237
1443566
1443857
1444140
1444176
1444455
1444467
1444746
Pharmacy Name
KMART PHARMACY3241
KMART PHARMACY3474
KMART PHARMACY3620
KMART PHARMACY4297
KMART PHARMACY9433
KMART PHARMACY4030
KMART PHARMACY4938
OSCO DRUG
SCHNUCKS PHARMACY
OSCO DRUG
LTD
KMART PHARMACY4048
OSCO DRUG
OSCO DRUG
KMART PHARMACY3422
OSCO DRUG
KMART PHARMACY9339
KMART PHARMACY7185
WAL-MART PHARMACY
OSCO DRUG
KMART PHARMACY7304
KMART PHARMACY7275
DETERDING DRUGS INC
KMART PHARMACY7289
OSCO DRUG
KROGER PHARMACY
OSCO DRUG
OSCO DRUG
KMART PHARMACY7525
OSCO DRUG
KMART PHARMACY9348
OSCO DRUG
OSCO DRUG
OSCO DRUG
Address Line 1
2500 WABASH AVE
6000 NORTHWEST HWY
1150 W CARL SANDBURG DR
5000 AVENUE OF THE CITIES
265 S IL ROUTE 83
2721 N VERMILION ST
400 E ROLLINS ROAD
1225 NAPER BLVD
501 BELT LINE RD
2317 75TH ST
753 TRUE VALUE ST
3250 E CLEAR LAKE AVE
2164 BLOOMINGDALE RD
900 E ROLLINS RD
2851 HOMER M ADAMS PKWY
2038 PRAIRIE AVE
4101 W 95TH ST
1075 W JACKSON ST
1450 EAST MAIN
1151 S ROSELLE RD
3404 BROADWAY ST
500 W CHRYSLER DR
1506 S MAIN ST
3231 CHICAGO RD
1220 S ASHLAND AVE
1607 BROADWAY
4355 N SHERIDAN RD
1300 S MILWAUKEE AVE
990 N KENZIE AVENUE
485 ELA RD
4201 N HARLEM AVE
145 S EASTWOOD DR
125 E STEARNS RD
177 E ROOSEVELT RD
City
SPRINGFIELD
CRYSTAL LAKE
GALESBURG
MOLINE
ELMHURST
DANVILLE
BEACH
NAPERVILLE
COLLINSVILLE
WOODRIDGE
LEBANON
SPRINGFIELD
GLENDALE HEIGHTS
BEACH
ALTON
ST CHARLES
OAK LAWN
MORTON
CARBONDALE
SCHAUMBURG
MT VERNON
BELVIDERE
RED BUD
STEGER
CHICAGO
PEKIN
CHICAGO
LIBERTYVILLE
BRADLEY
LAKE ZURICH
NORRIDGE
WOODSTOCK
BARTLETT
WEST CHICAGO
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
62704-4203
60014-8062
61401-1387
61265-4556
60126-3019
61832-1493
600736054062234605176225462702-6208
601396007362002-4856
6017460453-3587
61550-1545
629016019362864-2234
61008-6034
62278-1316
60475-1063
60608615546061360048609156004760706-1212
600986010360185Last Updated 12/21/2012
69
NABP #
1445243
1445279
1445546
1445647
1445659
1445700
1445887
1446423
1446435
1446916
1446928
1447045
1447057
1447211
1447502
1447641
1447653
1447893
1448314
1448744
1448756
1448768
1448883
1449001
1449013
1449138
1449289
1449455
1449607
1449619
1450078
1450129
1450131
1450460
Pharmacy Name
9TH DRUG
OSCO DRUG
OSCO DRUG
OSCO DRUG
KMART PHARMACY3594
WAL-MART PHARMACY
MCKNIGHT PHARMACY
OSCO DRUG
OSCO DRUG
OSCO DRUG
OF CHATHAM
OSCO DRUG
SERVICES
OSCO DRUG
MT PULASKI PHARMACY
OSCO DRUG
OSCO DRUG
KMART PHARMACY7399
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
CITY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
Address Line 1
1200 MAIN ST
9352 W 159TH ST
3240 CHICAGO RD
79 MCHENRY RD
5050 S KEDZIE AVE
2802 OUTER ROAD DRIVE
109 S COLLEGE AVE
140 W LAKE ST
968 ROUTE 59
3572 N ELSTON
101 E PLUMMER
11730 S MARSHFIELD AVE
830 W DIVERSEY PKWY
655 MAIN ST NW
507 E CHESTNUT ST
2128 S MANNHEIM RD
1655 E 95TH ST
1900 DOUGLAS RD
3940 E 106TH ST
730 TENNEY ST
1343 N PAULINA
1128 CHICAGO AVE
1713 SOUTH PARK AVENUE
901 S COTTAGE AVE
1402 21ST ST
245 S BROADWAY
625 LINCOLN HIGHWAY
1511 CAMP JACKSON ROAD
2111 CLAUDE BAILEY PKWY
696 NW HWY
1500 SE 5TH STREET
599 ROOSEVELT RD
217 IRVING PARK RD
1730 E JACKSON ROAD
City
MT VERNON
ORLAND PARK
HEIG
BUFFALO GROVE
CHICAGO
MARION
ALEDO
ADDISON
ANTIOCH
CHICAGO
CHATHAM
CHICAGO
CHICAGO
BOURBONNAIS
MT PULASKI
WESTCHESTER
CHICAGO
MONTGOMERY
CHICAGO
KEWANEE
CHICAGO
EVANSTON
HERRIN
NORMAL
ZION
COAL CITY
FAIRVIEW HEIGHTS
CAHOKIA
PRINCETON
CARY
ALEDO
GLEN ELLYN
STREAMWOOD
MACOMB
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6286460462604116008960632-3009
62959612316010160002606186262960643606146091462548-1008
601546061960538-2419
60617614436062260202629486176160099604166220862206613566001361231601376010761455Last Updated 12/21/2012
70
NABP #
1450472
1450484
1450496
1450840
1451082
1451094
1451107
1451575
1451587
1451599
1452224
1452642
1452692
1452870
1453012
1453062
1453175
1453187
1453290
1453478
1453543
1453769
1453771
1453961
1453985
1454052
1454064
1454204
1454393
1454406
1454761
1454773
1454785
1454824
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
108 KYDEN DR
2608 GREEN MOUNT COMMONS DR
300 LEIGH AVE
1312 JOHN DEERE EXPY
3320 VETERANS DRIVE
659 KNOX SQUARE DR
1344 ILLINOIS HWY 1
4041 VETERANS DRIVE
2300 SYCAMORE ROAD
1901 FIRST AVENUE
5307 RT 251
201 SOUTH MAIN ST
333 EAST ROUTE 6
125 EAST BESTER DRIVE
2507 E OAKLAND AVE
311 E IL ROUTE 38
201 NO. MATTES AVENUE
1204 AVENUE OF MID-AMERICA
12495 STATE RTE 143
1316 SOUTH STATE STREET
31 ST CHARLES RD
4115 E LINCOLN WAY
6800 WEST ROUTE 34
2811 HOMER ADAMS PARKWAY
1615 CAMP JACKSON RD
601 NORTH COMMERCIAL ST
401 RIVER ROAD
3070 N WATER ST
942 YORK RD
543 LIBERTY ST
1410 N MARKET ST
919 GIACONE DRIVE
610 WESLEY DRIVE
110 DAVIDSON AVENUE
City
MARSHALL
BELLEVILLE
ANNA
SILVIS
PEKIN
GALESBURG
CARMI
OTTAWA
DEKALB
ROCK FALLS
PERU
EAST PEORIA
MORRIS
GENESEO
BLOOMINGTON
ROCHELLE
VANDALIA
EFFINGHAM
HIGHLAND
JERSEYVILLE
VILLA PARK
STERLING
PLANO
ALTON
CAHOKIA
HARRISBURG
EAST PEORIA
DECATUR
ELMHURST
WAUCONDA
SPARTA
BENTON
WOOD RIVER
MOUNT VERNON
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
62441622216290661282615546140162821613506011561071613546161160450612546170161068624716240162249620526018161081605456200262206629466161162526601266008462286628126209562864Last Updated 12/21/2012
71
NABP #
1454850
1455042
1455179
1455410
1455509
1455763
1455775
1455787
1456210
1456258
1456260
1456462
1456690
1456753
1456816
1456892
1456967
1457096
1457109
1457123
1457135
1457173
1457565
1457781
1457793
1457806
1458000
1458024
1458074
1458137
1458151
1458163
1458175
1458187
Pharmacy Name
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
KMART PHARMACY3631
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
BRAIDWOOD
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
PHARMACY INC
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
OSCO DRUG
KMART PHARMACY3758
PRESCRIPTIONS PLUS
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
22 BIESTERFIELD RD
300 NORTH GREENBRIAR DRIVE
30 DANADA SQUARE W
845 BROADMEADOW RD
1880 S WEST AVE
1201 SOUTH DIVISION
1001 NORTH WEST
1304 EAST MAIN STREET
230 COMET DR
760 ARMY TRAIL RD
2503 SCHAUMBURG RD
2680 RT 83
CALIFORNIA AVE AT 15TH ST
1322 SYCAMORE
6426 W IRVING PK RD
2424 W JEFFERSON ST
2080 NO. ST. ROUTE 50
1530 W. SPRINGFIELD RD
18600 SHIPMAN BLACKTOP RD
5665 W TOUHY AVE
9650 W 131ST ST
1268 N LAKE ST
961 N MARKET STREET
129 RANDALL RD
3004 KIRCHOFF RD
2530 US ROUTE 30
1101 BELT LINE RD
523 TROY PLAZA
3801 RUNNING BROOKS BLVD
820 SOUTH RAND
1530 WEST HIGHWAY 50
850 SOUTH BARRINGTON ROAD
1980 FREEDOM PARKWAY
61 PLAZA DRIVE
City
VILLAGE
NORMAL
WHEATON
RANTOUL
FREEPORT
HARVARD
OLNEY
ROBINSON
BRAIDWOOD
CAROL STREAM
SCHAUMBURG
BEACH
CHICAGO
DEKALB
CHICAGO
JOLIET
BRADLEY
TAYLORVILLE
CARLINVILLE
NILES
PALOS PARK
AURORA
WATERLOO
BATAVIA
ROLLING MEADOWS
OSWEGO
COLLINSVILLE
TROY
JOHNSBURG
LAKE ZURICH
OFALLON
STREAMWOOD
WASHINGTON
BEARDSTOWN
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6000761761601896186661032-6712
6003362450624546040860188601946007360608-1797
6011560634604366091462568626266071460464605066229860510600086054362234-4368
62294600516004762269601076157162618Last Updated 12/21/2012
72
NABP #
1458341
1458377
1458391
1458644
1458808
1459064
1459076
1459088
1459317
1459343
1459355
1459494
1459507
1459569
1459634
1459672
1459684
1459696
1459759
1459824
1459848
1459925
1459937
1459949
1459975
1459987
1460144
1460714
1460726
1460865
1460877
1461021
1461033
1461223
Pharmacy Name
WAL-MART PHARMACY
SCHNUCKS PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9163
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PRESCRIPTIONS PLUS
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HEALTH SVC
WAL-MART PHARMACY
Address Line 1
5211 BROADWAY ST
1701 EAST EMPIRE STREET
920 N GREEN BAY RD
1205 ILLINOIS RT 31 SOUTH
1205 WEST FERDON ST
2201 E OAKLAND
555 TOWNLINE ROAD
7219 WALTON ST
7523 W LAKE ST
1340 WEST MCCORD
21410 SOUTH CICERO AVENUE
776 SOUTH ROUTE 59
825 MALERICH DRIVE
VERMILLION PLAZA
109 N MATTIS RD
1790 E WALNUT ST
200 SOUTH BOLINGBROOK DRIVE
450 W HANOVER
1706 WEST REYNOLDS STREET
9402 S ASHLAND AVE
7530 S STONY ISLAND
620 DUNDEE AVENUE
314 WEST ARMY TRAIL ROAD
3401 FREEDOM DRIVE
1941 W MORTON AVE
442 E RAND RD
3311 N STERLING AVE
9265 WEST 159TH STREET
6590 GRAND AVENUE
4224 NORTH PROSPECT
2071 NORTH MAIN STREET
16 ARROWHEAD POINT SHPCNTR
101 N. UNIVERSITY ST
2610 NO PROSPECT AVE
City
QUINCY
BLOOMINGTON
WAUKEGAN
CRYSTAL LAKE
LITCHFIELD
BLOOMINGTON
VERNON HILLS
ROCKFORD
RIVER FOREST
CENTRALIA
MATTESON
NAPERVILLE
LINCOLN
PONTIAC
CHAMPAIGN
WATSEKA
BOLINGBROOK
NEW BADEN
PONTIAC
CHICAGO
CHICAGO
EAST DUNDEE
BLOOMINGDALE
SPRINGFIELD
JACKSONVILLE
HEIGHTS
PEORIA
ORLAND HILLS
GURNEE
DECATUR
CANTON
HARRISBURG
NORMAL
CHAMPAIGN
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
623016170160085600146205661701600616110860305628016044360540626566176461821609706044062265617646062060649601186010862704626506000461604604776003162526615206294661790-2540
61821Last Updated 12/21/2012
73
NABP #
1461261
1461297
1461300
1461312
1461324
1461336
1461627
1461689
1461792
1461843
1461855
1461968
1462237
5709627
1462263
1462388
1462439
1462617
1462782
1462794
1462922
1462946
1462984
1463013
1463265
1463277
1463304
1463316
1463330
1463518
1463594
1463695
1463760
1463897
Pharmacy Name
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3032
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3914
INC
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
MASON CITY PHARMACY
WAL-MART PHARMACY
OSCO DRUG
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WOLTERS DRUG STORE
INC
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3559
OSCO DRUG
KMART PHARMACY7416
Address Line 1
2001 5TH STREET
1455 LAKE COOK ROAD
2545 ILLINOIS ROUTE 26 SO RD
379 W PONTOON ROAD
5610 W 159TH ST
1260 W MAIN ST
10260 SOUTH HARLEM AVENUE
1040 COLLINSVILLE CROSSING
3110 BELVIDERE RD
900 SOUTH ROUTE 83
1100 S RANDALL RD
3315 NORTH UNIVERSITY STREET
156 S GARY AVE
4750 NW 7 ST STE 6
9450 WEST JOLIET ROAD
354 LA GRANGE RD
4032 W FOSTER AVE
801 MEACHAM ROAD
150 SMITH ROAD
7050 SOUTH CICERO AVENUE
149 E CHESTNUT ST
3849 NORTHRIDGE DRIVE
1489 PALATINE RD
5720 NORTH BELT WEST
6495 COUNTRY CLUB ROAD
137 WEST NORTH AVE
806 W N AVE
201 W MAIN ST
494 WEST SIDE SQUARE
3 SOUTH 100 RT 53
1550 E COLLEGE
15830 S BELL RD
107 S RANDALL RD
17550 HALSTED
City
SILVIS
WHEELING
FREEPORT
GRANITE CITY
OAK FOREST
WEST DUNDEE
BRIDGEVIEW
COLLINSVILLE
WAUKEGAN
VILLA PARK
ELGIN
PEORIA
BLOOMINGDALE
MIAMI
HODGKINS
FRANKFORT
CHICAGO
VILLAGE
ST CHARLES
BEDFORD PARK
MASON CITY
ROCKFORD
HOFFMAN ESTATES
BELLEVILLE
MURPHYSBORO
NORTHLAKE
MELROSE PARK
HAVANA
CARLINVILLE
GLEN ELLYN
NORMAL
HOMER GLENN
ALGONQUIN
HOMEWOOD
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
FL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
612826009061032620406045260118604556223460085-6016
60181601236160460108-2225
3312660525604236063060007601746063862664-1403
611146019562226-4661
62966601646016062644-1198
62626-1753
601376176160491-8403
6010260430Last Updated 12/21/2012
74
NABP #
1464421
1464457
1464623
1464748
1464750
1464762
1464837
1464851
1464964
1465031
1465081
1465093
1465207
1465233
1465308
1465586
1465649
1465738
1465776
1465815
1465827
1465839
1465841
1465853
1465877
1465889
1466095
1466108
1466297
1466401
1466475
1466627
1466639
1466677
Pharmacy Name
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
DWIGHT
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
OSCO DRUG
KROGER PHARMACY
OSCO DRUG
INC
OSCO DRUG
HAMLIN PHARMACY INC
OSCO DRUG
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
101 DETTRO DRIVE
892 N WESTERN AVE
215 GRANT WAY
2610 WEST HAVEN ROAD
150 COMMERCE DRIVE
2189 75TH STREET
HWY 150 2206 STATE ST
1704 W DE YOUNG ST
106 WATTERS DR
1300 DES PLAINES AVEUE
1609 SOUTH PARK AVE
45 PLAZA DR
2491 HOWARD ST
2701 NORTH COLUMBUS ST
1755 W OGDEN AVE
2929 S WABASH
146 W MAIN ST
3800 W MADISON ST
6507 GRAND AVE
2222 TROY RD
2511 STATE ST
150 WATERLOO COMMONS DR
110 CARLYLE PLAZA
2712 GODFREY RD
3100 MADISON AVE
1075 W BROADWAY
2131 WEST GALENA BLVD
10 CLINTON PLAZA HWY 54 WEST
US 36 151 SHETLAND DRIVE
3103 W HARMON HWY
9424 S PULASKI RD
1870 WEST MAIN ST.
2517 FRANKLIN ST
10 WEST SECOND
City
MATTOON
LAKE FOREST
DU QUOIN
LAWRENCEVILLE
FAIRFIELD
DARIEN
CHESTER
MARION
DWIGHT
FOREST PARK
HERRIN
ANNA
EVANSTON
OTTAWA
NAPERVILLE
CHICAGO
BARRINGTON
CHICAGO
GURNEE
EDWARDSVILLE
EAST ST LOUIS
WATERLOO
BELLEVILLE
GODFREY
GRANITE CITY
CENTRALIA
AURORA
CLINTON
PITTSFIELD
PEORIA
OAK LAWN
SALEM
CARLYLE
PANA
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
619386004562832624396283760561622336295960420601306294862906602026135060540606166001060624600316202562205622986222162035-3311
62040628016050661727623636160160453628816223162557Last Updated 12/21/2012
75
NABP #
1466689
1466691
1466956
1466968
1466982
1467009
1467011
1467136
1467148
1467150
1467162
1467275
1467314
1467352
1467364
1467388
1467390
1467415
1467821
1467946
1468013
1468075
1468102
1468164
1468215
1468227
1468239
1468241
1468479
1468607
1468621
1468809
1468835
1469003
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
OSCO DRUG
OSCO DRUG
KROGER PHARMACY
KROGER PHARMACY
SCHNUCKS PHARMACY
OSCO DRUG
SCHNUCKS PHARMACY
KROGER PHARMACY
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
SCHNUCKS PHARMACY
PASO
OSCO DRUG
918
KROGER PHARMACY
OSCO DRUG
DOCS DRUGS OF GILMAN
OSCO DRUG
OSCO DRUG
OSCO DRUG
MANITO PHARMACY
HY VEE PHARMACY 2
OSCO DRUG
SCHNUCKS PHARMACY
OSCO DRUG
KROGER PHARMACY
Address Line 1
1540 N WORTHY
3930 44TH AVENUE DRIVE
1200 W BOUGHTON RD
7122 W 40TH ST
4101 N VERMILION SUITE A
2801 CHATHAM RD
1911 SANGAMON AVE E
5545 BRAINARD AVE
7910 S CICERO
1818 S AIRPORT PLAZA DRIVE
801 WEST LAKE
907 E US HIGHWAY 50
1202 STATE ST
200 NORTH VINE ST
415 S 42ND STREET
475 N NELSON RD
400 JUNCTION DRIVE
2480 ROUTE 59
915 WEST MAIN ST
137 W. FRONT ST.
423 E DUNDEE RD
9219 NORTH LINDBERGH DRIVE
US HWY 51 S RR 2
4660 IRVING PARK RD
720 S CRESCENT ST
2502 WAUKEGAN RD
1350 S ROUTE 12
2855 W 95TH ST
406 S ADAMS STREET
2030 E MAIN STREET
411 N GREEN BAY RD
1810 HARLEM RD
1860 S ARLINGTON HEIGHTS RD
2399 N BLOOMINGTON ST
City
FLORA
MOLINE
BOLINGBROOK
STICKNEY
DANVILLE
SPRINGFIELD
SPRINGFIELD
COUNTRYSIDE
BURBANK
DECATUR
PEORIA
O FALLON
LEMONT
URBANA
MT VERNON
NEW LENOX
GLEN CARBON
PLAINFIELD
CARBONDALE
EL PASO
PALATINE
PEORIA
DUQUION
CHICAGO
GILMAN
GLENVIEW
FOX LAKE
NAPERVILLE
MANITO
GALESBURG
WILMETTE
LOVES PARK
HEIGHTS
STREATOR
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
62839612656044060402618346270462702605256045962521-9717
61614622696043961802-2717
6286460451620346054462901617386007461615-1425
628326064160938600256002060564615466140160091611116000561364Last Updated 12/21/2012
76
NABP #
1469368
1469700
1470070
1470258
1470323
1470359
1470397
1470400
1470955
1470967
1471236
1471301
1471313
1471464
1471488
1471490
1471921
1472000
1472202
1472288
1472327
1472442
1472543
1472567
1472593
1472618
1472769
1472858
1472884
1472935
1473026
1473038
1473040
1473052
Pharmacy Name
ARCHER PHARMACY
HY VEE PHARMACY 1
MOMENCE
DOCS DRUGS OF HENRY
HY VEE PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
OSCO DRUG
OSCO DRUG
SCHNUCKS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SCHNUCKS PHARMACY
OSCO DRUG
OSCO DRUG
KMART PHARMACY9532
WAL-MART PHARMACY
BEECHER
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
HY VEE PHARMACY 2
OSCO DRUG
DOCS DRUGS OF LEROY
HY VEE PHARMACY
SCHNUCKS PHARMACY
CUB PHARMACY
OSCO DRUG
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
6456 W ARCHER AVE
1975 NATIONAL BLVD
2764 N RT I 17
808 UNIVERSITY AVE
1651 MIDTOWN ROAD
4625 EAST MARYLAND AVE.
501 N GIANT CITY ROAD
652 KIRK RD
438 W MADISON
4800 UNIVERSITY
1401 W KING ST
501 NORTH RANDALL ROAD
335 NORTH MILWAUKEE AVE.
2642 CHARLES ST
9449 SKOKIE BLVD
375 RANDALL RD
1006 N KELLER DR
5630 TOUHY AVENUE
1277 DIXIE HWY
1460 GOLF ROAD
2321 N WISCONSIN
101 WEST OAKTON STREET
1350 WEST HIGHWAY 50
3700 BROADWAY
885 E BELVIDERE RD
304 SUNSET DR
1600 E JACKSON
6410 EAST STATE ST
1512 SW ROUTE 26
127 E OGDEN AVE
141 WEST NORTH AVENUE
1055 MCHENRY ROAD
15150 US HWY 150
6570 GRAND AVENUE
City
CHICAGO
GALESBURG
MOMENCE
HENRY
PERU
DECATUR
CARBONDALE
ST CHARLES
OAK PARK
PEORIA
DECATUR
BATAVIA
VERNON HILLS
ROCKFORD
SKOKIE
SOUTH ELGIN
EFFINGHAM
NILES
BEECHER
ROLLING MEADOWS
PEORIA
DES PLAINES
OFALLON
QUINCY
GRAYSLAKE
LEROY
MACOMB
ROCKFORD
FREEPORT
NAPERVILLE
NORTHLAKE
WHEELING
PARIS
GURNEE
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6063861401609546153761354625216290260174603026161462522-1444
605106006161108-1671
600776017762401-1743
60714604016000861603-2657
60018622696230560030617526145561108610326056360164600906194460031Last Updated 12/21/2012
77
NABP #
1473076
1473088
1473139
1473153
1473165
1473177
1473278
1473507
1473533
1474016
1474270
1474319
1474345
1474369
1474408
1474597
1474737
1474749
1474953
1475068
1475210
1475335
1475486
1475498
1475501
1475575
1475587
1475599
1475981
1476058
1476109
1476301
1476351
1476387
Pharmacy Name
SAMS PHARMACY
SAMS PHARMACY
SCHNUCKS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
LLC
OSCO DRUG
KROGER PHARMACY
OSCO DRUG
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
OSCO DRUG
HERSCHER
OSCO DRUG
SAMS PHARMACY
OSCO DRUG
SAMS PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
SAMS PHARMACY
OSCO DRUG
PHARMACY DOWNTOWN
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
2601 SOUTH CICERO AVE
900 SOUTH BARRINGTON ROAD
3150 N ROCKTON AVE
21430 SOUTH CICERO AVE
2450 MAIN STREET
2250 LINCOLN AVENUE
9500 W JOLIET ROAD
16771 TORRENCE AVENUE
4218 AVENUE OF THE CITIES
2907 W TOUHY AVE
13460 S ROUTE 59
550 E INDUSTRIAL PARK RD 1
1224 S WABASH
505 SO. DUNLAP AVENUE
1157 EOLA RD
2760 NO. DIRKSEN PKWY
1405 W GARFIELD
9400 SOUTHWESTERN AVE
3400 N WESTERN AVE
279 W RT 115
234 E VETERANS PKWY
4100 WEST WILLOW/KNOLLS DRIVE
13200 VILLAGE GREEN DR
5670 NW HIGHWAY
199 BROOK FOREST AVE
16625 W 159TH ST
2225 WEST MARKET ST.
808 S STATE ROUTE 59
17930 WOLF RD
201 N 5TH ST
7151 WALTON STREET
915 WEST MARKETVIEW DRIVE
8915 NORTH ALLEN ROAD
2151 SHEPARD ROAD
City
CICERO
STREAMWOOD
ROCKFORD
MATTESON
EVANSTON
CHARLESTON
HODGKINS
LANSING
MOLINE
CHICAGO
PLAINFIELD
MURPHYSBORO
CHICAGO
SAVOY
AURORA
SPRINGFIELD
BARTONVILLE
EVERGREEN PARK
CHICAGO
HERSCHER
YORKVILLE
PEORIA
HUNTLEY
CRYSTAL LAKE
SHOREWOOD
LOCKPORT
BLOOMINGTON
NAPERVILLE
ORLAND PARK
SPRINGFIELD
ROCKFORD
CHAMPAIGN
PEORIA
NORMAL
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
60804601076110360443602026192060525604386126560645605446296660605618746050462702616076080560618609416056061615601426001460431604416170160540604676270161108618226161561761Last Updated 12/21/2012
78
NABP #
1476464
1476539
1476553
1476565
1476692
1476731
1476844
1477175
1477288
1477290
1477303
1477353
1477442
1477454
1477543
1477682
1477745
1477858
1477896
1477909
1477923
1478165
1478177
1478242
1478355
1478379
1478432
1478519
1478521
1478711
1478735
1478785
1478824
1478836
Pharmacy Name
KROGER PHARMACY
OSCO DRUG
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
OSCO DRUG
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DOCS DRUGS OF MONEE
OSCO DRUG
HY VEE PHARMACY 1
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
HY VEE PHARMACY
PHARMACY
WAL-MART PHARMACY
Address Line 1
603 S 4TH ST
1414 DIVISION ST
1410 SOUTH RANDALL ROAD
255 W FIRST DR
1475 WOODLAWN RD
7342 W FOSTER AVE
20 CHERRY TREE SHOPPING CTR
2300 WHITE OAKS DRIVE
2101 GATEWAY CENTER DRIVE
12690 SOUTH ROUTE 59
1555 NORTH RAND ROAD
1401 ILLINOIS ROUTE 59
155 EAST COURTLAND STREET
475 EAST ROUTE 173
3451 NAMEOKI RD
10000 BARTEL BLVD
ONE CENTRE DRIVE
3902 WEST RIVERSIDE BLVD
1640 SOUTH GALENA AVENUE
1050 NORTH ROHLWING ROAD
201 WEST 10TH AVENUE
7300 WOODWARD AVE
103 HOLBROOK ROAD
801 NO RANDALL ROAD
25624 GOVERNORS HWY
2051 RIDGE RD
1400 HARRISON
100 SOUTH HIGH CROSS ROAD
2500 W 95TH ST
1148 OGDEN AVE
465 N ROUTE 47
2930 18TH AVE
901 CENTER ST
4700 WEST 135TH STREET
City
CHILLICOTHE
MORRIS
ALGONQUIN
DECATUR
LINCOLN
CHICAGO
WASHINGTON
SPRINGFIELD
BELVIDERE
PLAINFIELD
PALATINE
JOLIET
MORTON
ANTIOCH
GRANITE CITY
GALENA
PETERSBURG
ROCKFORD
DIXON
ADDISON
MILAN
WOODRIDGE
GLENWOOD
BATAVIA
MONEE
MINOOKA
QUINCY
URBANA
EVERGREEN PARK
DOWNERS GROVE
SUGAR GROVE
ROCK ISLAND
ELGIN
CRESTWOOD
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
61523604506010262526626566065661571627046100860544600746043161550600026204061036626756110161021601016126460517604256051060449-8987
604476230161802608056051560554612016012060445Last Updated 12/21/2012
79
NABP #
1479713
1479775
1479888
1479941
1480007
1480259
1480261
1480285
1480312
1480348
1480552
1480615
1480689
1480754
1480968
1481061
1481085
1481124
1481136
1481198
1481263
1481275
1481441
1481477
1481489
1481491
1481516
1481681
1481693
1481706
1481756
1481794
1482102
1482138
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
FAIRBURY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO DRUG
OSCO DRUG
WAL-MART PHARMACY
SAMS PHARMACY
OSCO DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
984
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO DRUG
OSCO DRUG
PHARMACY
WAL-MART PHARMACY
Address Line 1
4005 WEST 167TH STREET
3900 FOUNTAIN SQUARE PLACE
902 E OAK ST
4650 WEST NORTH AVE
8500 WEST GOLF ROAD
446 S WASHINGTON AVE
1275 LAKE AVENUE
RT 128-16 AND BORMAN ESTATES DR.
825 N MAIN ST
1755 WABASH AVE
4781 E. ROCKTON ROAD
1501 S DIRKSEN PKWY
800 N MAIN ST
2401 ROUTE 12
2300 ROUTE 34
321 S LARKIN
2021 E LARAWAY
16241 SOUTH FARRELL ROAD
2000 ORCHARD ROAD
1750 BRADFORD LN
633 ARMOUR ROAD
1301 SAVORY PLAZA CENTER
975 SOUTH ANNIE GLIDDEN RD
420 WEBER ROAD
800 CARLYLE AVE
4201 NORTH BELT WEST
4000 ROUTE 173
505 RIVERSTONE PKWY
2900 KIRK ROAD
1601 18TH STREET
220 WEST PEACE RD
3795 ORCHARD RD
4913 W OAKTON
1100 LEJUNE DRIVE
City
HILLS
WAUKEGAN
FAIRBURY
CHICAGO
NILES
KANKAKEE
WOODSTOCK
SHELBYVILLE
CANTON
SPRINGFIELD
ROSCOE
SPRINGFIELD
ELBURN
SPRING GROVE
OSWEGO
JOLIET
NEW LENOX
LOCKPORT
MONTGOMERY
NORMAL
BOURBONNAIS
SAVOY
DEKALB
ROMEOVILLE
BELLEVILLE
BELLEVILLE
ZION
KANKAKEE
AURORA
SILVIS
SYCAMORE
OSWEGO
SKOKIA
SPRINGFIELD
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
604786008561739606396071460901600986256561520-1272
6270461073627036011960081605436043660451604416053861761-1294
60914-2049
61874-9457
60115-5838
6044662221622266009960901-7207
605046128260178605436007762703Last Updated 12/21/2012
80
NABP #
1482190
1482265
1482277
1482429
1482431
1482683
1482873
1483039
1483041
1483394
1483419
1483469
1483534
1484512
1484586
1484738
1484764
1484942
1484966
1485021
1485336
1485374
1485425
1485449
1485514
1485576
1485805
1485906
1486023
1486035
1486047
1486059
1486100
1486112
Pharmacy Name
PHARMACY
SAMS PHARMACY
OSCO DRUG
OSCO PHARMACY
SAMS PHARMACY
(1418)
MANHATTAN
WAL-MART PHARMACY
SAM'S PHARMACY
MDS PHARMACY INC.
PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
HY-VEE PHARMACY
PHARMACY
OSCO DRUG
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
HOME RX 1
WAL-MART PHARMACY
LLC
OKAWVILLE PHARMACY
UNIVERSITY HEALTH
BOLINGBROOK HOSPITAL
HY-VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
603 EAST DIEHL RD
603 RIVER OAKS W
370 N DESPLAINES ST
200 N GRAND AVE W
700 NORTH 54TH ST
750 42ND AVENUE DRIVE
540 W. NORTH ST.
12300 RT 47
2709 WALTON WAY
7348 LAWNDALE AVE
4625 N UNIVERSITY ST
930 E MT PROSPECT PLAZA
2122 TROY RD
4125 N SHERIDAN RD # 20
1075 BROADWAY
3630 N SOUTHPORT AVE
501 E LINCOLN HWY
68 N BELLWOOD DR
119 E OGDEN AVE # LL20
6660 GODFREY RD
2338 N CLARK ST
403 N HANOVER
633 EMERSON STREET
500 REMINGTON BLVD
2700 DEKALB AVENUE
8331 S STEWART AVE
570 W MONROE ST
2415 N BLOOMINGTON ST
2206 BARNES BLVD
4860 HONONEGAH ROAD
1715 RURAL STREET
2601 N MULFORD RD
225 W CHICAGO AVE
3636 N BROADWAY ST
City
NAPERVILLE
CALUMET CITY
CHICAGO
SPRINGFIELD
QUINCY
MOLINE
MANHATTAN
HUNTLEY
MARION
SKOKIE
PEORIA
MT. PROSPECT
EDWARDSVILLE
PEORIA
HAMILTON
CHICAGO
NEW LENOX
BETHALTO
HINSDALE
GODFREY
CHICAGO
OKAWVILLE
EVANSTON
BOLINGBROOK
SYCAMORE
CHICAGO
CHICAGO
STREATOR
ROCKFORD
ROSCOE
ROCKFORD
ROCKFORD
CHICAGO
CHICAGO
State
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
IL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6056360409-5408
6066162702623016126560442601426295960076-4022
61614-5828
600566202561614-7167
6234160613-3710
60451-1909
62010-9802
60521-3590
6203560614-3423
6227160208-4000
6044060178-3127
60620-1728
60661-2514
61364-1305
6111261073-7777
61107-3138
61114-5670
60654-5606
60613-4568
Last Updated 12/21/2012
81
NABP #
1486403
1508526
1509934
1517753
1517929
1517931
1518488
1518490
1519529
1519656
1519733
1520015
1520560
1520825
1520837
1520899
1521194
1521245
1521411
1521651
1522122
1522160
1522297
1522324
1522348
1522350
1522425
1522449
1522538
1522691
1522805
1522970
1523059
1523201
Pharmacy Name
SAMS PHARMACY
MATHES PHARMACY INC
CLOVERDALE DRUGS
KROGER PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
OSCO PHARMACY
KMART PHARMACY3180
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7498
KMART PHARMACY7527
KROGER PHARMACY
OSCO PHARMACY
OSCO PHARMACY
KMART PHARMACY7042
COWAN DRUGS
KMART PHARMACY4152
KMART PHARMACY3251
KMART PHARMACY4913
KROGER PHARMACY
KMART PHARMACY4203
KMART PHARMACY7431
OSCO PHARMACY
KMART PHARMACY3260
KMART PHARMACY4438
PHARMACY
KROGER PHARMACY
KMART PHARMACY4377
KMART PHARMACY4067
KMART PHARMACY7775
Address Line 1
1006 N ROHLWING RD
1621 CHARLESTOWN RD
900 N MAIN ST
3110 NATIONAL RD
3700 N 1ST AVE
4600 WASHINGTON AVE
2140 FT HARRISON RD
4714 S US HWY 41
901 JOHNSON ST
1276 N MAIN ST
101 WEST LINCOLN
120 S MEMORIAL DR
916 N MAIN ST
750 INDIAN BOUNDARY ROAD
975 N GREEN ST
1175 COLLEGE MALL RD
740 RIDGE RD
805 JOLIET ST
2801 CALUMET AVE
112 N LEBANON ST
420 W MC KINLEY AVE
6780 W WASHINGTON ST
4651 S US HIGHWAY 41
3701 E NATIONAL RD
7425 E WASHINGTON ST
5101 E THOMPSON RD
747 INDIAN BOUNDARY RD
860 US 31 SOUTH
2715 MADISON AVE
305 E MORGAN ST
4445 E 10TH ST
3216 E THIRD STREET
7530 S ANTHONY BLVD
3530 STATE RD 38 EAST
City
ADDISON
NEW ALBANY
CLOVERDALE
COLUMBUS
EVANSVILLE
EVANSVILLE
TERRE HAUTE
TERRE HAUTE
ELKHART
CROWN POINT
MERRILLVILLE
NEW CASTLE
MONTICELLO
CHESTERTON
BROWNSBURG
BLOOMINGTON
MUNSTER
DYER
VALPARAISO
LEBANON
MISHAWAKA
INDIANAPOLIS
TERRE HAUTE
RICHMOND
INDIANAPOLIS
INDIANAPOLIS
CHESTERTON
GREENWOOD
INDIANAPOLIS
SPENCER
INDIANAPOLIS
BLOOMINGTON
FORT WAYNE
LAFAYETTE
State
IL
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
60101-1034
47150-3339
461204720147710-3324
4771547805478024651446307464104736247960463044611247401463214631146383460524654446241478024737446219462374630446143462254746046201474014681647905Last Updated 12/21/2012
82
NABP #
1523213
1523225
1523237
1523251
1524001
1524013
1524051
1524138
1524203
1524265
1524417
1524429
1524518
1524520
1524532
1524621
1524695
1524962
1525039
1525089
1525091
1525154
1525166
1525192
1525205
1525217
1525231
1525318
1525320
1525483
1525495
1525661
1525673
1525685
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
528 SOUTH COLLEGE
905 N GREEN ST
1930 E MAIN ST
2956 E 10TH ST
2500 PROGRESS PARKWAY
16865 CLOVER ROAD
2363 HWY 135 NW
218 EAST PETTIT
305 E LEWIS AND CLARK PKWY
1217 E IRELAND RD
2125 NORTH MORTON ST.
823 WEST STATE HIGHWAY 46
2251 E. STATES HWY 54
1795 EAST STATE ROAD 163
3200 JOHN WILLIAMS BLVD
880 W EADS PKWY WEST
1600 EAST TIPTON
605 N DIXON RD
2550 LAKE CIRCLE DR
1618 W MCCLAIN
790 GREENSBURG COMMMONS S/C
2110 N STATE HWY 3
1801 S STATE ROAD 57
2420 N LEBANON ST
1965 NORTH STATE STREET
100 SYCAMORE ESTATES DR
3533 S FRANKLIN
906 S MERRIFIELD
10450 E WASHINGTON ST
1850 NORTH MAIN
401 N BURKHARDT RD.
2440 NORTH LEBANON STREET
3240 SOUTHWESTERN
567 IVY TECH DRIVE
City
BLOOMINGTON
BROWNSBURG
PLAINFIELD
JEFFERSONVILLE
SHELBYVILLE
NOBLESVILLE
CORYDON
FORT WAYNE
CLARKSVILLE
SOUTH BEND
FRANKLIN
SPENCER
LINTON
CLINTON
BEDFORD
LAWRENCEBURG
SEYMOUR
KOKOMO
INDIANAPOLIS
SCOTTSBURG
GREENSBURG
NORTH VERNON
WASHINGTON
LEBANON
GREENFIELD
AURORA
MICHIGAN CITY
MISHAWAKA
INDIANAPOLIS
RUSHVILLE
EVANSVILLE
LEBANON
MARION
MADISON
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
47403461124616847130461764606047112468064712946614461314746047441478424742147025472744690146268471704724047265475014605246140470014636046544462294617347715460524695247250Last Updated 12/21/2012
83
NABP #
1525724
1525736
1525762
1525825
1526081
1526106
1526118
1526120
1526980
1526992
1527057
1527069
1527071
1527122
1527209
1527211
1527235
1527261
1527324
1527350
1527475
1527499
1527805
1527817
1527906
1527968
1528035
1528047
1528150
1528162
1528174
1528186
1528198
1528201
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7243
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7140
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7127
WAL-MART PHARMACY
KMART PHARMACY3741
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3571
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3823
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3100 MERIDIAN PARK DR
5555 S US HWY 41
2501 WALTON BLVD
735 WHITFIELD DRIVE
705 NORTH DIXON
650 KIMMEL RD
410 GRAND VALLEY BLVD
1501 E MC GALLIARD ROAD
335 SO. RED BANK ROAD
2304 LINCOLNWAY EAST
1460 STATE ROAD 2 WEST
240 MALL RD
2394 25TH STREET
2501 E. NORTH ST.
5311 COLDWATER RD
402 WEST PLAZA DRIVE
4500 WEST LLOYD EXPRESSWAY
55 PINE LAKE SC
2373 E MAIN STREET
1500 PILGRIM LANE
7245 US HWY 31 SOUTH
1351 VETERANS PARKWAY
5780 FRANKLIN ST
2400 MORTHLAND DR
3221 WEST 86TH ST
4024 ELKHARD ROAD SUITE 2
8300 EAST 96TH ST
723 3RD AVE
4205 COMMERCE DRIVE
505 TOURING DRIVE
1555 US HIGHWAY 41
2001 EAST 151 STREET
2936 EAST 79TH AVENUE
2395 MAIN ST
City
GREENWOOD
TERRE HAUTE
WARSAW
COLUMBUS
KOKOMO
VINCENNES
MARTINSVILLE
MUNCIE
EVANSVILLE
GOSHEN
LAPORTE
LOGANSPORT
COLUMBUS
KENDALLVILLE
FORT WAYNE
COLUMBIA CITY
EVANSVILLE
LA PORTE
PLAINFIELD
PLYMOUTH
INDIANAPOLIS
CLARKSVILLE
MICHIGAN CITY
VALPARAISO
INDIANAPOLIS
GOSHEN
FISHERS
JASPER
LAFAYETTE
AUBURN
SCHERERVILLE
CARMEL
MERRILLVILLE
ROCHESTER
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
4614247802465824720146901475914615147303477124652646350469474720146755468254672547712-6515
463504616846563-3409
4622747129463604638346268465264603847546479054670646375460324641046975Last Updated 12/21/2012
84
NABP #
1528249
1528251
1528403
1528439
1528477
1528489
1528504
1528516
1528528
1528542
1528554
1528566
1528617
1528643
1528720
1528744
1528819
1528857
1528910
1528934
1528958
1529087
1529126
1529152
1529253
1529289
1529328
1529570
1529619
1529734
1529758
1529811
1529847
1530294
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7402
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7317
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7246
KROGER PHARMACY
GENE MADDY
KMART PHARMACY9018
KROGER PHARMACY
PAYLESS
KROGER PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
Address Line 1
2150 EAST NATIONAL AVENUE
1700 SO. 13TH ST.
4801 W CLARA LANE
2321 CHARLES STREET
2100 PARK RD
730 EAST HWY 66
4526 WESTERN AVE
1115 AMERICAN WAY
757 WEST WOLF STREET
10617 E. WASHINGTON
1601 NO. CASS ST
950 EAST GREENVILLE PIKE
2016 N WAYNE ST.
3175 WEST THIRD ST
1835 US HIGHWAY 231 SOUTH
3601 EAST MAIN
4040 NEWTON STREET
3361 KENTUCKY AVE
2700 WEST BROADWAY
172 LOGAN ST
3525 GRANTLINE ROAD
785 EAST MAIN
1710 APPLE GLEN BLVD
3400 GRANTLINE ROAD
3167 SOUTH STATE RD 3
3150 NATIONAL ROAD WEST
5718 CRAWFORDSVILLE RD
3050 MERIDIAN ST
2727 GUILFORD STREET
1034 STATE RD 229 NORTH
1900 APPLEWOOD CENTRE DR
5325 E THOMPSON RD
1750 E INDIANAPOLIS
8301 BELL OAKS DR
City
BRAZIL
DECATUR
MUNCIE
ANDERSON
CONNERSVILLE
TELL CITY
SOUTH BEND
BOONVILLE
SULLIVAN
INDIANAPOLIS
WABASH
WINCHESTER
ANGOLA
BLOOMINGTON
CRAWFORDSVILLE
RICHMOND
JASPER
INDIANAPOLIS
PRINCETON
NOBLESVILLE
NEW ALBANY
DANVILLE
FORT WAYNE
NEW ALBANY
NEW CASTLE
RICHMOND
INDIANAPOLIS
ANDERSON
HUNTINGTON
BATESVILLE
ANDERSON
INDIANAPOLIS
GREENCASTLE
NEWBURGH
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
47834467334730446013473314758646619476014788246229469924739446703474044793347374475464622147670460604715046122468044715047362473744622446016467504700646013462374613547630Last Updated 12/21/2012
85
NABP #
1530369
1530509
1530511
1530523
1530612
1530624
1530701
1530713
1530852
1530876
1531195
1531208
1531385
1531498
1531525
1531563
1531575
1531599
1531830
1531842
2136732
2136744
1531981
1532212
1532224
1532313
1532414
1532541
1532616
1532642
1532832
1532894
1532995
1533101
Pharmacy Name
KMART PHARMACY7455
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3556
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY3254
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
PAYLESS
827
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
1320 JAMES AVENUE
2460 EAST WABASH
1920 E. MARKLAND AVE
47 PUBLIC SQ
200 NEW ALBANY PLAZA
9835 FALL CREEK RD
2505 NORTH OAK ROAD
905 SOUTH COLLEGE AVENUE
1600 SOUTH OHIO ST
3313 W. STATE RT. 45
3101 NORTHVIEW DRIVE
2001 NORTH MICHIGAN
1217 S RANGELINE ROAD
1571 NORTH STATE STREET
333 BOYD BLVD
209 CHICAGO AVE
680 TWIN AIRE DRIVE
8150 ROCKVILLE RD
621 COUNTRYSIDE DRIVE
820 COLISEUM BLVD NORTH
8730 LIBERTY RD
610 LEGION RD
2800 WALMART DRIVE
100 FOREST PARK PLAZA
950 W VOTAW
1845 N SCATTERFIELD RD
2513 MAPLE POINT DR
821 INDIANAPOLIS RD
2801 NORTHWESTERN AVE
7272 FISHERS CROSSING DR
500 S LIBERTY DR
1660 CRAWFORDSVILLE SQUARE DR
821 LINCOLN HIGHWAY WEST
601 EAST DUPONT RD
City
BEDFORD
FRANKFORT
KOKOMO
SALEM
NEW ALBANY
INDIANAPOLIS
PLYMOUTH
RENSSELAER
MARTINSVILLE
BLOOMINGTON
ELKHART
PLYMOUTH
CARMEL
GREENFIELD
LA PORTE
GOSHEN
INDIANAPOLIS
INDIANAPOLIS
COLUMBIA CITY
FORT WAYNE
RANDALLSTOWN
DENTON
HUNTINGTON
BRAZIL
PORTLAND
ANDERSON
LAFAYETTE
GREENCASTLE
WEST LAFAYETTE
FISHERS
BLOOMINGTON
CRAWFORDSVILLE
NEW HAVEN
FORT WAYNE
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
MD
MD
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
47421460414690147167-2055
47150462564656347978461514740346514-6748
46563460324614046350465264620346214467254680521133-4710
21629-2040
4675047834473714601247905-5157
46135479064603847403479334677446825Last Updated 12/21/2012
86
NABP #
1533187
1533199
1533238
1533442
1533529
1533555
1533567
1533593
1533644
1533808
1534014
1534127
1534153
1534165
1534177
1534189
1534242
1534254
1534456
1534583
1534595
1534711
1534723
1534886
1534898
1535028
1535030
1535042
1535066
1535078
1535131
1535143
1535155
1535179
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY J-71
KMART PHARMACY9354
KROGER PHARMACY
OWENS
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
985
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
Address Line 1
735 NORTH GOSPEL STREET
930 WEST MAIN STREET
6087 U.S. HIGHWAY 6
6002 ST JOE CENTER ROAD
2650 WABASH AVE
5025 W 71ST STREET
1700 NORTHWOOD PLAZA
202 S MAIN STREET
2821 S WASHINGTON ST
430 W RIDGE ROAD
530 S INDIANA AVENUE
2211 EAST CENTER ST
3701 PORTAGE ROAD
175 COUNTRY ROAD 6 WEST
316 INDIAN RIDGE ROAD
120 INDIAN RIDGE BLVD
7101 E 10TH ST
1601 E MICHIGAN
8801 US 24 WEST
4202 S EAST ST
5911 S MADISON AVE
400 WEST NORTHFIELD DRIVE
2100 NORTH MAIN STREET
1088 WEST BROADWAY
7325 NORTH KEYSTONE AVE.
525 E CLIFTY DRIVE
2629 E 65TH ST
108 N STATE ROAD 267
1330 W SOUTHPORT RD
1828 165TH STREET
5805 ROCKVILLE ROAD
10859 EAST WASHINGTON
11101 PENDELTON PIKE
1101 WINDHORST WAY
City
PAOLI
PERU
PORTAGE
FORT WAYNE
TERRE HAUTE
INDIANAPOLIS
FRANKLIN
RUSHVILLE
KOKOMO
GRIFFITH
MOORESVILLE
WARSAW
SOUTH BEND
ELKHART
MISHAWAKA
MISHAWAKA
INDIANAPOLIS
SHELBYVILLE
FORT WAYNE
INDIANAPOLIS
INDIANAPOLIS
BROWNSBURG
BLUFFTON
MONTICELLO
INDIANAPOLIS
MADISON
INDIANAPOLIS
AVON
INDIANAPOLIS
HAMMOND
INDIANAPOLIS
INDIANAPOLIS
INDIANAPOLIS
GREENWOOD
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
474544697046368468354780346268461314617346902463194615846580-3719
4662846514465454654546219-4905
46176-1832
46804-4747
46227-1416
46227-4726
461124671447960462404725046220-1507
46123-8475
462174632046224462294623646143Last Updated 12/21/2012
87
NABP #
1535181
1535496
1535509
1535636
1535698
1535737
1535927
1535977
1535989
1536094
1536107
1536157
1536208
1536272
1536323
1536450
1536462
1536474
1536537
1536551
1536575
1536602
1536626
1536640
1536866
1536917
1536943
1537034
1537096
1537111
1537197
1537212
1559965
1560021
Pharmacy Name
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
PAYLESS
JAY C FOOD STORES
KROGER PHARMACY J-66
JAY C FOOD STORES
PAYLESS
WAL-MART PHARMACY
KROGER PHARMACY
SCHNUCKS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
OWENS
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
JAY C FOOD STORES
Address Line 1
3015 WEST 86TH STREET
1005 W 7TH STREET
8850 S EMERSON AVE
2040 PEACE TREE VLG
516 WEST 30TH STREET
6700 E VIRGINIA ST
3205 WEST STATE HWY 45
10005 E 116TH ST
2200 INDEPENDENCE DR
7235 EAST 96TH STREET
3134 EAST 79TH AVE
4025 S OLD STATE RD 37
2910 GRANT LINE ROAD
4350 DIXIE BEE ROAD
1032 SAGAMORE PARKWAY W
2631 W 16TH ST
5173 W WASHINGTON ST
815 HIGHLANDER POINT DR
65 BECK LANE
10735 PENDLETON PIKE
2864 CHARLESTOWN RD
3501 NORTH GREEN RIVER RD
6736 LIMA ROAD
10420 MAYSVILLE ROAD
9500 EAST US HIGHWAY 36
1309 N CASS ST
3430 TAYLOR AVENUE
1440 DARLINGTON AVE
3805 SOUTH KEYSTONE AVENUE
2718 GUILFORD ST
1301 VETERANS PARKWAY
8010 EAST 38TH STREET
11700 OLIO RD
2325 N HIGHWAY 3
City
INDIANAPOLIS
AUBURN
INDIANAPOLIS
ROCHESTER
CONNERSVILLE
EVANSVILLE
BLOOMINGTON
FISHERS
GREENWOOD
INDIANAPOLIS
MERRILLVILLE
BLOOMINGTON
NEW ALBANY
TERRE HAUTE
WEST LAFAYETTE
BEDFORD
INDIANAPOLIS
FLOYD KNOBS
LAFAYETTE
LAWRENCE
NEW ALBANY
EVANSVILLE
FT WAYNE
FORT WAYNE
AVON
WABASH
EVANSVILLE
CRAWFORDSVILLE
INDIANAPOLIS
HUNTINGTON
CLARKSVILLE
INDIANAPOLIS
FISHERS
NORTH VERNON
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
4626846706462374697547331477154740346037-9233
46143462504641047401471504780247906-1446
4742146241-2205
4711947909-2836
4623647150477154681846835461234699247714479334622746750471294622646037-7618
47265Last Updated 12/21/2012
88
NABP #
1560069
1560083
1560348
1560499
1560502
1560514
1560538
1561059
1561073
1561124
1561136
1561162
1561263
1561314
1561338
1561580
1561617
1561631
1561643
1561667
1561679
1561681
1561883
1561972
1562051
1562114
1562506
1562710
2431562
1562811
1563457
1563584
1563623
1563647
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
JAY C FOOD STORES
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
843
SCOTTS PHARMACY J412
SCOTTS PHARMACY
KROGER PHARMACY #425
SCOTTS PHARMACY J424
SCOTTS PHARMACY
SCOTTS PHARMACY
SCOTTS PHARMACY J 410
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
804
WAL-MART PHARMACY
WAL-MART PHARMACY
998
WAL-MART PHARMACY
ALIVIO PHARMACY, LLC
PHARMACY
DAILYMED PHARMACY
Address Line 1
17447 CAREY ROAD
4650 SOUTH EMERSON AVE.
2715 MERCHANTS MILE
9501 STATE ROAD 403
1133 NO. EMERSON ROAD
1501 EAST 29TH STREET
14800 HAZEL DELL CROSSING
130 W HIVELY AVE
2399 SOUTH STATE ROAD 46
2025 MERCHANT MILE
7502 SOUTHTOWN CROSSING BLVD
2347 EAST 350 SOUTH
150 W 161ST ST
700 WEST IRELAND ROAD
2200 GREENBUSH ST
1125 W STATE BLVD
3105 N ANTHONY BLVD
6310 E STATE BLVD
10230 CHESTNUT PLAZA DR
4120 N CLINTON ST
929 S 13TH ST
7008 BLUFFTON RD
4545 LAFAYETTE ROAD
30830 OLD US 20
10105 LIMA ROAD
8191 UPLAND WAY
5810 EAST 71ST STREET
8599 HIGH POINTE DR
20710 KEOKUK AVE
1365 E 86TH ST
5TH AVE & 112TH BLVD
2060 N SHADELAND AVE STE 101
600 MARY STREET
9320 PRIORITY WAY WEST DR
City
WESTFIELD
INDIANAPOLIS
COLUMBUS
CHARLESTOWN
GREENWOOD
MUNCIE
NOBLESVILLE
ELKHART
TERRE HAUTE
COLUMBUS
FORT WAYNE
LAFAYETTE
WESTFIELD
SOUTH BEND
LAFAYETTE
FT WAYNE
FORT WAYNE
FT WAYNE
FT WAYNE
FORT WAYNE
DECATUR
FT WAYNE
INDIANAPOLIS
ELKHART
FORT WAYNE
CAMBY
INDIANAPOLIS
NEWBURGH
LAKEVILLE
INDIANAPOLIS
HAMMOND
INDIANAPOLIS
EVANSVILLE
INDIANAPOLIS
State
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
IN
MN
IN
IN
IN
IN
IN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
460744620347201471114614347302460624651747803472014681647909460744661447904-2342
46808468054681546814468054673346809462544651646818461134622047630-7938
55044-6620
46240-1909
4632046219-1734
4774746240Last Updated 12/21/2012
89
NABP #
1600039
1600712
1601079
1601132
1601144
1601637
1602158
1602540
1603047
1603720
1603972
1604102
1604203
1604227
1604405
1604443
1608023
1608198
1608201
1608251
1609885
1609897
1609912
2431574
1610535
1610573
1610648
1610802
1610890
1610941
1610989
1611006
1611119
1611412
Pharmacy Name
WEIRICK PHARMACY
OSCO PHARMACY
7055
(1061)
HY VEE DRUGSTORE 1
WESTER DRUG INC
HY VEE PHARMACY
PHARMACY
HY VEE DRUGSTORE
HY VEE DRUGSTORE
HY VEE PHARMACY 1
HY VEE DRUGSTORE
HY VEE PHARMACY 1
HY VEE DRUGSTORE
HY VEE DRUGSTORE 3
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 5
JESUP PHARMACY
HY VEE DRUGSTORE
KMART PHARMACY4158
HY VEE PHARMACY 1
PHARMACY LTD
WAL-MART PHARMACY
KMART PHARMACY4289
KMART PHARMACY4485
KMART PHARMACY4315
HY VEE PHARMACY 1
HY VEE PHARMACY 2
KMART PHARMACY3097
KMART PHARMACY4465
HY VEE PHARMACY
PHARMACY AND MEDICAL
KMART PHARMACY7002
Address Line 1
101 N WALNUT ST
1309 N SECOND
1706 S CENTER STREET
3235 OAKLAND RD NE
1520 SIXTH STREET SW
315 E 2ND ST
1221 CENTRAL AVENUE
2710 ST FRANCIS DR
218 EAST MAIN STREET
1140 N JEFFERSON STREET
2323 W. BROADWAY
849 SOUTH ANKENY BLVD
1700 VALLEY WEST DRIVE
2790 SEVENTH AVENUE
2405 MT VERNON AVENUE SE
1215 141ST STREET
1951 SOUTH MAIN
1107 SE ARMY POST ROAD
1094 220TH ST
875 SW 4TH ST
3810 UNIVERSITY AVE
2827 HAMILTON BLVD
1212 PLEASANT ST
3601 2ND ST S
180 COLLINS RD NE
2006 4TH ST SW
901 HOLLYWOOD BLVD
3800 WEST LINCOLN WAY
1745 MADISON AVENUE
2803 EAST KANESVILLE BLVD
5700 GORDON DRIVE
8701 DOUGLAS AVENUE
129 W LOCUST ST
3200 AGENCY ST
City
COLFAX
CLINTON
MARSHALLTOWN
CEDAR RAPIDS
CEDAR RAPIDS
MUSCATINE
ESTHERVILLE
WATERLOO
CHEROKEE
OTTUMWA
COUNCIL BLUFFS
ANKENY
WEST DES MOINES
MARION
CEDAR RAPIDS
PERRY
SIOUX CENTER
DES MOINES
JESUP
MASON CITY
WATERLOO
SIOUX CITY
DES MOINES
SAINT CLOUD
CEDAR RAPIDS
MASON CITY
IOWA CITY
AMES
COUNCIL BLUFFS
COUNCIL BLUFFS
SIOUX CITY
URBANDALE
DAVENPORT
BURLINGTON
State
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
MN
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
50054-1039
5273250158524025240452761-4109
5133450702-5493
510125250151501500215026552302524025022051250503155064850401507015110450309-1410
56301-3762
52402504015224050010515015150351106503225280352601Last Updated 12/21/2012
90
NABP #
1611424
1611436
1611664
1611842
1611993
1612907
1613187
1613353
1613555
1613581
1613593
1613810
1613923
1613947
1614026
1614103
1614115
1614141
1614204
1614216
1614305
1614381
1614569
1614571
1614583
1614622
1614634
1614684
1614773
1614862
1614898
1614951
1615092
1615345
Pharmacy Name
KMART PHARMACY4160
KMART PHARMACY4156
CROWN PHARMACY
HY VEE PHARMACY 3
HY VEE PHARMACY 1
KMART PHARMACY7161
PHARMACY
KMART PHARMACY7583
HY VEE DRUGSTORE
APPLE PHARMACY
RICKS PHARMACY
HY VEE DRUGSTORE
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 1
HY VEE PHARMACY 1
HY VEE PHARMACY 2
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE DRUGSTORE
KMART PHARMACY4018
WAL-MART PHARMACY
HY VEE DRUGSTORE 4
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2535 HUBBELL AVE
7501 HICKMAN
802 WASHINGTON ST
1201 NORTH DODGE
1720 WATERFRONT DRIVE
1131 N QUINCY AVE
601 HWY 218 N
1720 S CENTER
129 S JEFFERSON STREET
9255 ATLANTIC DR SW
6 1ST ST NW
214 SOUTH 25TH STREET
302 ENTERPRISE DRIVE
1650 WASHINGTON ST
101 115TH ST
415 INDUSTRIAL AVE
300 IOWA SPEEDWAY DRIVE
1045 NO. GRAND AVENUE
4151 FOURTH STREET SW
3015 GRAND AVE
324 WEST AGENCY ROAD
1126 HIGHWAY 38 NORTH
3019 ROCKINGHAM ROAD
EXPRESSW
1990 GRAND AVENUE
3036 1ST AVE. SOUTH
1002 SE NATIONAL DR
1798 OLD STAGE ROAD
100 NORTH WILSON
2600 DODGE STREET
2701 W BURLINGTON AVE
4825 JOHNSON AVENUE NW
2700 4TH STREET SW
255 16TH ST SW
City
DES MOINES
URBANDALE
PELLA
IOWA CITY
IOWA CITY
OTTUMWA
LA PORTE CITY
MARSHALLTOWN
MT PLEASANT
CEDAR RAPIDS
HAMPTON
FT DODGE
INDEPENDENCE
PELLA
ANAMOSA
GRINNELL
NEWTON
MT PLEASANT
MASON CITY
AMES
WEST BURLINGTON
TIPTON
DAVENPORT
DES MOINES
WEST DES MOINES
FT DODGE
ANKENY
DECORAH
JEFFERSON
DUBUQUE
FAIRFIELD
CEDAR RAPIDS
WAVERLY
SIOUX CENTER
State
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
503175032250219-1525
52245522405250150651-1012
501585264152404504415050150644502195220550112502085264150401500105265552772528025031050265505015002152101501295200252556524055067751250Last Updated 12/21/2012
91
NABP #
1615446
1615662
1615698
1616032
1616044
1616119
1616121
1616133
1616145
1616195
1616234
1616412
1616424
1616436
1616448
1616474
1616486
1616551
1616563
1616599
1616727
1616739
1616753
1616789
1616791
1616830
1616842
1616854
1616866
1616878
1616880
1616955
1616993
1617010
Pharmacy Name
HY VEE PHARMACY 2
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 2
KMART PHARMACY9220
WAL-MART PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CLINIC
HY VEE PHARMACY 6
HY VEE PHARMACY 4
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3585
WAL-MART PHARMACY
Address Line 1
2200 W KIMBERLY ROAD
1940 VENTURE DRIVE
5811 ELMORE AVENUE
3400 SINGING HILLS BLVD
2203 AVENUE A WEST
806 LAUREL ST.
2200 17TH ST.
300 NO. PARK DRIVE
1815 SOUTH STORY
1831 LAKE AVENUE
530 HWY 1 SOUTH
1500 NORTH JEFFERSON
1334 FLAMMANG DRIVE
1220 WEST MAIN
103 E CARLISLE
2645 BLAIRS FERRY RD
840 S OAK
23148 HIGHWAY 5
1111 HOLTON DRIVE
2540 E EUCLID AVENUE
1501 HIGHWAY 169N
705 S FREMONT ST
1500 HIGHWAY 169 NORTH
919 HIGHWAY 1 W
510 AVENUE C
5101 SE 14TH STREET
1541 SOUTH 3RD SUITE 100
4035 MT VERNON ROAD
4605 FLEUR DR
3600 BUSINESS HWY 151
1001 73RD STREET
2014 KITTY HAWK AVE
715 US HIGHWAY 30 WEST
2802 S CENTER STREET
City
DAVENPORT
OTTUMWA
DAVENPORT
SIOUX CITY
OSKALOOSA
CRESTON
SPIRIT LAKE
KEOKUK
BOONE
STORM LAKE
WASHINGTON
INDIANOLA
WATERLOO
MANCHESTER
MAQUOKETA
CEDAR RAPIDS
IOWA FALLS
CENTERVILLE
LE MARS
DES MOINES
ALGONA
SHENANDOAH
ALGONA
IOWA CITY
DENISON
DES MOINES
GRIMES
CEDAR RAPIDS
DES MOINES
MARION
DES MOINES
CARROLL
CARROLL
MARSHALLTOWN
State
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
52806525015280751106525775080151360526325003650588523535012550702520575206052402501265254451031503175051151601505115224651442503205011152403503215230250311514015140150158Last Updated 12/21/2012
92
NABP #
1617159
1617161
1617173
1617212
1617414
1617464
1617476
1617515
1617527
1617705
1617743
1617755
1617781
1617870
1617933
1618050
1618098
1618125
1618327
1618353
1618428
1618430
1618442
1618466
1618478
1618505
1618567
1618579
1618581
1618872
1618909
1618973
1618985
1619064
Pharmacy Name
HY VEE PHARMACY 4
HY VEE PHARMACY 3
HY VEE PHARMACY 2
HY VEE PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 2
HY VEE DRUGSTORE 5
HY VEE PHARMACY
HY VEE DRUGSTORE
HY VEE PHARMACY 1
KMART PHARMACY3971
KMART PHARMACY7767
WAL-MART PHARMACY
HY VEE PHARMACY 3
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE DRUGSTORE
HY-VEE PHARMACY
HY VEE PHARMACY 1
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE DRUGSTORE 6
HY VEE PHARMACY 2
KMART PHARMACY3447
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 3
HY VEE PHARMACY
Address Line 1
4000 UNIVERSITY AVENUE
1422 FLAMMANG
4500 SERGEANT ROAD
410 N ANKENY BLVD
611 TENTH AVENUE N
3201 MANAWA DR
HWY 6 WEST 2000 8TH STREET
901 KELLY STREET
4200 DODGE STREET
802 SOUTH CENTER STREET
A 3 COLLEGE SQUARE MALL
279 COLLINS ROAD NE
2001 BLAIRS FERRY ROAD NE
2900 DEVILS GLEN ROAD
500 MAIN STREET
1843 JOHNSON AVENUE NE
1405 BUCKEYE AVENUE
1405 S GRAND
525 BRANDILYNN BLVD
1823 EAST KIMBERLY
2400 2ND AVENUE
115 S 29TH STREET
510 E SIXTH STREET
1300 W BURLINGTON AVE
3500 DODGE STREET
3003 NORTH HWY 61
901 SOUTH 4TH STREET
505 BOYSON ROAD NE
812 SOUTH 1ST AVENUE
10331 UNIVERSITY AVENUE
1630 E 7TH STREET
7101 UNIVERSITY AVENUE
1725 JORDAN CREEK PARKWAY
1500 18TH STREET
City
WATERLOO
WATERLOO
SIOUX CITY
ANKENY
HUMBOLDT
COUNCIL BLUFFS
CORALVILLE
CHARLES CITY
DUBUQUE
MARSHALLTOWN
CEDAR FALLS
CEDAR RAPIDS
CEDAR RAPIDS
BETTENDORF
AMES
CEDAR RAPIDS
AMES
CHARLES CITY
CEDAR FALLS
DAVENPORT
MUSCATINE
FT DODGE
MUSCATINE
FAIRFIELD
DUBUQUE
MUSCATINE
CLINTON
CEDAR RAPIDS
IOWA CITY
CLIVE
ATLANTIC
WINDSOR HEIGHTS
WEST DES MOINES
SPIRIT LAKE
State
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
507015070251106500215054851503522415061652003501585061352402524025272250010524055001050616506135280752761505015276152556520035276152733524025224550325-0868
50022503115026651360Last Updated 12/21/2012
93
NABP #
1619139
1619189
1619216
1619367
1619468
1619658
1619711
1619773
1619901
1619987
1620106
1620219
1620221
1620334
1620346
1620384
1620423
1620461
1620473
1620497
1620524
1620536
1620574
1620649
1620675
1620714
1620726
1620740
1620790
1620827
1620865
1620904
1620928
1620930
Pharmacy Name
HY VEE PHARMACY 2
HY VEE PHARMACY 3
HY VEE PHARMACY
KMART PHARMACY9359
HY VEE PHARMACY
HY VEE DRUGSTORE
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE DRUGSTORE
HY VEE PHARMACY 2
HY VEE PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 3
HY VEE PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE DRUGSTORE
WAL-MART PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 1
HY VEE PHARMACY 2
HY VEE PHARMACY 1
HY VEE PHARMACY
HY VEE PHARMACY
CLINIC
HY VEE PHARMACY
CLINIC
Address Line 1
640 LINCOLN WAY
3301 GORDON DRIVE
1111 8TH STREET
3808 BRADY STREET
1250 N LAKE AVENUE
310 N 1ST AVENUE
609 N 18TH STREET
3601 29TH AVENUE S.W.
500 11TH ST. S.W.
3111 MAIN STREET
910 N JEFFERSON
528 S HWY 1
905 US HIGHWAY 30 WEST
2627 PIERCE STREET
2395 NW ARTERIAL
2606 AVENUE L
3501 8TH STREET S.W.
108 8TH STREET
3221 SE 14TH STREET
809 WEST ROCK ISLAND STREET
2715 S. 25TH ST.
4815 MAPLE DRIVE
4100 UNIVERSITY AVENUE
814 WEST BELL AVENUE
5750 MERLE HAY ROAD
2801 COMMERCE DRIVE
2400 FOURTH STREET SW
3140 AGENCY STREET
939 ANGULAR STREET
1605 N BROADWAY ST
2001 WEST COURT
111 E WALNUT ST
823 2ND STREET
312 N 2ND STREET
City
AMES
SIOUX CITY
BOONE
DAVENPORT
STORM LAKE
IOWA CITY
CENTERVILLE
CEDAR RAPIDS
SPENCER
KEOKUK
INDIANOLA
WASHINGTON
CARROLL
SIOUX CITY
DUBUQUE
FT MADISON
ALTOONA
ALTOONA
DES MOINES
KNOXVILLE
CLINTON
PLEASANT HILL
DES MOINES
KNOXVILLE
JOHNSTON
CORALVILLE
MASON CITY
BURLINGTON
BURLINGTON
RED OAK
CHARITON
JUNCTION
WEBSTER CITY
WAPELLO
State
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
50010511055003652806505885224052544524045130152632501255235351401511045200252627500095000950320501385273250327503115013850131522415040152601526015156650049527385059552653Last Updated 12/21/2012
94
NABP #
1620992
1621021
1621071
1621196
1621209
1621211
1621223
1621261
1621324
1621475
1621487
1621499
1621526
1621538
1621590
1621639
1621766
1621817
1621879
1621893
1621968
1621982
1621994
1622073
1622124
1622225
1622237
1622275
1622299
1622338
1622352
1622390
1622415
1622453
Pharmacy Name
HY VEE PHARMACY
SAMS PHARMACY
CLINIC
HY VEE PHARMACY
HY VEE DRUGSTORE 2
HY VEE PHARMACY 4
HY VEE PHARMACY
HY VEE PHARMACY 2
HY VEE PHARMACY 1
HY VEE PHARMACY 4
CLINIC
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE CLINIC
WAL-MART PHARMACY
HY VEE CLINIC
WAL-MART PHARMACY
HY VEE PHARMACY 5
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
HY VEE DRUGSTORE
WESTER DRUG INC
SAMS PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
HY VEE PHARMACY 2
HY VEE PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
HY VEE PHARMACY 7
Address Line 1
301 HWY 34 WEST
1101 73RD STREET
1215 DUFF AVENUE
819 GRAND AVE
1010 60TH STREET
1556 1ST AVENUE NE
118 SE 9TH STREET
2453 N COURT
1025 N QUINCY
4064 EAST 53RD STREET
321 NORTH MAIN
320 WEST STREET SOUTH
1700 E WASHINGTON STREET
501 S WHITE
3101 FLOYD BLVD
301 S HWY 69
3101 WEST KIMBERLY ROAD
2351 W LOCUST
1201 12TH AVENUE SW
110 S D STREET
1426 BROADWAY
632 S OAK RIVER HILLS
600 SHELDON
757 W BROADWAY
400 OVESEN RD
3887 ELMORE AVENUE
1311 4TH STREET SW
1905 EAST 7TH STREET
858 MIDDLE RD
2181 LOGAN
2003 CHATBURN
5491 BUSINESS HIGHWAY 151
2605 BLAIRS FERRY ROAD NE
5050 EDGEWOOD ROAD
City
ALBIA
DES MOINES
AMES
SPENCER
WEST DES MOINES
CEDAR RAPIDS
PELLA
OTTUMWA
OTTUMWA
DAVENPORT
MARCUS
GRINNELL
MT PLEASANT
MT PLEASANT
SIOUX CITY
HUXLEY
DAVENPORT
DAVENPORT
LEMARS
OSKALOOSA
DENISON
IOWA FALLS
CRESTON
COUNCIL BLUFFS
WILTON
DAVENPORT
WAVERLY
ATLANTIC
BETTENDORF
WATERLOO
HARLAN
MARION
CEDAR RAPIDS
CEDAR RAPIDS
State
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
52531503115001051301502665240250219525015250152807510355011252641526415110850124528065280451031525775144250126508015150152778528075067750022527225070351537523025240252411Last Updated 12/21/2012
95
NABP #
1622465
1622504
1622516
1622528
1622744
1622908
2431586
1622958
1622996
1623188
1623203
1623241
1623316
1623330
1623366
1623405
1623556
1623734
1623873
1624089
1624142
1624178
1702326
1706437
1706641
1706918
1707100
1707782
1707871
1708049
1708063
1708099
1708239
5709716
Pharmacy Name
HY VEE CLINIC
HY VEE PHARMACY 4
SAMS PHARMACY
HY VEE PHARMACY 3
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 3
HY VEE PHARMACY
PHARMACY
HY VEE PHARMACY
PHARMACY
HY VEE RX PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY-VEE PHARMACY
MEDICAL PHARMACY
WALMART PHARMACY
HY-VEE PHARMACY (1083)
(1860)
HY-VEE PHARMACY
BYRNES PHARMACY INC
KMART PHARMACY7444
KMART PHARMACY4215
KMART PHARMACY4443
KMART PHARMACY4222
KMART PHARMACY3358
KMART PHARMACY3322
KMART PHARMACY4171
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
PHARMACY
Address Line 1
301 W JEFFERSON
555 SOUTH 51ST STREET
3221 MANAWA SENTRE DRIVE
400 S LOCUST
6365 STAGECOACH DRIVE
4400 ASBURY ROAD
12200 RIVER RIDGE BLVD
20 WILSON AVE SW
800 N 2ND ST
1012 OKOBOJI AVE
1501 1ST AVE E
113 N 3 RD ST
409 W 5TH ST
500 S FREMONT ST
534 SO DUFF AVE
2400 COLLEGE DRIVE
1200 S 16TH STREET
1030 5TH AVE SE
2150 E, 1ST. ST.
625 DAVIS AVE
2834 ANSBOROUGH AVE
1989 PARK ST
600 E 20TH ST
1740 SW WANAMAKER ROAD
7836 STATE AVE
9401 METCALF
8703 63RD ST W
4830 S BROADWAY
2000 E SANTA FE
4200 W KELLOGG
206 W 5TH ST
1305 E KANSAS AVE
1320 N MAIN
990 N STATE ROAD 434 STE 1128
City
BLOOMFIELD
WEST DES MOINES
COUNCIL BLUFFS
DUBUQUE
WEST DE MOINES
DUBUQUE
BURNSVILLE
CEDAR RAPIDS
CHEROKEE
MILFORD
NEWTON
LAURENS
STORM LAKE
SHENANDOAH
AMES
OSCEOLA
CLARINDA
CEDAR RAPIDS
GRIMES
CORNING
WATERLOO
SHELDON
EUDORA
TOPEKA
KANSAS CITY
OVERLAND PARK
SHAWNEE MISSION
WICHITA
OLATHE
WICHITA
HUTCHINSON
GARDEN CITY
MCPHERSON
SPRINGS
State
IA
IA
IA
IA
IA
IA
MN
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
IA
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
52537502655150152003502665200255337-1608
524045101251351-1375
502085055450588-1725
5160150010502135163252403-2467
50111-7606
5084150701-4418
51201-8535
660256660466112662126620267216660626720967501678466746032714-7061
Last Updated 12/21/2012
96
NABP #
1709712
5905433
5905445
5905457
5905469
5905471
5905483
1709748
1709851
1709875
1709899
1709902
1709952
1710169
1710210
1710258
1710359
1710400
1710412
1710513
1710676
1710789
1710791
1710842
1710892
1710931
1710955
1710981
1711010
1711123
1711212
1711224
1711236
1711286
Pharmacy Name
KMART PHARMACY7169
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
KMART PHARMACY3184
KMART PHARMACY7037
DILLON PHARMACY
DILLON PHARMACY
KMART PHARMACY9647
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
KMART PHARMACY7409
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
400 SOUTH BROADWAY
100 RYAN DR
3100 CUSTER RD
2615 NE BOB BULLOCK LOOP
5631 DYER ST
2201 W SOUTHLAKE BLVD
4716 HONDO PASS DR
725 E 4TH ST
1216 NORTH MAIN
1902 VINE ST
1320 E THIRTIETH AVE
401 E POYNTZ AVE
425 N SUMMIT
4747 S BROADWAY
4820 4TH ST TRAFFICWAY
8828 W 13TH ST
1201 W CRAWFORD
1510 OHIO
4107 10TH ST
2240 N TYLER ST
1740 MASSACHUSETTS ST
1700 N 14TH
618 W 6TH ST
2600 N BROADWAY
3300 IOWA STREET
2301 INDUSTRIAL ROAD
1863 COUNTY RD 5300
5500 E HARRY ST
12801 KANSAS AVENUE
3932 W 13TH ST
1111 W 8TH ST
2020 NORTH SE BLVD
13600 S. ALDEN ST.
4301 VINE STREET
City
SALINA
RED OAK
PLANO
LAREDO
EL PASO
SOUTHLAKE
EL PASO
HUTCHINSON
NEWTON
HAYS
HUTCHINSON
MANHATTAN
ARKANSAS CITY
WICHITA
LEAVENWORTH
WICHITA
SALINA
AUGUSTA
GREAT BEND
TOPEKA
LAWRENCE
DODGE CITY
JUNCTION CITY
PITTSBURG
LAWRENCE
EMPORIA
COFFEYVILLE
WICHITA
BONNER SPRINGS
WICHITA
WELLINGTON
DERBY
OLATHE
HAYS
State
KS
TX
TX
TX
TX
TX
TX
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
674017515475075-2060
7804579904-6204
76092-6700
79904-1421
67501671146760167502-4298
66502670056721666048672126740167010675306660866046-1903
67801664416676266046668016733767218660126720367152670376606267601Last Updated 12/21/2012
97
NABP #
1711387
1711515
1711589
1711616
1711628
1711844
1711907
1712276
1712315
1712341
1712353
1712391
1712416
1712442
1712555
1712593
1712771
1712808
1713040
1713242
1713254
1713278
1713355
1713367
1713379
1713381
1713482
1713634
1713709
1713711
1713759
1713761
1714129
1714131
Pharmacy Name
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 1
WAL-MART PHARMACY
DILLON PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1211 BUFFALO JONES AVE
2101 PRINCETON RD
3503 TENTH STREET
250 EAST TUCKER ROAD
1905 E 17TH STREET
517 E 30TH ST
3211 S SENECA
2010 SE 29TH ST
3000 W 6TH ST
2022 E 16TH ST
205 SO. CENTENNIAL DRIVE
2244 N ROCK RD CT
2701 NORTH SUMMIT
1920 SOUTH US 73
5000 10TH AVE
3101 EAST KANSAS AVE
1101 WESTLOOP PL
10824 PARALLEL PKWY
1501 S.W. WANAMAKER ROAD
11552 W 95TH STREET
6110 WEST KELLOG
2815 SW 29TH ST
12200 STATE LINE ROAD
115 WEST WILLOW
1015 W 23RD ST
2200 N STATE ST
1174 PONY EXPRESS HWY
1108 E 1ST ST
1618 NORTH OHIO STREET
2900 SOUTH 9TH ST
2003 EAST 1ST ST
2350 PLANET AVE
2700 SOUTH SANTA FE
3030 NORTH ROCK RD
City
GARDEN CITY
OTTAWA
GREAT BEND
LIBERAL
HUTCHINSON
HUTCHINSON
WICHITA
TOPEKA
LAWRENCE
WELLINGTON
MCPHERSON
WICHITA
ARKANSAS CITY
ATCHISON
LEAVENWORTH
GARDEN CITY
MANHATTAN
KANSAS CITY
TOPEKA
OVERLAND PARK
WICHITA
TOPEKA
LEAWOOD
COLBY
LAWRENCE
IOLA
MARYSVILLE
PRATT
AUGUSTA
SALINA
PRATT
SALINA
CHANUTE
WICHITA
State
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
678466606767530679016750167502672176660566049671526746067226670056600266048678466650266109-3649
66604662146720966614662096770166046667496650867124670106740167124674016672067226Last Updated 12/21/2012
98
NABP #
1714321
1714333
1714422
1714460
1714535
1714585
1714814
1714852
1714864
1714888
1714903
1714941
1715171
1715311
1715537
1715551
1715563
1715614
1715676
1715703
1715727
1715804
1715854
1715878
1715892
1715917
1715943
1715979
1716022
1716046
1716096
1716111
1716349
1716363
Pharmacy Name
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
HY VEE PHARMACY 1
DILLON PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 1
DILLON PHARMACY
HY VEE PHARMACY 1
WAL-MART PHARMACY
HY VEE PHARMACY 2
DILLON PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 3
WAL-MART PHARMACY
Address Line 1
101 EAST BLUEMONT AVENUE
10515 W CENTRAL
11701 METCALF
1417 N KANSAS
1905 NORTH 14 AVE
209 ARIZONA AVENUE
1624 N ROCK RD
2710 N BROADWAY
7701 FRONTAGE ROAD
6655 MARTWAY
2970 MILITARY AVENUE
301 SO. VILLAGE ROAD
1400 HUNTOON
130 SARBER LANE
701 HOPI DRIVE
310 HEDGE LANE
521 EAST CHESTNUT ST
700 N MAIN
3504 CLINTON PARKWAY
7707 E CENTRAL
1301 SW 37TH STREET
2310 MAIN
140 E COLLEGE DRIVE
501 EAST PAWNEE
16100 W 135TH STREET
9450 E HARRY
13550 W 63RD STREET
1701 S KANSAS AVE
8900 W 135TH STREET
1605 S RANGE RD
10222 W 21ST
5150 ROE AVENUE
6801 W 91ST STREET
2202 PIKE RD
City
MANHATTAN
WICHITA
OVERLAND PARK
LIBERAL
DODGE CITY
HOLTON
DERBY
PITTSBURG
OVERLAND PARK
MISSION
BAXTER SPRINGS
EL DORADO
TOPEKA
MANHATTAN
HIAWATHA
PAOLA
JUNCTION CITY
EL DORADO
LAWRENCE
WICHITA
TOPEKA
WINFIELD
CONCORDIA
WICHITA
OLATHE
WICHITA
SHAWNEE
NEWTON
OVERLAND PARK
COLBY
WICHITA
ROELAND PARK
OVERLAND PARK
WINFIELD
State
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
66502672126621067901678016643667037667626620466202667136704266604665026643466071664416704266047672066661167156669016721166062672076621667114662216770167205662056621267156Last Updated 12/21/2012
99
NABP #
1716426
1716476
1716488
1716490
1716503
1716527
1716642
1716680
1716779
1716781
1717098
1717240
1717288
1717327
1717339
1717341
1717404
1717531
1717543
1717618
1717620
1717707
1717719
1717872
1718090
1718127
1718139
1718228
1718280
1718432
1718949
1718999
1719092
1719333
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY-VEE PHARMACY
HY VEE PHARMACY 2
WAL-MART PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
DILLON PHARMACY
HY VEE PHARMACY 2
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
DILLON PHARMACY
DILLON PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
SAMS PHARMACY
HY VEE PHARMACY 2
WAL-MART PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
Address Line 1
2160 C0MMERCE ROAD
2500 SOUTH MAIN
7620 STATELINE
10118 W 119TH STREET
6495 QUIVIRA
3201 NO 16TH ST
800 NW 25TH
1410 S KANSAS
225 E CLOUD AVE
517 W 27TH
4701 W 6TH ST
4000 W 6TH AVENUE
121 SO. PETER PAN ROAD
16100 WEST 65TH STREET
12200 WEST 95TH STREET
6829 SW 29TH
720 EISENHOWER
8300 WEST 135TH STREET
10600 WEST 21ST STREET
6200 WEST KELLOGG
3415 NORTH ROCK ROAD
11411 EAST KELLOGG
3707 N WOODLAWN
2919 MARKET PLACE
15700 METCALF AVENUE
10303 METCALF AVENUE
9000 METCALF AVENUE
11010 WEST 74TH TERRACE
13415 W MAPLE
1401 SW WANAMAKER ROAD
18101 WEST 119TH STREET
1725 EAST SANTA FE STREET
2600 N.W. ROCHESTER ROAD
640 N WEST STREET
City
GOODLAND
FORT SCOTT
PRAIRIE VILLAGE
OVERLAND PARK
SHAWNEE
PARSONS
TOPEKA
NEWTON
ANDOVER
HAYS
LAWRENCE
LAWRENCE
INDEPENDENCE
SHAWNEE
LENEXA
TOPEKA
LEAVENWORTH
OVERLAND PARK
WICHITA
WICHITA
WICHITA
WICHITA
WICHITA
SALINA
OVERLAND PARK
OVERLAND PARK
OVERLAND PARK
SHAWNEE
WICHITA
TOPEKA
OLATHE
GARDNER
TOPEKA
WICHITA
State
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
67735667016620866213662166735766618671146700267601660496604967301662176621566614660486621367205672096722667207672206740166223662126621266203672356660466061660306661767203Last Updated 12/21/2012
100
NABP #
1719345
1719357
1719369
1719383
1719408
1719434
1719559
1719636
1719749
1720095
1720108
1720247
1720261
1720300
1720350
1720362
1720374
1801403
1802493
1809031
1811733
1811757
1811822
1811860
1811909
1812759
1813876
1814664
1814791
1814842
1815072
1815387
1815565
1815781
Pharmacy Name
DILLON PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
DILLON PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
HY-VEE PHARMACY
DILLON PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ASSURED PHARMACY #9
ALEXANDRIA DRUGS
KMART PHARMACY
KMART PHARMACY4232
KMART PHARMACY3029
KMART PHARMACY3057
KMART PHARMACY4006
KMART PHARMACY4180
KMART PHARMACY4753
KMART PHARMACY7255
KMART PHARMACY7288
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WHITLEYS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
1910 WEST 21ST NORTH
5475 N MERIDIAN
5311 SW 22ND PLACE
3020 E DOUGLAS AVE
2951 SW WANAMAKER RD
395 N K 7 HWY
3010 LARUE STREET
550 CONGRESSIONAL DR
601 THIRD STREET
7107 W 37TH ST N
5340 N MAIZE RD
10550 W CENTRAL AVE
601 NW ST
3137 S SENECA ST
9831 E HARRY ST
2111 N AMIDON AVE
11100 ASH ST STE 200
7857 US HWY 27
2440 LONE OAK RD
2520 NICHOLASVILLE RD
3071 DIXIE HWY
4025 POPLAR LEVEL RD
3911 TAYLORSVILLE RD
4915 DIXIE HWY
1809 NORTH DIXIE AVENUE
420 EAST HIGHWAY 80
191 OUTER LOOP
890 RICHMOND PLAZA
1525 MADISON AVE
5130 HINKLEVILLE ROAD
501 N MAIN
3220 IRVING COBB DRIVE
515 NORTH 12TH STREET
2150 DIXIE HWY
City
WICHITA
WICHITA
TOPEKA
WICHITA
TOPEKA
OLATHE
GARDEN CITY
LAWRENCE
MANHATTAN
WICHITA
MAIZE
WICHITA
WICHITA
WICHITA
WICHITA
WICHITA
LEAWOOD
ALEXANDRIA
PADUCAH
LEXINGTON
EDGEWOOD
LOUISVILLE
LOUISVILLE
LOUISVILLE
ELIZABETHTOWN
SOMERSET
LOUISVILLE
RICHMOND
COVINGTON
PADUCAH
RUSSELLVILLE
PADUCAH
MIDDLESBORO
FT MITCHELL
State
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KS
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
67203672046661467214666146606167846660496650267205-9360
67101-9482
67212-5104
6720367217-3254
67207-5005
67203-2116
66211-1943
4100142003-5398
405034101740213402204021642701-5504
42501-1693
4021440475410114200142276420034096541017Last Updated 12/21/2012
101
NABP #
1815793
1816187
1816202
1816353
1816391
1816531
1816668
1816670
1817090
1817189
1817367
1817406
1817420
1817432
1817482
1817634
1817646
1817862
1818028
1818054
1818080
1818092
1818143
1818232
1818256
1818333
1818345
1818446
1818977
1818989
1819032
1819044
1819056
1819107
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3646
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
53 DONNERMEYER DR
2710 WEST BROADWAY ST
704 EUCLID AVENUE
150 WALTON AVENUE
5031 FREDERICA STREET
7747 MALL RD
10645 DIXIE HIGHWAY
150 W LOWRY LN STE 190
1808 ALEXANDRIA DR
1725 WEST EVERELY BROTHERS BLV
177 WASHINGTON DRIVE
809 NORTH 12TH STREET
111 TOWNE DRIVE
4101 TATES CREEK
3141 PARK AVENUE
3616 BUECHEL BYPASS
1756 EAST CENTER ST
589 HWY WEST 92
1851 WEST HWY 192
2835 S HWY 27 STE 92
12501 SHELBYVILLE RD
6900 BARDSTOWN ROAD
1195 BARRETT BLVD
US 127 CARDINAL DRIVE
10445 DIXIE HIGHWAY
2945 SCOTTSVILLE ROAD
5533 NEW CUT RD
4501 OUTER LOOP
477 VILLAGE DRIVE
2345 HAPPY VALLEY ROAD
301 PARKWAY PLAZA
470 NO. MAYO TRAIL
120 SAM WALTON DRIVE
9080 TAYLORSVILLE RD
City
BELLEVUE
LOUISVILLE
LEXINGTON
BOWLING GREEN
OWENSBORO
FLORENCE
LOUISVILLE
LEXINGTON
LEXINGTON
CENTRAL CITY
SOMERSET
MURRAY
ELIZABETHTOWN
LEXINGTON
PADUCAH
LOUISVILLE
MADISONVILLE
WILLIAMSBURG
LONDON
SOMERSET
MIDDLETOWN
LOUISVILLE
HENDERSON
HARRODSBURG
LOUISVILLE
BOWLING GREEN
LOUISVILLE
LOUISVILLE
PRESTONSBURG
GLASGOW
BARBOURVILLE
PAINTSVILLE
RUSSELLVILLE
LOUISVILLE
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
41073402114050242104423014104240272405034050442330425034207142701405174200240218424314076940741425014024340291424204033040272421014021440219416534214140906412404227640299Last Updated 12/21/2012
102
NABP #
1819208
1819234
1819373
1819400
1819412
1819462
1819525
1819537
1819549
1819715
1819739
1820061
1820530
1820580
1820720
1820819
1820869
1821001
1821013
1821063
1821099
1821126
1821188
1821239
1821253
1821277
1821417
1821429
1821532
1821621
1821633
1821657
1821671
1821772
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY3688
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY9503
WAL-MART PHARMACY
KMART PHARMACY3941
KROGER PHARMACY
KMART PHARMACY9513
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3822
KMART PHARMACY9684
KROGER PHARMACY
Address Line 1
175 WALMART PLAZA DR
1915 SOUTH HURSTBOURNE PARKWAY
60 SOUTH STEWART ROAD
3158 DIXIE HWY
70 MARTHA LAYNE COLLINS
3039 BRECKINRIDGE LANE
1225 PARIS ROAD
725 CAMPBELLSVILLE BYPASS
120 DANIEL BOONE PLAZA
399 CAMPBELLSVILLE BYP STE 100
3650 BOSTON ROAD
2606 ZION RD
7625 DOERING DRIVE
254 CASSIDY BLVD
1309 SUITE H US HWY 127 SOUTH
240 WAL-MART WAY
3795 E JOHN ROWAN BLVD
180 LEBANON TRADE CENTER
291 N. HUBBARDS LN., SUITE 130
1300 US 127 SOUTH
500 US HWY 62 WEST
301 S HWY 127
711 CAMPBELL LANE
14662 N US 25 EAST
4211 S 3RD STREET
201 WALDON ROAD
1801 ELIZABETHTOWN ROAD
200 SKYWATCH DRIVE
9501 WESTPORT ROAD
901 US HWY 60 EAST
1589 KENTUCKY HWY 15 SOUTH
230 L ROGER WELLS ROAD
1581 US 68 SOUTH
311 BOONE STATION ROAD
City
MONTICELLO
LOUISVILLE
CORBIN
ERLANGER
COLD SPRING
LOUISVILLE
MAYFIELD
CAMPBELLSVILLE
HAZARD
CAMPBELLSVILLE
LEXINGTON
HENDERSON
FLORENCE
PIKEVILLE
FRANKFORT
MAYSVILLE
BARDSTOWN
LEBANON
LOUISVILLE
FRANKFORT
PRINCETON
RUSSELL SPRINGS
BOWLING GREEN
CORBIN
LOUISVILLE
HARLAN
LEITCHFIELD
DANVILLE
LOUISVILLE
MORGANFIELD
JACKSON
GLASGOW
MAYSVILLE
SHELBYVILLE
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
426334022040701410184107640220420664271841701427184051442420410424150140601410564000440033402074060142445426424210440701-2572
402144083142754404224024142437413394214141056-9178
40065Last Updated 12/21/2012
103
NABP #
1821784
1821811
1821835
1821847
1821859
1821885
1822091
1822104
1822116
1822128
1822142
1822154
1822166
1822205
1822255
1822279
1822293
1822560
1822572
1822623
1822635
1822700
1822736
1822798
1822863
1822914
1822926
1822938
1822940
1822952
1822964
1822976
1823029
1823031
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY4827
KMART PHARMACY
KMART PHARMACY7229
KMART PHARMACY7174
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7354
KMART PHARMACY3850
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
5244 DIXIE HIGHWAY
924 S SECOND ST
334 N MAYO TRAIL
1501 PARIS PIKE
600 CW STEVENS BLVD
3889 NORTH MAYO TRAIL
591 JOSEPH DRIVE
100 WALMART DRIVE
100 WALTON AVE
120 JILL DRIVE
305 LETTON DRIVE
1859 BYPASS RD
301 LEONARDWOOD DRIVE
2034 SOUTH HWY 53
6711 ALEXANDRIA PIKE
711 MARTIN LUTHER KING JR BLVD
1701 NORTH MAIN
3180 RICHMOND ROAD
1550 NASHVILLE ROAD
112 OSBORNE WAY
1710 WEST HIGHWAY 192
501 MARSAILLES ROAD
381 MARKET SQUARE DRIVE
1650 BRYAN STATION ROAD STE 170
525 MARSAILLES ROAD
310 WEST 5TH STREET
705 EAST MAIN STREET
820 EASTERN BYPASS
2233 FLEMINGSBURG RD
1024 N MAIN STREET
1283 US HIGHWAY 27 NORTH
499 INDIAN MOUND DR
351 RIVER HILL ROAD
20 FERGUSON BLVD
City
LOUISVILLE
LOUISVILLE
PAINTSVILLE
GEORGETOWN
GRAYSON
PIKEVILLE
HARRODSBURG
ELIZABETHTOWN
DANVILLE
BEREA
PARIS
WINCHESTER
FRANKFORT
LAGRANGE
ALEXANDRIA
ASHLAND
BEAVER DAM
LEXINGTON
FRANKLIN
GEORGETOWN
LONDON
VERSAILLES
MAYSVILLE
LEXINGTON
VERSAILLES
BENTON
LEBANON
RICHMOND
MOREHEAD
NICHOLASVILLE
STANFORD
MOUNT STERLING
ASHLAND
DRY RIDGE
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
402164020341240403244114341501-3251
40330427014042240403403614039140601400314100141101423204050942134403244074140383410564050540383420254003340475403514035640484403534110141035Last Updated 12/21/2012
104
NABP #
1823043
1823079
1823106
1823168
1823423
1823435
1823473
1823536
1823574
1823637
1823687
1823699
1823776
1823788
1823803
1823815
1823891
1823928
1823930
1824324
1824425
1824487
1824526
1824552
1824576
1824588
1824653
1824728
1824730
1824829
1824932
1825124
1825201
1825213
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
805 US 27 SOUTH
1405 MIDDLE ROAD
1730 W HWY 192
1015 NEW MOODY LANE
102 WEST JOHN ROWAN BLVD
3101 RICHMOND RD
1000 BYPASS NORTH
US HWY 441 HWY 25E
300 CLINIC DRIVE
808 NORTH 12TH STREET
1002 SOUTH BROADWAY
302 BRIGHTON PARK BLVD S C
2988 BURKESVILLE RD
5001 MUD LANE
545 ISLAND FORD RD
9440 OLD BROWNSBORO RD
350 W 31W BYPASS
1670 STARLIGHT DR
3917 SOUTH 7TH STREET RD
4750 HARTLAND PKWY
4009 POPLAR LEVEL RD
1661 BYPASS 1958
995 SOUTH MAIN ST
8825 US ROUTE 42
3706 DIANN MARIE ROAD
500 TAYLORSVILLE RD
1165 WAL-MART WAY
255 CUMBERLAND CROSSING
181 SOUTH HIGHWAY 127
2549 HIGHWAY 227
3040 DOLPHIN DRIVE
1509 EAST BROADWAY
2308 E 4TH STREET
7509 TERRY ROAD
City
CYNTHIANA
FULTON
LONDON
LA GRANGE
BARDSTOWN
LEXINGTON
LAWRENCEBURG
MIDDLESBORO
HOPKINSVILLE
MURRAY
GEORGETOWN
FRANKFORT
COLUMBIA
LOUISVILLE
MADISONVILLE
LOUISVILLE
BOWLING GREEN
OWENSBORO
LOUISVILLE
LEXINGTON
LOUISVILLE
WINCHESTER
NICHOLASVILLE
UNION
LOUISVILLE
SHELBYVILLE
RADCLIFF
MONTICELLO
RUSSELL SPRINGS
CARROLLTON
ELIZABETHTOWN
CAMPBELLSVILLE
OWENSBORO
LOUISVILLE
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
41031420414074140031400044050940342409654224042071403244060142728402294243140241421014230140216405154021340391403564109140241400654016042633426424100842701427184230340258Last Updated 12/21/2012
105
NABP #
1825225
1825299
1825340
1825415
1825439
1825441
1825592
1825605
1825617
1825679
1826049
1826152
1826215
1826227
1826239
1826330
1826366
1826518
1826520
1826532
1826582
1826669
1826722
1826758
1826811
1826974
1826986
1827091
1827128
1827370
1827407
1827433
1827635
1827697
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
1800 DECLARATION DR
12504 U.S. ROUTE 60
568 RIVER RIDGE PLAZA
3175 BEAUMONT CENTRE CIRCLE
4051 NICHOLASVILLE ROAD
1650 EDMONTON ROAD
11901 STANDIFORD PLAZA DR
170 BELLERIVE BLVD
14889 NO US HWY 25E STE A
810 INDIAN MOUND DRIVE
1751 PATRICK DRIVE
500 WEST NEW CIRCLE ROAD
1019 CUMBERLAND FALLS HWY
2200 BROWNSBORO ROAD
5929 TIMBER RIDGE DRIVE
370 DIEDRICH BLVD
300 KROGER CENTER
28402 U.S. HWY 119 NO
2945 SCOTTSVILLE RD
2630 FREDERICA STREET
12450 LAGRANGE ROAD
200 FLOYD DRIVE
9812 LINN STATION RD
2440 BARDSTOWN RD
1401 ALLIANT AVE
4949 HOUSTON ROAD
6622 PRESTON HIGHWAY
179 WEST COLLEGE AVE
1063 NEW CIRCLE RD NE
1213 SKYLINE DR
1060 CHINOE RD STE 190
7101 CEDAR SPRINGS BLVD
2219 HOLIDAY MANOR
4303 WINSTON AVE
City
INDEPENDENCE
ASHLAND
BRANDENBURG
LEXINGTON
LEXINGTON
TOMPKINSVILLE
LOUISVILLE
NICHOLASVILLE
CORBIN
MT STERLING
BURLINGTON
LEXINGTON
CORBIN
LOUISVILLE
PROSPECT
ASHLAND
MOREHEAD
SOUTH WILLIAMSON
BOWLING GREEN
OWENSBORO
LOUISVILLE
CARROLLTON
LOUISVILLE
LOUISVILLE
JEFFERSTOWN
FLORENCE
LOUISVILLE
STANTON
LEXINGTON
HOPKINSVILLE
LEXINGTON
LOUISVILLE
LOUISVILLE
COVINGTON
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
41051411024010840513405034216740229403564070140353410054051140701402064005941101403514150342104423014024541008402234020540299410424021940380405054224040502402914022241015Last Updated 12/21/2012
106
NABP #
1828093
1828221
1828245
1828295
1828447
1828485
1828524
1828574
1828613
1828788
1828839
1828928
1828980
1829057
1829108
1829158
1829259
1829297
1829362
1829425
1829487
1829526
1829843
1830000
1830012
1830024
1830214
1830226
1830290
1830430
1830442
1830466
1830529
1830644
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
CERTACARE INC
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
3800 RUCKRIEGEL PARKWAY
1300 ANDERSON CROSSING DR
185 ADAM SHEPHERD PARKWAY
3550 JAMES SANDERS BLVD
375 CROSSROADS BOULEVARD
3165 SOUTH 2ND STREET
143 THIERMAN LANE
3450 VALLEY PLAZA PARKWAY
1201 MORGANTOWN ROAD
9950 BERBERICH DR
2020 BASHFORD MANOR LANE
5594 SHEPHERDSVILLE ROAD
3151 STATE ROUTE 54
175 OUTER LOOP
12121 SHELBYVILLE RD STE 107
14800 FORT CAMPBELL BLVD
3200 KEN BALE BLVD
1265 GOSS AVENUE
520 N 35TH STREET
12611 TAYLORSVILLE ROAD
200 E BRANNON RD
937 CAMPBELLSVILLE ROAD
2350 GREY LAG WAY ROAD
1600 LEESTOWN RD STE 150
4230 SARON DRIVE
3109 POPLAR LEVEL RD
12981 SHELBYVILLE ROAD
201 BLANKENBAKER PARKWAY
275 WALTON DRIVE
5360 DIXIE HIGHWAY
3735 PALOMAR CENTRE DRIVE
181 SOUTH HWY 27
7100 RAGGARD RD
3105 N BEND RD
City
JEFFERSONTOWN
LAWRENCEBURG
SHEPHERDSVILLE
PADUCAH
COLD SPRINGS
LOUISVILLE
ST MATTHEWS
FORT WRIGHT
BOWLING GREEN
FLORENCE
LOUISVILLE
LOUISVILLE
OWENSBORO
LOUISVILLE
LOUISVILLE
OAK GROVE
BOWLING GREEN
LOUISVILLE
LOUISVILLE
LOUISVILLE
NICHOLASVILLE
COLUMBIA
LEXINGTON
LEXINGTON
LEXINGTON
LOUISVILLE
MIDDLETOWN
LOUISVILLE
LOUISA
LOUISVILLE
LEXINGTON
SOMERSET
LOUISVILLE
HEBRON
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
402994034240165420014107640208402074101742101410424021840228423034021440243-1094
42262421034021740212402994035642728405094051140515402134024340243412304021640513425014021641048Last Updated 12/21/2012
107
NABP #
1830884
1830935
1831583
1831684
1831850
1831949
1831987
1832028
1832167
1832270
1901912
2640452
1910846
1915555
1916381
1916406
1916420
1917181
1918056
1918119
1918943
1919159
1919200
1919426
1919438
1624255
1920051
1920102
1920417
1920467
1920479
1920683
1920695
1920900
Pharmacy Name
PARTNERSHIP I
SAM'S PHARMACY
KROGER PHARMACY
PARTNERSHIP I
OLD TIME SODA FOU
SAMS PHARMACY
THE VILLAGE PHARMACY
WALMART PHARMACY
BOGGS PHARMACY
PHARMACY, INC.
KROGER PHARMACY
WAL-MART PHARMACY
MITCHELL DRUG STORE
KMART PHARMACY4128
KMART PHARMACY3423
KMART PHARMACY7061
KMART PHARMACY7223
KMART PHARMACY3347
KMART PHARMACY7384
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3320
HY-VEE PHARMACY (1473)
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
635 CHESTNUT DRIVE
1500 RING RD
234 EASTBROOKE DR
130 PAVILION PARKWAY
115 E MAIN ST
140 KOHLS DR
1100 E MARKET ST
350 WHITESBURG PLAZA
9500 HIGHWAY 805
588 HWY 899
600 12TH ST
545 EL CAMINO ALTO DR
3102 LINWOOD AVE
4070 RYAN ST
1400 S CLEARVIEW PARKWAY
900 E ADMIRAL DOYLE DR
7000 VETERANS MEMORIAL
2701 BELLE CHASSE HWY
3555 HIGHWAY 190
1645 BERT KOUNS IND LOOP
1379 HOMER ROAD
6235 WESTPORT AVE
1422 MACARTHUR DR
9550 MANSFIELD RD
133 MONARCH DRIVE
1012 JEFFREYS DR
9155 MANSFIELD RD
1025 GLENWOOD DRIVE
2050 NORTH MALL BLVD
3005 CHARITY ST
729 ODDFELLOWS RD
1125 NORTH PINE
1229 NE EVANGELINE THRUWAY
1205 E ADMIRAL DOYLE
City
WALTON
ELIZABETHTOWN
MT WASHINGTON
NEWPORT
MIDWAY
NICHOLASVILLE
LOUISVILLE
WHITESBURG
JENKINS
HINDMAN
LAKE CHARLES
SPRINGFIELD
SHREVEPORT
LAKE CHARLES
NEW ORLEANS
NEW IBERIA
METAIRIE
GRETNA
MANDEVILLE
SHREVEPORT
MINDEN
SHREVEPORT
ALEXANDRIA
SHREVEPORT
HOUMA
OSCEOLA
SHREVEPORT
WEST MONROE
ALEXANDRIA
ABBEVILLE
CROWLEY
DERIDDER
LAFAYETTE
NEW IBERIA
State
KY
KY
KY
KY
KY
KY
KY
KY
KY
KY
LA
MO
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
IA
LA
LA
LA
LA
LA
LA
LA
LA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
410944270140047-5554
4107140347-5024
40356-9225
40206-1838
41858415374182270601-6128
6580271103-4294
70605701237056070003700537047171105710557112971301-4022
711187036450213-9500
71118-3122
71291713017051070526706347050170560Last Updated 12/21/2012
108
NABP #
1920912
1921255
1921267
1921370
1921546
1921659
1921661
1921712
1921750
1921813
1921863
1921990
1922031
1922043
1922118
1922120
1922132
1922334
1922411
1922473
1922485
1922497
1922500
1922512
1922613
1922714
1922841
1923007
1923019
1923057
1923069
1923110
1923297
1923336
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3016
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3636 MONROE HIGHWAY
1201 N SERVICE ROAD EAST
1538 US HIGHWAY 190
9350 CORTANA PLACE
2204 SOUTH FIFTH ST
880 N HWY 190
925 KEYSER AVE
25800 HWY 171
3045 E TEXAS ST
4810 LAPALCO BLVD
801 BENTON RD
904 SOUTH RANGE AVENUE
8843 VETERANS MEMORIAL BLVD
3360 FRONT STREET
2799 WEST THOMAS STREET
303 INTERSTATE DR
308 N AIRLINE HWY
1616 W AIRLINE HWY
410 N CANAL BLVD
4283 CARTER STREET
1900 HWY 165 SOUTH
705 SO CONSTITUTION AVENUE
1806 S JULIA ST
200 NORTHWEST BLVD
4858 HIGHWAY 1
5801 MAIN STREET
14507 PLANK ROAD
7162 HWY 1
4001 BEHRMAN
1920 SOUTH ARKANSAS ST
3132 COLLEGE DR
3255 LA HWY 1 S
2171 ONEAL LN
2701 LOUISVILLE AVENUE
City
PINEVILLE
RUSTON
EUNICE
BATON ROUGE
LEESVILLE
COVINGTON
NATCHITOCHES
MANY
BOSSIER CITY
MARRERO
BOSSIER CITY
DENHAM SPRINGS
METAIRIE
WINNSBORO
HAMMOND
JENNINGS
GONZALES
LA PLACE
THIBODAUX
VIDALIA
OAKDALE
OAK GROVE
RAYVILLE
FRANKLIN
MATHEWS
ZACHARY
BAKER
MANSURA
NEW ORLEANS
SPRINGHILL
BATON ROUGE
PORT ALLEN
BATON ROUGE
MONROE
State
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7136071270705357081571446704337145771449711117007271111-3743
7072670003712957040170546707377006870301713737146371263712697053870375707917071471350701147107570808707677081671201Last Updated 12/21/2012
109
NABP #
1923362
1923437
1923615
1923627
1923730
1923754
1923843
1923920
1924073
1924198
1924225
1924302
1924364
1924376
1924617
1924833
1925241
1925948
1926039
1926495
1926584
1926596
1926887
1927055
1927334
1927649
1927699
1927702
1927738
1927740
1928994
1929249
1929263
1929427
Pharmacy Name
KMART PHARMACY7623
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3728
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4810
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
115 SOUTH AIRLINE HIGHWAY
2050 FALSE RIVER DRIVE
6091 HWY 165
300 WEST ESPLANADE
184 OLD WINFIELD RD
5110 JEFFERSON HWY
2985 COTTINHAM EXPRESSWAY
929 SOUTH PINE STREET
1633 MARTIN LUTHER KING BLVD
16759 HWY 3235
39142 NATCHEZ DRIVE
1629 EAST CRESSWELL LANE
123 ST NAZAIRE RD
37000 HWY 3089
59690 BELLEVIEW DR
3142 AMBASSADOR CAFFERY PKWY
2940 VETERANS MEMORIAL BLVD
7292 HWY 509
10606 NORTH MALL DRIVE
5940 HWY 167 NORTH
3670 WEST OAK STREET
973 HWY 90 EAST
891 E LA SALLE ST
2536 AIRLINE DR
833 STERLINGTON HWY
2500 N MARTIN LUTHER KING HWY
525 NORTH CITY SERVICE HWY
3451 NELSON ROAD
3415 US 14
6652 YOUREE DR
167 NORTHSHORE BLVD
181 NORTHSHORE BLVD
1501 MANHATTAN BLVD
28270 WALKER SOUTH
City
GONZALES
NEW ROADS
BASTROP
KENNER
JONESBORO
HARAHAN
PINEVILLE
VIVIAN
HOUMA
GALLIANO
SLIDELL
OPELOUSAS
BROUSSARD
DONALDSONVILLE
PLAQUEMINE
LAFAYETTE
METAIRIE
MANSFIELD
BATON ROUGE
WINNFIELD
JENA
BAYOU VISTA
VILLE PLATTE
BOSSIER CITY
FARMERVILLE
LAKE CHARLES
SULPHUR
LAKE CHARLES
LAKE CHARLES
SHREVEPORT
SLIDELL
SLIDELL
HARVEY
WALKER
State
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
70737707607122070065712517012371360710827036070354704617057070518-4202
7034670764705067000271052708097148371342703807058671111712417060170663706057060771105-4630
70460704607005870785Last Updated 12/21/2012
110
NABP #
1929578
1929679
1929732
1929770
1929782
1929871
1930026
1930470
1930482
1930571
1930622
1930723
1930925
1931422
1931749
1931799
1932373
1932549
1932551
1932688
1932880
1933197
1933274
1933286
1933337
1933680
1933767
1934478
1934769
1934872
1935254
1935747
1935848
2000951
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAM'S PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
WALMART PHARMACY
SAMS PHARMACY
MEDICAL CENTER PHA
PHARMACY
Address Line 1
10444 NORTH MALL DRIVE
2428 WEST PINHOOK ROAD
6921 BUNDY ROAD
9598 CORTANA PL
1527 MANHATTAN BLVD
13001 HWY 90
455 31ST STREET
10200 SULLIVAN ROAD
3222 AMBASSADOR CAFFERY PKWY
1421 BEGLIS PKWY
3900 AIRLINE HIGHWAY
933 GRAND CAILLOU ROAD
7400 YOUREE DRIVE
14241 COURSEY BLVD
1901 TCHOUPITOULAS STREET
3108 LOYOLA DR
17585 AIRLINE HIGHWAY
3520 WILLIAMS BLVD
2025 SAMS WAY
2174 MARTIN LUTHER KING BLVD
1200 WEST OAK STREET
9830 OLD HAMMOND HIGHWAY
1125 SHREVEPORT BARKSDALE HWY
1932 REES STREET
5255 HIGHLAND ROAD
3265 MANHATTAN BLVD
6225 COLISEUM BLVD
3805 N BLVD
3009 E CAUSEWAY APPROACH
8101 W. JUDGE PEREZ DR.
218 CUMBERLAND ST
5400 FRONTAGE RD
287 PANTHER TRAIL DRIVE
121 MEDICAL CENTER DR
City
BATON ROUGE
LAFAYETTE
NEW ORLEANS
BATON ROUGE
HARVEY
BOUTTE
KENNER
BATON ROUGE
LAFAYETTE
SULPHUR
METAIRIE
HOUMA
SHREVEPORT
BATON ROUGE
NEW ORLEANS
KENNER
PRAIRIEVILLE
KENNER
LAKE CHARLES
HOUMA
AMITE
BATON ROUGE
SHREVEPORT
BREAUX BRIDGE
BATON ROUGE
NEW ORLEANS
ALEXANDRIA
ALEXANDRIA
MANDEVILLE
CHALMETTE
BOGALUSA
MONROE
KINDER
BRUNSWICK
State
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
LA
ME
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
70809705087012770815-8503
700587003970065708187050670663-5603
70001703637110570817701307006570769700657060570360704227081671105705177080870058713037130170448-3510
70043-1659
7042771202-4040
7064804011-3288
Last Updated 12/21/2012
111
NABP #
2001028
2001220
2001357
2001434
2002335
2002614
2004377
2005002
2005040
2005064
2005076
2005088
2005090
2005139
2005153
2005165
2005216
2005228
2005242
2005278
2005331
2005420
2005432
2005975
2005987
2005999
2006458
2006953
2007133
2007145
2007208
2007486
2007498
2007501
Pharmacy Name
BEDARD PHARMACY
UNITY PHARMACY
TAYLOR'S DRUG STORE
WILSONS DRUG STORE
PHARMACY SEACOAST
VARIETY DRUG
TREWORGY PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3021
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
SAMS PHARMACY
OSCO PHARMACY
OSCO PHARMACY
Address Line 1
61 COLLEGE ST
33 PLAZA DR
2 OLD POINT AVE
114 FRONT ST
289 MAIN ST
78 WATER ST
333 MAIN ST
500 GALLERY BLVD
265 CAMDEN STREET
900 STILLWATER AVE
100 MT AUBURN AVE
250 WEST BROADWAY
781 MAIN STREET
615 WILTON ROAD
15 TIBBETTS DRIVE
1930 MAIN STREET
17 MYRICK ST
17 LUDLOW ROAD
80 WATERVILLE COMMONS DRIVE
201 CIVIC CENTER DR
1573 MAIN STREET
603 CENTER STREET
60 FAIRGROUNDS MARKET PLACE
91 SOUTH STREET
1240 MAIN ST/RT 26
30 LANDING ROAD
525 ALFRED STREET
206 US ROUTE 1
510 ALFRED RD
353 MAIN ST
150 WESTERN AVE
47 HASKELL ROAD
600 CENTER ST
CTR
City
LEWISTON
UNITY
MADISON
BATH
SOUTH BERWICK
SKOWHEGAN
CALAIS
SCARBOROUGH
ROCKLAND
BANGOR
AUBURN
LINCOLN
PRESQUE ISLE
FARMINGTON
BRUNSWICK
SANFORD
ELLSWORTH
HOULTON
WATERVILLE
AUGUSTA
PALMYRA
AUBURN
SKOWHEGAN
CALAIS
OXFORD
WINDHAM
BIDDEFORD
FALMOUTH
BIDDEFORD
BANGOR
AUGUSTA
BANGOR
AUBURN
PORTLAND
State
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
04240-6805
04988-0143
0495004530-2607
03908-1504
04976-1716
04619-0809
040740484104401042100445704769049380401104073046050473004901043300496504210049760461904270040620400504105040050440104330044010421004103Last Updated 12/21/2012
112
NABP #
2007551
2007575
2007602
2007614
2007640
2007690
2007703
2007715
2007727
2007765
2007777
2007791
2007830
2007842
2007878
2007931
2007967
2008022
2008084
2008096
2008248
2008301
2008313
2008325
2008438
2008553
2008604
2008628
2008642
2008666
2106082
2108101
2108125
2108618
Pharmacy Name
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
FAIRFIELD PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
LLC
OAKLAND PHARMACY
OSCO PHARMACY
HOME CARE
JUNE ST PHARMACY
OSCO PHARMACY
PHARMACY
I CARE PHARMACY
SAMS PHARMACY
SPECIALTY AND
ALL PHARMACY LLC
PHARMACY INC.
WINSLOW PHARMACY
JENSEN'S PHARMACY
PHARMACY
INCORPORATED
MT. BLUE DRUG
OF CORINTH
KMART PHARMACY3167
KMART PHARMACY3172
KMART PHARMACY3146
KMART PHARMACY3277
Address Line 1
258 RIVER ROAD
235 CAMDEN ST
27 EAST AVE
24 WALTON DRIVE
1364 MAIN ST
200 LOWER MAIN ST
251 KENNEDY MEMORIAL DR
66 WESTERN AVE
31 MAIN ST
147 BATH RD
4 SCAMMON ST
1073 W MAIN ST
104 MAIN ST
54 MAIN STREET
175 HIGH ST
839 COMMERCIAL ST
25A JUNE ST
417 PAYNE RD
10 GOODALL DR
227 MAIN ST
440 PAYNE ROAD
84 MARGINAL WAY
7 SHAPE DRIVE
3 TWEEDIE STREET
20 GARLAND RD
91 CAMDEN ST STE 105
19B PATTEN ROAD
359 MINOT AVENUE
624 WILTON ROAD
352 MAIN ST
5760 WABASH AVE
1713 MASSEY BLVD
222 N POINT BLVD
8036 RITCHIE HWY
City
MEXICO
ROCKLAND
LEWISTON
BREWER
SANFORD
FREEPORT
WATERVILLE
FAIRFIELD
WESTBROOK
BRUNSWICK
SACO
DOVER FOXCROFT
MADAWASKA
OAKLAND
ELLSWORTH
ROCKPORT
SANFORD
SCARBOROUGH
EAST WATERBORO
FORT FAIRFIELD
SCARBOUROUGH
PORTLAND
KENNEBUNK
JAY
WINSLOW
ROCKLAND
GREENE
AUBURN
FARMINGTON
CORINTH
BALTIMORE
HAGERSTOWN
BALTIMORE
PASADENA
State
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
ME
MD
MD
MD
MD
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
04257048410424004412040730403204901049370409204011040720442604756049630460504856040730407404030047420407404101040430423904901-0600
04841-2421
0423604210-4358
0493804427-3272
21215217402122421122Last Updated 12/21/2012
113
NABP #
2109684
2109913
2111021
2111261
2111475
2116855
2117794
2117908
2117934
2117946
2118063
2118075
2118239
2118277
2118443
2118520
2118671
2118900
2119077
2119089
2119091
2119104
2119243
2119762
2119990
2120094
2120171
2120183
2120222
2120400
2120450
2120688
2120739
2121111
Pharmacy Name
KMART PHARMACY3229
KMART PHARMACY3256
KMART PHARMACY3131
KMART PHARMACY3237
KMART PHARMACY3517
KMART PHARMACY3796
KMART PHARMACY 3160
KMART PHARMACY3807
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 9524
WAL-MART PHARMACY
KMART PHARMACY4399
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7673
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7713
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
5100 SINCLAIR LANE
8980 WALTHAM WOODS RD
1003 W PATRICK ST
301 TILGHAM ROAD
7923 BELAIR RD
8829 GREENBELT ROAD
1647 CROFTON CENTER
835 SOLOMONS ISLAND RD N
8155 ELLIOTT ROAD
150 SOLOMONS ISLAND RD NRTH
17850 GARLAND GROH B
161 BIG ELK MALLUS 40 AND ROUTE 2
11930 ACTON LANE
14014 CONNECTICUT AVENUE
407 GEORGE CLAUSS BLVD
280 WOODWARD ROAD
1000 EAST PULASKI WAY
2702 N. SALISBURY BLVD
3300 NW CRAIN HWY
645 SOUTH PHILADELPHIA BLVD
45485 MIRAMAR WAY
401 CONSTANT FRIENDSHIP BLVD
12500 COUNTRY CLUB MALL RD SW
3549 RUSSETT GREEN EAST
8118 PERRY HILLS ROAD
200 KENT LANDING
6721 CHESAPEAKE CENTER DRIVE
6205 BALTIMORE NATIONAL PIKE
3255 SOLOMONS ISLAND
2775 DORCHESTER SQUARE
7400 GUILFORD DRIVE
101 BIG ELK MALL
1320 LIBERTY ROAD
20910 FREDERICK ROAD
City
BALTIMORE
BALTIMORE
FREDERICK
SALISBURY
BALTIMORE
GREENBELT
CROFTON
PRINCE FREDERICK
EASTON
PRINCE FREDERICK
HAGERSTOWN
ELKTON
WALDORF
SILVER SPRINGS
SEVERN
WESTMINSTER
ELKTON
SALISBURY
BOWIE
ABERDEEN
CALIFORNIA
ABINGDON
LAVALE
LAUREL
NOTTINGHAM
STEVENSVILLE
GLEN BURNIE
CATONSVILLE
EDGEWATER
CAMBRIDGE
FREDERICK
ELKTON
ELDERSBURG
GERMANTOWN
State
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2120621234217012180421236-3746
2077021114206782160120678217402192120601209062114421157219212180120716210012061921009215022072421236216662106021228210372161321704219212178420876Last Updated 12/21/2012
114
NABP #
2121767
2121820
2122050
2122101
2122428
2122923
2123191
2123204
2123343
2123355
2123418
2123420
2123507
2123571
2123622
2123709
2123747
2123785
2124232
2124307
2124333
2124496
2124523
2124547
2124686
2124787
2124802
2124953
2125222
2125246
2125943
2126034
2126060
2126109
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SAMS PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SHOPPERS PHARMACY
SAMS PHARMACY
Address Line 1
2132 OLD SNOW HILL ROAD
3200 NORTH RIDGE ROAD
1955 E JOPPA RD
1200 EASTERN BLVD
8048 RITCHIE HWY
1 FRANKEL WAY
2399 N POINT BLVD
11416 OCEAN GATEWAY
18140 VILLAGE MART DR
4720 CHERRY HILL RD
6881 NEW HAMPSHIRE AVE
6500 EASTERN AVE
7858 QUARTERFIELD RD
1649 CROFTON CENTER
6300 COVENTRY WAY
5722 RITCHIE HWY
18066 MATENY RD
15 TEXAS STATION COURT
5457 BALTIMORE NATIONAL PIKE
409 N. FRUITLAND
2320 N HANOVER PIKE
2100 GENERALS HIGHWAY
8745 BRANCH AVENUE
3535 RUSSETT GREEN EAST
9114 NICHOLSON LN
6111 LIVINGSTON RD
40 DRURY DRIVE
13164 GARRETT HWY
209 EAST RIDGEVILLE BLVD
5702 BALT NATNL PIKE
1700 WESEL BLVD
5604 BUCKEYSTOWN PIKE
7790 RIVERDALE RD
424 GEORGE CLAUSS BLVD
City
POCOMOKE CITY
ELLICOTT CITY
BALTIMORE
BALTIMORE
PASADENA
COCKEYSVILLE
DUNDALK
BERLIN
OLNEY
COLLEGE PARK
TAKOMA PARK
BALTIMORE
SEVERN
CROFTON
CLINTON
BALTIMORE
GERMANTOWN
TIMONIUM
BALTIMORE
FRUITLAND
HAMPSTEAD
ANNAPOLIS
CLINTON
LAUREL
KENSINGTON
OXON HILL
LA PLATA
OAKLAND
MOUNT AIRY
CATONSVILLE
HAGERSTOWN
FREDERICK
NEW CARROLLTON
SEVERN
State
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
21851210432123421221211222103021222218112083220740209122122421144211142073521225208742109321229218042107421401207352072420895207452064621550217712122821740217042078421144Last Updated 12/21/2012
115
NABP #
2126200
2126262
2126349
2126387
2126402
2126414
2126464
2126490
2126539
2126628
2126680
2126969
2126971
2127175
2132075
2132164
2132481
2132823
2133293
2133356
2133471
2133572
2133611
2134182
2135590
2135867
2200258
2201111
2201818
2208420
2211794
2214170
2225921
2230629
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SHOPPERS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
PHARMACY
INMAN PHARMACY
VILLAGE PHARMACY
TURAS PHARMACY INC
FLYNNS PHARMACY
ROGERS PHARMACY INC
BAXTER PHARMACY
KMART PHARMACY4444
Address Line 1
1811 MONOCACY BLVD
2701 PORT COVINGTON DRIVE
2201 RANDOLPH RD
9750 REISTERTOWN ROAD A
9750 REISTERTOWN ROAD
7081 ARUNDEL MILLS CIRCLE
6420 PETRIE WAY
6410 PETRIE WAY
610 N FREDERICK AVE
2700 N SALISBURY BLVD
2950 DONNELL DR
2365 CRAIN HIGHWAY
112 CARROLL ISLAND ROAD
6405 DOBBIN ROAD
1238 PUTTY HILL AVE STE 5
75 NORTH EAST PLAZA
13600 BALTIMORE AVE
10501 MARTIN LUTHER KING JR HWY
6210 ANNAPOLIS ROAD
1813 A YORK RD
10600 TOWNE CENTER BLVD
3601 WASHINGTON BLVD
2000 GWYNNS FALLS PKWY
2371 SOLOMONS ISLAND RD
303 FALLSTON BLVD
3301 NORTH RIDGE RD
349 N MAIN ST
1414 CAMBRIDGE ST
590 MAIN ST
85 SUMMER ST
173 ELM ST
923 MAIN ST
464 WASHINGTON ST
140 WHALON ST
City
FREDERICK
BALTIMORE
WHEATON
OWINGS MILLS
OWINGS MILLS
HANOVER
BALTIMORE
BALTIMORE
GAITHERSBURG
SALISBURY
FORESTVILLE
WALDORF
BALTIMORE
COLUMBIA
TOWSON
NORTH EAST
LAUREL
BOWIE
LANDOVER HILLS
LUTHERVILLE
DUNKIRK
ARBUTUS
BALTIMORE
ANNAPOLIS
FALLSTON
ELLICOTT CITY
ANDOVER
CAMBRIDGE
LYNNFIELD
KINGSTON
PITSFIELD
WALTHAM
QUINCY
FITCHBURG
State
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MD
MA
MA
MA
MA
MA
MA
MA
MA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
21701212302090221117211172107621237212372087721801207472060121220210452128621901207072072020784210932075421227212162140121047210430181002139-1192
01940-1793
02364-1410
01201-6589
0245102169-5630
01420Last Updated 12/21/2012
116
NABP #
2232572
2232786
2232851
2233017
2233156
2233219
2233221
2233574
2233699
2233776
2233841
2233853
2233942
2233954
2234932
2234982
2235011
2235023
2235035
2235047
2235059
2235061
2235097
2235201
2235263
2235352
2235390
2235403
2235465
2235756
2235833
2235845
2235871
2236013
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7155
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
Address Line 1
250 HARTFORD AVENUE
1105 BOSTON ROAD
9 PLAZA WAY
280 WASHINGTON STREET
742 MAIN STREET
830 CURRAN MEMORIAL HWY
36 PARAMOUNT DRIVE
550 PROVIDENCE HWY
3005 CRANBERRY HWY RT 6 28
30 MEMORIAL DRIVE
141 SPRINGFIELD ROAD
506 STATE ROAD
301 MASSACHUSETTS AVE
677 TIMPANY BLVD
777 BROCKTON AVENUE
699 MT AUBURN ST
75 SPRING ST
43 STATE ST
1377 HYDE PARK AVE
255 E CENTRAL ST
535 TRAPELO RD
2260 STATE RD
1180 FALL RIVER AVENUE
61 LOCUST ST
555 HUBBARD AVE SUITE 12
780 LYNNWAY
641 BELMONT ST
11 BERDON WAY
200 OTIS STREET
137 WEST BOYLSTON RD
555 EAST MAIN ST
352 PALMER ROAD
1065 COMMONWEALTH AVE
333 MAIN STREET
City
BELLINGHAM
SPRINGFIELD
FAIRHAVEN
HUDSON
NORTH OXFORD
NORTH ADAMS
RAYNHAM
WALPOLE
WAREHAM
AVON
WESTFIELD
DARTMOUTH
LUNENBURG
GARDNER
ABINGTON
CAMBRIDGE
WEST ROXBURY
LYNN
HYDE PARK
FRANKLIN
BELMONT
PLYMOUTH
SEEKONK
MEDFORD
PITTSFIELD
LYNN
BROCKTON
FAIRHAVEN
NORTHBOROUGH
WEST BOYLSTON
ORANGE
WARE
BOSTON
TEWKSBURY
State
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
02019011190271901749015370124702767020810253802322010850274701462014400235102138021320190102136020380247802360027710215501201019050230102719015320158301364010820221501876Last Updated 12/21/2012
117
NABP #
2236114
2236176
2236188
2236544
2236645
2236811
2236900
2236950
2236986
2237015
2237205
2237267
2237471
2237534
2237647
2237887
2238043
2238194
2238233
2238295
2238435
2238473
2238485
2238651
2238663
2238675
2239526
2239552
2239665
2240149
2240252
2240264
2240404
2240454
Pharmacy Name
BOSTON HOME INFUSION
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3433
OSCO PHARMACY
WAL-MART PHARMACY
MEDICINE SHOPPE
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
Address Line 1
110 STERGIS WAY
1470 S WASHINGTON ST
300 COLONY PLACE
370 WESTERN AVE
45 MORRISSEY BLVD
100 VALLEY PARKWAY
2203 NORTHHAMPTON ST
115 GREAT RD
301 FALLS BLVD
50 MAIN ST
450 HIGHLAND AVENUE
295 PLYMOUTH STREET
72 MAIN STREET
476 LIBERTY ST
55 BROOKSBY VILLAGE WAY
100 CHARLTON ROAD
337 RUSSELL STREET
66-4 PARKHURST RD
700 OAK STREET
50 BOSTON TURNPIKE RD
260 WINTHROP ST
740 MIDDLE STREET
180 NORTH KING STREET
70 PLEASANT VALLEY STREET
262 SWANSEA MALL DRIVE
137 TEA TICKET HWY
374 WILLIAM S CANNING BLVD
121 WORCESTER ROAD
137 TEATICKET HIGHWAY
125 TONER BLVD
16 WEBSTER SQUARE
18 SISSON RD
180A CAMBRIDGE ST
230 MAIN ST
City
DEDHAM
NORTH ATTLEBORO
PLYMOUTH
BRIGHTON
DORCHESTER
NORTHBRIDGE
HOLYOKE
STOW
QUINCY
AYER
SALEM
HALIFAX
NORTH READING
HANSON
DANVERS
STURBRIDGE
HADLEY
CHELMSFORD
BROCKTON
SHREWBURY
TAUNTON
WEYMOUTH
NORTHHAMPTON
METHUEN
SWANSEA
EAST FALMOUTH
FALL RIVER
FRAMINGHAM
EAST FALMOUTH
NORTH ATTLEBORO
MARSHFIELD
HARWICH
BURLINGTON
MEDFIELD
State
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
02026027600236002135021240153401040-3477
017750216901432019700233801864023410192301566010350182402301015450278002188010600184402777025360272101701025360276002050026460180302052Last Updated 12/21/2012
118
NABP #
2240668
2240670
2240808
2240923
2241127
2241482
2241634
2241711
2242256
2242307
2242422
2242547
2242737
2243169
2243323
2243373
2243587
2243638
2312231
2312661
2316330
2319778
2320036
2320113
2320391
2320632
2320694
2320707
2320959
2321254
2321444
2321533
2321545
2321622
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
FLAG PHARMACY
CHC PHARMACY
WAL-MART PHARMACY
COMPOUNDING AND
WAL-MART PHARMACY
WAL-MART PHARMACY
NORTON
SAM'S PHARMACY
WALMART PHARMACY
MEDI-SON SOLUTIONS
MARGOLIS PHARMACY
AMHERST PHARMACY
PRIME PHARMACY
KMART PHARMACY4105
KMART PHARMACY3155
KMART PHARMACY4405
KMART PHARMACY7524
KMART PHARMACY9814
KMART PHARMACY4177
KMART PHARMACY4059
KMART PHARMACY3126
KMART PHARMACY4204
KMART PHARMACY4206
KMART PHARMACY4106
KMART PHARMACY3279
KMART PHARMACY4430
KMART PHARMACY4183
KMART PHARMACY4331
KMART PHARMACY4098
Address Line 1
591 MEMORIAL DRIVE
1775 WASHINGTON STREET
14 W BOYLSTON ST
1070 LEXINGTON ST
760A BOSTON RD
7 WILLOW ST
275 NICHOLS RD
20 SOOJIANS DR
577 MAIN ST
11 JUNGLE ROAD
42 FAIRHAVEN COMMONS WAY
175 MANSFIELD AVENUE
1110 FALL RIVE AVE
25 TOBIAS BOLAND WAY
898 WASHINGTON ST, SUITE B
447 BROADWAY
381 COLLEGE STREET
201 HUMBOLDT AVE
215 N MAPLE RD
2095 RAWSONVILLE RD
34800 GROESBECK HWY
5105 GRATIOT RD
19990 TELEGRAPH RD
22801 HARPER AVE
21111 VAN BORN RD
7601 23 MILE RD
31200 SCHOENHERR RD
2000 E 10 MILE RD
3100 WASHTENAW RD
G-1145 N BELSAY ROAD
33400 7 MILE RD
19800 WEST RD
3541 HIGHLAND RD
1290 N MONROE ST
City
CHICOPEE
HANOVER
WORCESTER
WALTHAM
GROTON
LYNN
FITCHBURG
LEICESTER
WALTHAM
LEOMINSTER
FAIRHAVEN
NORTON
SEEKONK
WORCESTER
NORWOOD
CHELSEA
AMHERST
DORCHESTER
ANN ARBOR
BELLEVILLE
CLINTON TOWNSHIP
SAGINAW
DETROIT
ST CLAIR SHORES
TAYLOR
SHELBY TOWNSHIP
WARREN
WARREN
YPSILANTI
BURTON
LIVONIA
WOODHAVEN
WATERFORD
MONROE
State
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MA
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
0102002339016050245201450019010142001524024520145302719027660277101607-2103
02062-3446
02150-2809
010020212048103-2823
48111-2219
48035-3365
48603-6032
48219-1047
48080-1848
48180-1339
48316-4425
48088-7048
48091-1380
48197-1555
4850948152-4909
48183-3319
48328-2324
48162-3163
Last Updated 12/21/2012
119
NABP #
2321672
2322016
2322129
2322232
2322371
2322383
2322511
2322523
2322725
2325810
2325822
2325947
2325959
2326280
2326305
2326355
2326812
2327054
2327775
2327787
2327840
2328272
2328424
2328931
2329717
2329921
2330227
2330582
2330746
2331825
2338944
2340204
2342741
2343301
Pharmacy Name
KMART PHARMACY4091
KMART PHARMACY4000
KMART PHARMACY7504
KMART PHARMACY4163
KMART PHARMACY3351
KMART PHARMACY7634
KMART PHARMACY3327
KMART PHARMACY4488
KMART PHARMACY4481
KMART PHARMACY9385
KMART PHARMACY4083
KMART PHARMACY3379
KMART PHARMACY7068
KMART PHARMACY3308
KMART PHARMACY4040
KMART PHARMACY4065
KMART PHARMACY3938
KMART PHARMACY7205
KMART PHARMACY4066
KMART PHARMACY7014
KMART PHARMACY3009
KMART PHARMACY7031
KMART PHARMACY4382
KMART PHARMACY7733
KMART PHARMACY3821
KMART PHARMACY9640
KMART PHARMACY4998
KMART PHARMACY3575
KMART PHARMACY3546
KMART PHARMACY3570
KMART PHARMACY9745
KESSEL
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
4001 N EUCLID AVE
29600 FORD RD
2101 S TELEGRAPH RD
165 S WAYNE RD
1501 E APPLE AVE
1179 32ND ST
2051 18 MILE RD
1100 S ROCHESTER RD
40855 ANN ARBOR RD E
4290 W VIENNA RD
G3083 MILLER RD
5100 DIXIE HWY
1820 S SAGINAW RD
1025 S LAPEER RD
4002 S DORT HWY
200 CAPITAL AVE SW
3555 ONEIL DR
4111 N KENT MALL NE
3001 E MICHIGAN AVE
2125 S MISSION ST
1712 S GARFIELD AVE
1101 7TH AVE
5400 S CEDAR ST
2355 US HIGHWAY 23 S
1401 SPRING ST
1755 WRIGHT AVE
17580 FRAZHO RD
29101 JOHN R RD
41601 GARFIELD RD
67300 S MAIN ST
760 N VAN DYKE RD
12731 S SAGINAW
1100 ARGYLE
4884 MARSH RD
City
BAY CITY
GARDEN CITY
BLOOMFIELD HILLS
WESTLAND
MUSKEGON
PORT HURON
STERLING HGTS
ROCHESTER
PLYMOUTH
CLIO
FLINT
WATERFORD
MIDLAND
LAKE ORION
FLINT
BATTLE CREEK
JACKSON
GRAND RAPIDS
JACKSON
MT PLEASANT
TRAVERSE CITY
MENOMINEE
LANSING
ALPENA
PETOSKEY
ALMA
ROSEVILLE
MADISON HEIGHTS
CLINTON TOWNSHIP
RICHMOND
BAD AXE
GRAND BLANC
JACKSON
OKEMOS
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
48706-2406
48135-2365
48302-0250
48186-4301
49442-3762
48060-7304
48314-3703
48307-3114
48170-4448
48420-9454
48507-1353
48329-1713
48640-6837
48360-1429
48507-2138
49037-8665
49202-1821
49525-1633
49202-3847
48858-4426
49686-4338
49858-3130
48911-3858
49707-4553
49770-2884
48801-1023
48066-3829
48071-5403
48038-4526
48062-1920
48413-9012
48439-1830
4920248864Last Updated 12/21/2012
120
NABP #
2343870
2343957
2344036
2344125
2344391
2344769
2344973
2345280
2345292
2345432
2345482
2345735
2345747
2345785
2345800
2345824
2345951
2345987
2345999
2346559
2347260
2347311
2347323
2347385
2347448
2347501
2347513
2347525
2347741
2347791
2347804
2348008
2348010
2348072
Pharmacy Name
KMART PHARMACY9245
KMART PHARMACY9026
KMART PHARMACY3723
KMART PHARMACY9065
KESSEL
KMART PHARMACY3730
KMART PHARMACY3720
WAL-MART PHARMACY
WAL-MART PHARMACY
KESSEL
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY3804
KESSEL
KMART PHARMACY3805
KMART PHARMACY3820
WAL-MART PHARMACY
KMART PHARMACY3819
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3832
KMART PHARMACY3833
KMART PHARMACY3841
KMART PHARMACY3864
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
1131 E STATE ST
69080 M66
10951 HIGHLAND RD
801 N LINCOLN RD
3860 DIXIE HIGHWAY
26200 GREENFIELD RD
6455 US HIGHWAY 31 N
7000 N ALGER RD
4730 ENCORE BLVD
7188 NO SAGINAW
400 S MAPLE
1165 SUPERIOR DRIVE
8917 EAST 34 ROAD
65 S LIVERNOIS AVE
5866 MIDDLEBELT RD
2119 S US HIGHWAY 27
5025 GRATIOT ROAD
1250 PERRY AVE
06600 M66 N
950 EDELWEISS PARKWAY
802 W STATE ST
30935 W FIVE MILE ROAD
33528 EIGHT MILE ROAD
201 73RD STREET
26130 GRATIOT AVE
1400 E CLOVERLAND DR
1810 S STEPHENSON AVE
15861 W MICHIGAN AVE
2110 S M 76
6625 DIXIE HWY
800 EAST CHICAGO ST
901 NORTH VAN DYKE
1680 PACKARD HWY
540 SOUTH MAIN STREET
City
CHEYBOYGAN
STURGIS
WHITE LAKE
ESCANABA
SAGINAW
OAK PARK
WILLIAMSBURG
ALMA
MT. PLEASANT
MT MORRIS
ANN ARBOR
ST JOHNS
CADILLAC
ROCHESTER HILLS
GARDEN CITY
ST JOHNS
SAGINAW
BIG RAPIDS
CHARLEVOIX
GAYLORD
HASTINGS
LIVONIA
LIVONIA
SOUTH HAVEN
ROSEVILLE
IRONWOOD
IRON MOUNTAIN
MARSHALL
WEST BRANCH
CLARKSTON
COLDWATER
BAD AXE
CHARLOTTE
LAPEER
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
49721-2124
4909148386-2152
49829-1557
4860148237-1051
49690-9306
488014885848458481034887949601483074813548879-9166
4860349307-2115
49720-9505
4973549058-1659
4815448152490904806649938-1720
49801-3615
49068-9578
48661-8737
48346-3422
49036484134881348446Last Updated 12/21/2012
121
NABP #
2348262
2348337
2348464
2348553
2349074
2349151
2349315
2349404
2349454
2349466
2349492
2349505
2349555
2349769
2349795
2349860
2349872
2350003
2350180
2350243
2350255
2350370
2350495
2350558
2350902
2350914
2351132
2351144
2351372
2351500
2351512
2351702
2351726
2351790
Pharmacy Name
KMART PHARMACY3959
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9772
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4796
WAL-MART PHARMACY
KMART PHARMACY4845
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4795
WALMART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1416 S MAIN ST
2641 PLYMOUTH ROAD
4845 24TH AVENUE
30991 N WOODWARD AVE
4080 E BLUEGRASS
3850 E GRAND RIVER
1151 S OTSEGO AVE
21400 PERRY STREET
108 WEST HIGHLAND
28250 DEQUINDRE
1621 EAST M 21
3921 WILDER ROAD
205 S GREENVILLE WEST DR
1500 SOUTH CENTERVILLE ROAD
1560 US HIGHWAY 31 S
7083 WEST 48TH ST
1121 EAST CARO ROAD
2515 ELLSWORTH ROAD
6430 W SAGINAW HWY
2155 N TELEGRAPH RD
701 OLDS ST
3763 I 75 BUSINESS SPUR
1601 EAST US 223
8171 W HOUGHTON LAKE DR
4313 CORUNNA ROAD
2629 NORTH PARK DRIVE
921 HOLMES
31 EAST LONG LAKE RD
3999 ALPINE AVENUE
2107 SOUTH 11TH STREET
10805 HIGHLAND ROAD
2907 KRAFT
2129 W HOUGHTON LAKE DR
555 EAST GENESEE
City
ADRIAN
ANN ARBOR
FORT GRATIOT
ROYAL OAK
MT PLEASANT
HOWELL
GAYLORD
BIG RAPIDS
HOWELL
WARREN
OWOSSO
BAY CITY
GREENVILLE
STURGIS
MANISTEE
FREMONT
CARO
YPSILANTI
LANSING
MONROE
JONESVILLE
SAULT ST. MARIE
ADRIAN
HOUGHTON LAKE
FLINT
HOLLAND
LANSING
TROY
COMSTOCK PARK
NILES
WHITE LAKE
PORT HURON
HOUGHTON LAKE
LAPEER
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
49221-4362
481054805948073488584884349735-1789
493074884348092488674870648838-3500
4909149660-2223
494124872348197489174816249250497834922148629-9165
48532-4152
494244891048098493214912048386480604862948446Last Updated 12/21/2012
122
NABP #
2351803
2351877
2352110
2352538
2352603
2352615
2352627
2352766
2352780
2352881
2353112
2353124
2353287
2353376
2353388
2353528
2353643
2354164
2354176
2354532
2354683
2355039
2355243
2355267
2355279
2355659
2355774
2356120
2356207
2356322
2356334
2356625
2356637
2356649
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KESSEL
KROGER PHARMACY
KMART PHARMACY7660
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4851
KROGER PHARMACY
KROGER PHARMACY
KESSEL
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY4700
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KESSEL
Address Line 1
412 CROSS OAKS MALL
26233 HOOVER RD
1400 MALL DRIVE
4854 WEST US HWY 10
3225 US 41 WEST
6020 B DRIVE NORTH
995 RAZORBACK DRIVE
2629 W PIERSON RD
1550 WEST LAKE LANSING ROAD
545 W SANILAC RD
1150 SOUTH MAIN
1879 EAST SHERMAN BLVD
701 68TH ST SW
2910 CENTER AVE
36430 FORD ROAD
945 NO EUCLID RD
811 SOUTH CENTERVILLE
47060 PONTIAC TRAIL
3200 CARPENTER ROAD
5323 EAST COURT ST NORTH
25780 MIDDLEBELT RD
18055 SILVER PKWY
8920 WEST EIGHT MILE RD
1180 M 32 WEST
1920 S STEPEHENSON AVE
2500 S ADAMS RD
290 W CARLTON
601 NORTH LINCOLN
5859 28TH STREET
4805 HAGGERTY ROAD
2060 DIX AVE
1600 ANDERSON RD
2640 CROSSING CIRCLE
5249 CORUNNA RD
City
PLAINWELL
WARREN
BENTON HARBOR
LUDINGTON
MARQUETTE
BATTLE CREEK
HOUGHTON
FLINT
EAST LANSING
SANDUSKY
CHEBOYGAN
MUSKEGON
BYRON CENTER
ESSEXVILLE
WESTLAND
BAY CITY
STURGIS
WALLED LAKE
YPSILANTI
BURTON
FARMINGTON
FENTON
FERNDALE
ALPENA
IRON MOUNTAIN
ROCHESTER HILLS
HILLSDALE
ESCANABA
GRAND RAPIDS
WEST BLOOMFIELD
LINCOLN PARK
PETOSKEY
TRAVERSE CITY
FLINT
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
49080480894902249431498554901449931485044882348471-9616
497214944449315-8372
487324818548706490914839048197485094833648430-3421
482204970749801483094924249829495464832348146497704968448504Last Updated 12/21/2012
123
NABP #
2356891
2357007
2357019
2357021
2357526
2357538
2357641
2358073
2358465
2358542
2358679
2358972
2358984
2358996
2359001
2359013
2359025
2359190
2359455
2359912
2359962
2359974
2359986
2360143
2360167
2360270
2360307
2361094
2361133
2361296
2361311
2361400
2361587
2361602
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY4995
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KESSEL
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY9593
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
Address Line 1
2808 ASHMAN
2260 EIGHTEEN MILE RD
31300 MICHIGAN AVE
670 HIGHLAND AVE
9968 E GRAND RIVER
1905 CANTON CENTER RD
4542 KENOWA AVENUE
685 E MAPLE
460 LAPEER RD
16705 FORT ST
33201 VAN DYKE AVE
5825 BROCKWAY ROAD
29555 PLYMOUTH RD
44575 MOUND ROAD
910 JOE MANN BLVD
3301 PONTIAC TRAIL ROAD
1618 WEST M 43
2733 UNION LAKE ROAD
4888 ADAMS RD
9190 HIGHLAND ROAD
44525 ANN ARBOR RD
19855 12 MILE ROAD
41941 GARFIELD
7000 MONROE
5111 HIGHLAND ROAD
15251 23 MILE RD
13700 14 MILE ROAD
1542 PIERSON RD
37550 TWELVE MILE ROAD
47650 GRAND RIVER AVE
5719 N US HIGHWAY 23
20730 PONTIAC TRL
1707 E SHERMAN BLVD
495 SUMMIT DRIVE
City
MIDLAND
STERLING HEIGHTS
WESTLAND
MILFORD
BRIGHTON
CANTON
GRANDVILLE
BIRMINGHAM
LAKE ORION TWP
SOUTHGATE
STERLING HEIGHTS
SAGINAW
LIVONIA
STERLING HEIGHTS
MIDLAND
COMMERCE
HASTINGS
TOWNSHIP
TOWNSHIP
WHITE LAKE
PLYMOUTH
SOUTHFIELD
CLINTON TOWNSHIP
TAYLOR
TOWNSHIP
MACOMB TWNSHP
WARREN
FLUSHING
FARMINGTON HILLS
NOVI
OSCODA
SOUTH LYON
MUSKEGON
WATERFORD
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
48640483144818648381481164818749418480094836248195-1442
483124863848150483144864248382490584838248363483864817048076480384818048327480424809348433483314837548750-8721
481784944448328Last Updated 12/21/2012
124
NABP #
2361614
2361880
2361892
2361905
2361917
2362351
2362565
2362577
2362630
2362654
2362856
2362870
2362882
2362995
2363151
2363175
2363202
2363430
2363656
2363733
2363745
2363935
2363961
2364191
2364204
2364216
2364228
2364230
2364266
2364418
2364420
2364672
2364824
2364836
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
15700 NORTHLINE ROAD
7555 TELEGRAPH ROAD
2001 WEST MAPLE ROAD
10562 BELLEVILLE ROAD
409 N MARKETPLACE BLVD
2058 25 MILE ROAD
13333 EUREKA RD
23303 MICHIGAN AVE
28804 GRATIOT AVENUE
66900 GRATIOT
1200 E BRISTOL RD
1237 32ND STREET
4326 28TH STREET SE
20645 GIBRALTAR RD
3462 W STERNS RD
21555 TWENTY ONE MILE RD
3700 OWEN ROAD
45400 MARKETPLACE BLVD
3097 BALDWIN RD
2495 N CEDAR ST
20903 HARPER AVE
2401 US 31 SOUTH
1315 EAST MAIN
4350 JOSLYN ROAD
39800 FORD ROAD
39500 FORD ROAD
340 EAST EDGEWOOD BLVD
51450 SHELBY PARKWAY
1771 MICHIGAN AVE
7084 MILLER ROAD
45540 MICHIGAN
6065 GULL ROAD
2010 WHITAKER
3838 RICHFIELD RD
City
SOUTHGATE
TAYLOR
TROY
TOWNSHIP
LANSING
SHELBY TOWNSHIP
SOUTHGATE
DEARBORN
ROSEVILLE
RICHMOND
BURTON
PORT HURON
KENTWOOD
BROWNSTOWN
LAMBERTVILLE
MACOMB TWNSHP
FENTON
CHESTERFIELD
ORION TOWNSHIP
HOLT
HARPER WOODS
TRAVERSE CITY
OWOSSO
AUBURN HILLS
CANTON
CANTON
LANSING
SHELBY TOWNSHIP
YPSILANTI
SWARTZ CREEK
CANTON
KALAMAZOO
YPSILANTI
FLINT
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
481954818048084481114891748316481954812448066480624852948060495124818348144-9576
48044484304805148360488424822549684488674832648187481874891148315481984847348188490484819748506Last Updated 12/21/2012
125
NABP #
2364874
2364886
2364925
2364975
2364999
2365004
2365016
2365028
2365054
2365080
2365092
2365179
2365244
2365294
2365434
2365458
2365559
2365561
2365573
2365725
2366018
2366020
2366119
2366121
2366133
2366171
2366284
2366587
2366981
2367109
2367111
2367236
2367248
2367440
Pharmacy Name
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
Address Line 1
3600 ONEILL DRIVE
435 N MAIN ST
5110 TIMES SQUARE
531 WEST MAIN ST
571 EAST MONROE ST
850 SOUTH MONROE ST
3833 N DIXIE HWY
31720 GRATIOT AVENUE
30729 LYON CENTER DRIVE EAST
4373 CORUNNA ROAD
5656 BAY ROAD
5650 BAY ROAD
3901 ALPINE AVE NW
900 SOUTH US 27
1215 24TH STREET
35000 23MILE ROAD
501 SOUTH 9TH STREET
2750 COOK ROAD
32625 NORTHWESTERN HIGHWAY
9741 DIXIE HIGHWAY
5990 SASHABAW ROAD
1700 WEST MICHIGAN AVENUE
2925 TOWNE CENTRE BLVD
5450 CARPENTER ROAD
3225 TOWNE CENTRE BLVD
12737 COTTON LAKE ROAD
22500 EIGHT MILE ROAD
8350 SHAVER ROAD
9700 CHILSON COMMONS CIRCLE
10772 WEST CARSON CITY ROAD
621 EAST LAKE STREET
3062 SOUTH STATE ROAD
31020 JOHN R ROAD
655 WEST SANILAC ROAD
City
JACKSON
FRANKENMUTH
OKEMOS
MILAN
DUNDEE
MONROE
MONROE
ROSEVILLE
NEW HUDSON
FLINT
SAGINAW
SAGINAW
COMSTOCK PARK
ST JOHNS
PORT HURON
NEW BALTIMORE
KALAMAZOO
WEST BRANCH
FARMINGTON HILLS
CLARKSTON
TWP
JACKSON
LANSING
YPSILANTI
LANSING
BATTLE CREEK
SOUTHFIELD
PORTAGE
PINCKNEY
GREENVILLE
TAWAS CITY
IONIA
MADISON HEIGHTS
SANDUSKY
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
49202487344886448160481314816148162480664816548532486044860449321488794806048047490094866148334483484834649202489124819748912490144803449024481694883848763488464807148471Last Updated 12/21/2012
126
NABP #
2367628
2367630
2367731
2367820
2367832
2367844
2368404
2368416
2368579
2369420
2369836
2369848
2369913
2369925
2369937
2369949
2369951
2369963
2369975
2369987
2369999
2370005
2370017
2370029
2370031
2370156
2370170
2370815
2370827
2371970
2372617
2372833
2372910
2372922
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
45600 UTICA PARK BLVD
23800 ALLEN ROAD
700 N STATE STREET
6160 SOUTH SAGINAW ROAD
6170 SOUTH SAGINAW ROAD
7021 SO WESTNEDGE AVENUE
27300 WIXOM ROAD
3285 HENRY STREET
11493 NORTH LINDEN ROAD
4850 ENCORE BLVD
101 SOUTH TOLBERT DRIVE
14700 US 31
43893 SCHOENHERR RD
30851 GRATIOT
1821 S CEDAR
3125 JOHN R RD
26400 FORD RD
64660 VAN DYKE
22332 NINE MILE RD
2600 POINTE TREMBLE
1237 N COOLIDGE HWY
10059 HIGHLAND RD
20422 MACK AVE
23849 WEST ROAD
17447 HAGGERTY
5851 MERCURY DRIVE
2105 W SOUTH BLVD
970 GEHRINGER DRIVE
10305 COUNTRY CLUB ROAD
4672 STATE STREET
16450 26 MILE ROAD
23191 MARTER ROAD
7000 E MICHIGAN AVE
10400 HIGHLAND RD
City
UTICA
WOODHAVEN
DAVISON
GRAND BLANC
GRAND BLANC
PORTAGE
NOVI
ROOSEVELT PARK
CLIO
MT PLEASANT
THREE RIVERS
GRAND HAVEN
STERLING HEIGHTS
ROSEVILLE
IMLAY CITY
TROY
HEIGHTS
ROMEO
ST CLAIR SHORES
ALGONAC
TROY
HOWELL
GROSSE POINTE
FLAT ROCK
NORTHVILLE
DEARBORN
TROY
FOWLERVILLE
IRONWOOD
SAGINAW
MACOMB
ST CLAIR SHORES
SALINE
TOWNSHIP
State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
48315481834842348439484394900248374494414842048858490934941748313480664844448083481274809548080480014808448843482364813448168-9542
4812648098488364993848603-3805
4804248080-2717
4817648353Last Updated 12/21/2012
127
NABP #
2373277
2374267
2374546
1936256
2375702
1624279
2412978
2413576
2413615
2413627
2413691
2413918
2414009
2414364
2414530
2414542
2414655
2414667
2416623
2416813
2417461
2417512
2417574
2417649
2418134
2418451
2418487
2418831
2419150
2419314
2419340
2419376
2419453
2419465
Pharmacy Name
WAL-MART PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
(1413)
KMART PHARMACY3405
KMART PHARMACY3031
KMART PHARMACY3059
KMART PHARMACY9383
KMART PHARMACY9397
KMART PHARMACY7216
KMART PHARMACY7326
KMART PHARMACY7106
KMART PHARMACY4351
KMART PHARMACY7214
KMART PHARMACY4882
KMART PHARMACY3781
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
KMART PHARMACY7632
KMART PHARMACY9204
CUB PHARMACY
CUB PHARMACY
KMART PHARMACY3780
CUB PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7620
KMART PHARMACY3775
WAL-MART PHARMACY
Address Line 1
18400 HALL RD
29574 7 MILE RD
4555 MICHIGAN AVE
201 BASS PRO BLVD
14900 DIX TOLEDO RD
551 S ILLINOIS AVE
10 W LAKE STREET
8949 UNIVERSITY AVE NE
245 E MARYLAND AVE
14230 BURNHAVEN DRIVE
50 SIGNAL HILL MALL
3000 HWY 10 EAST
1111 S POKEGAMA AVE
7191 10TH ST NORTH
201 NINTH ST S E
1122 HWY 61
40 SECOND ST SOUTH
215 NORTH CENTRAL AVE
1801 MARKET DR
100 W COUNTY RD B
300 E TRAVELERS TRAIL
585 NORTHTOWN DR NE
8690 E PT DOUGLAS RD
7555 W BROADWAY
2310 SOUTH HIGHWAY 29
1401 PAUL BUNYAN DR NW
1940 CLIFF LAKE RD
2850 26TH AVE S
1001 HWY 23 BYPASS
12900 RIVERDALE DR
13020 RIVERDALE DRIVE
THUNDERBIRD MALL 1401 12TH AVE
1305 HIGHWAY 10 WEST
1400 SOUTH POKEGAMA AVENUE
City
CLINTON TOWNSHIP
LIVONIA
CANTON
DENHAM SPRINGS
SOUTHGATE
MASON CITY
MINNEAPOLIS
BLAINE
ST PAUL
BURNSVILLE
WEST ST PAUL
MOORHEAD
GRAND RAPIDS
OAKDALE
ROCHESTER
WINONA
WAITE PARK
DULUTH
STILLWATER
MAPLEWOOD
BURNSVILLE
BLAINE
COTTAGE GROVE
BROOKLYN PARK
ALEXANDRIA
BEMIDJI
EAGAN
MINNEAPOLIS
MARSHALL
COON RAPIDS
COON RAPIDS
VIRGINIA
DETROIT LAKES
GRAND RAPIDS
State
MI
MI
MI
LA
MI
IA
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
48038-4875
48152-1910
4818870726-5570
48195-2580
50401-4441
55408554345511755306551185656055744551285590155987563875580755082551175533755434550165542856308566015512255406562585544855448557925650155744Last Updated 12/21/2012
128
NABP #
2419554
2419566
2419578
2419580
2419592
2419693
2419782
2419794
2419821
2419869
2419908
2419910
2419934
2419946
2420064
2420088
2420139
2420141
2420177
2420367
2420432
2420444
2420456
2420468
2420545
2420557
2420569
2420622
2420634
2420646
2420658
2420660
2420696
2420709
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
KMART PHARMACY3777
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
KMART PHARMACY9537
KMART PHARMACY3897
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
HY VEE PHARMACY 2
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
415 34TH ST. NO.
4611 HWY 29 SO
21 COUNTY RD
3550 VICKSBURG LN N
SOUTH HIGHWAY 3
7295 GLORY ROAD
2001 S ROBERT ST
15091 18TH ST NE
2015 S BROADWAY
1403 WEST LINCOLN AVE
1100 WEST HIGHWAY 10
3300 HIGHWAY 210 WEST
1221 EAST MAIN STREET
15350 CEDAR AVE
500 37TH STREET NW
1300 TRUNK HWY 15 S.
4740 MALL DRIVE
4801 HWY 101
8015 DEN RD
1360 TOWN CENTRE DRIVE
3001 EAST HWY 7
5815 NORELL AVE
8000 LAKELAND AVENUE
1410 EAST BRIDGE STREET
12195 SINGLETREE LANE
1308 HWY 33 SOUTH
3400 NORTH WEST 55TH STREET
1315 HWY 25 NORTH
700 19TH AVE SE
1752 NO. FRONTAGE
1881 MADISON AVENUE
150 WESTERN AVENUE
1130 W FRONTAGE RD
1210 GIANT DRIVE
City
DILWORTH
ALEXANDRIA
ST CLOUD
PLYMOUTH
DUNDAS
BAXTER
WEST ST PAUL
LITTLE FALLS
NEW ULM
FERGUS FALLS
ANOKA
FERGUS FALLS
MARSHALL
APPLE VALLEY
ROCHESTER
HUTCHINSON
HERMANTOWN
MINNETONKA
EDEN PRAIRIE
EAGAN
MONTEVIDEO
OAK PARK HEIGHTS
BROOKLYN PARK
REDWOOD FALLS
EDEN PRAIRIE
CLOQUET
ROCHESTER
BUFFALO
WILLMAR
HASTINGS
MANKATO
FARIBAULT
OWATONNA
BLUE EARTH
State
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
56529563085630155447550195642555118563455607356537553035653756258551245590155350558115534555344551235626555082554455628355344557205590155313562015503356001550215506056013Last Updated 12/21/2012
129
NABP #
2420711
2420759
2421030
2421054
2421078
2421294
2421561
2421648
2421650
2421698
2421725
2421799
2421802
2421852
2421977
2422082
2422119
2422133
2422284
2422296
2422311
2422498
2422549
2422866
2422929
2422931
2422955
2423072
2423084
2423248
2423250
2423262
2423274
2423298
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 2
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 1
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
HY VEE PHARMACY
CUB PHARMACY
KMART PHARMACY9689
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
Address Line 1
2103 STATE ST. N
8450 UNIVERSITY AVENUE NE
1059 MEADOWLANDS DR
8150 WEDGEASTWOOD LN
615 W CENTRAL ENTRANCE
850 EAST COUNTY RD E
5301 36TH AVE N
5937 NICOLLET AVE
200 SW 12TH ST
1440 UNIVERSITY
2101 SECOND AVENUE SE
2390 WHITE BEAR AVE N
1550 BLAKE AVENUE
19216 FREEPORT ST
8432 TAMARACK VILLAGE
6775 YORK AVE S
3930 SILVER LAKE RD
12595 CENTRAL AVE NE
2708 BRIDGE AVENUE
2010 ADAMS STREET
950 11TH ST SW
1920 GRANT STREET
500 CROSSROADS DR SW
1198 VIERLING DR
216 7TH ST W
7835 150TH ST WEST
1008 HWY 55 E
1001 18TH AVENUE NW
2201 FIRST ST S
1606 HWY 11 71
246 57TH AVE NE
3620 TEXAS AVE S
14133 EDGEASTWOOD DR
4445 N NATHAN LN
City
WASECA
FRIDLEY
WHITE BEAR LAKE
MAPLE GROVE
DULUTH
VADNAIS HEIGHTS
CRYSTAL
MINNEAPOLIS
FOREST LAKE
ST PAUL
CAMBRIDGE
MAPLEWOOD
ALBERT LEA
ELK RIVER
WOODBURY
EDINA
ST ANTHONY
BLAINE
ALBERT LEA
MANKATO
PINE CITY
FARIBAULT
ROCHESTER
SHAKOPEE
MONTICELLO
APPLE VALLEY
BUFFALO
AUSTIN
WILLMAR
FALL
FRIDLEY
ST LOUIS PARK
BAXTER
PLYMOUTH
State
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
56093554325512755369558115512755422554195502555104550085510956007553305512555435554215543456007560015506355021559045537955362551245531355912562015664955432-5420
554265642555442Last Updated 12/21/2012
130
NABP #
2423301
2423313
2423503
2423527
2423589
2423666
2423818
2423870
2423957
2423971
2423983
2424000
2424086
2424098
2424137
2424151
2424264
2424339
2424341
2424353
2424365
2424404
2424454
2424505
2424606
2424668
2424670
2424694
2424707
2424719
2424923
2424985
2425088
2425141
Pharmacy Name
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY 1
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
HY VEE PHARMACY
SAMS PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
Address Line 1
1750 W COUNTY RD 42
8421 LYNDALE AVE S
1055 RYAN ROAD
3245 COUNTY RD 10
25 25TH STREET S.E.
1420 E COLLEGE DR
410 SOUTH RIVER FRONT DRIVE
3745 LOUISIANA AVE SOUTH
18185 ZANE STREET
9451 DUNKIRK LANE NO.
1800 MADISON AVE
4743 MAPLE GROVE ROAD
12080 HWY 169
1583 HWY 10 WEST
1021 15TH AVE SE
2410 S POKEGAMA AVE
2600 RICE CREEK RD
14940 FLORENCE TRAIL
3035 DENMARK AVENUE
1850 BUERKLE ROAD
8150 UNIVERSITY AVE NE
3784 150TH ST
1200 S RIVERFRONT DR
4205 PHEASANT RIDGE DR
16701 94TH AVENUE NORTH
2025 PAUL BUNYAN DRIVE N.W.
2013 BROADWAY AVE W
4405 PHEASANT RIDGE DRIVE N E
2100 SNELLING AVE N
1475 SERVICE ROAD
9925 HUDSON ROAD
417 8TH AVE NE
7850 CAHILL DR
2050 NORTHDALE BOULEVARD
City
BURNSVILLE
BLOOMINGTON
WORTHINGTON
BROOKLYN CENTER
ROCHESTER
MARSHALL
MANKATO
ST. LOUIS PARK
ELK RIVER
MAPLE GROVE
MANKATO
HERMANTOWN
HIBBING
DETROIT LAKES
ROCHESTER
GRAND RAPIDS
NEW BRIGHTON
APPLE VALLEY
EAGAN
WHITE BEAR LAKE
FRIDLEY
ROSEMOUNT
MANKATO
BLAINE
MAPLE GROVE
BEMIDJI
FOREST LAKE
BLAINE
ROSEVILLE
WINONA
WOODBURY
BRAINERD
HEIGHT
COON RAPIDS
State
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
55337554205618755430559045625856001554265533055311560015581155746565015590455744551125512455121551105543255068560015544955311566015502555449551135598755125564015507655433Last Updated 12/21/2012
131
NABP #
2425177
2425189
2425191
2425204
2425216
2425254
2425709
2425735
2425773
2425797
2425848
2425850
2425925
2425951
2426193
2426270
2426484
2426662
2426826
2426927
2426977
2426989
2427133
2427412
2427602
2427929
2427967
2428058
2428096
2428135
2428147
2428286
2428298
2428301
Pharmacy Name
CUB PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
SAMS PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1729 MARKET BOULEVARD
8201 OLD CARRIAGE CT
8101 OLD CARRIAGE COURT
295 TYLER ROAD SOUTH
2423 S HWY 3
200 WEST AMERICAN BLVD
23800 STATE HWY 7
14075 HWY 13
3717 LEXINGTON AVE N
9165 CAHILL AVENUE
1230 NORTH STATE STREET
7435 179TH ST
2197 HUDSON RD
1450 UNIVERSITY AVENUE WEST
701 W BROADWAY AVE
955 FRONTENAC DRIVE
1644 SOUTH ROBERT STREET SO
3800 SILVER LAKE ROAD NE
9320 CEDAR STREET
8600 114TH AVE N
3410 NORTHWEST 55TH STREET
10240 HUDSON ROAD
7900 MARKET BLVD
1755 HIGHWAY 59 SE
9655 COLORADO LN N
100 JUNIPER AVE NW
13855 ROGERS DR
100 XYLITE ST NE
1303 CHARLES STREET
1720 WESTRIDGE ROAD
205 12TH STREET SOUTH
1930 SAHLSTROM DRIVE
1250 GOEMANN ROAD
2301 EAST FRONTAGE ROAD
City
HASTINGS
SHAKOPEE
SHAKOPEE
RED WING
NORTHFIELD
MINNEAPOLIS
SHOREWOOD
SAVAGE
ARDEN HILLS
HEIGHT
WASECA
LAKEVILLE
ST PAUL
ST PAUL
MINNEAPOLIS
WINONA
WEST ST PAUL
ST. ANTHONY
MONTICELLO
CHAMPLIN
ROCHESTER
WOODBURY
CHANHASSEN
THIEF RIVER FALLS
BROOKLYN PARK
WADENA
ROGERS
CAMBRIDGE
PARK RAPIDS
NEW ULM
SAUK CENTRE
CROOKSTON
FAIRMONT
LITCHFIELD
State
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
55033-1254
553795537955066550575542055331553785512655076560935504455119551045541155987551185542155362553165590155129553175670155445564825537455008564705607356378567165603155355Last Updated 12/21/2012
132
NABP #
2428464
2429062
2429202
2429303
2429543
2429644
2429745
2430255
2430611
2430673
2512780
2513009
2513441
2513528
2513643
2513655
2513833
2513958
2513960
2513972
2513984
2514227
2514239
2514241
2514253
2514289
2514417
2514429
2514594
2514722
2514758
2514760
2514772
2514784
Pharmacy Name
CUB PHARMACY
WAL-MART PHARMACY
CUB PHARMACY
CUB PHARMACY
CUB PHARMACY
HY-VEE PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
HY-VEE PHARMACY
PHARMACY (1400)
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
20250 HERITAGE DR
1000 18TH AVE NW
1177 CLARENCE ST
1020 DIFFLEY ROAD
10520 FRANCE AVE SOUTH
1620 SOUTH CEDAR
700 AMERICAN BLVD E
207 COUNTY RD 120
1235 OXFORD ST
1420 E COLLEGE DR
2000 EAST COUNTY LINE RD
2340 HIGHWAY 15 NORTH
465 STATELINE ROAD
1913 HWY 45 NORTH
100 MCCORD ROAD
1010 HWY 12 WEST
5219 HWY 51 NORTH
2150 IOWA BLVD
1350 AZALEA DRIVE
1002 BEACON STREET
1621 HWY 15 NORTH
1811 WEST GOVERNMENT STREET
960 BROOKWAY BLVD
6811 SOUTHCREST PKWY
314 SGT. S. PRENTISS DR.
159 HIGHWAY 15 SOUTH
815 S. WHEATLEY ROAD
602 N DAVIS
6072 U.S. HIGHWAY 98
527 LAKE ST
9350-A HIGHWAY 49
235 FRONTAGE RD
1733 2ND STREET SOUTH
1831 S DR MARTIN L. KING BLVD
City
LAKEVILLE
AUSTIN
SAINT PAUL
EAGAN
BLOOMINGTON
OWATONNA
BLOOMINGTON
SARTELL
WORTHINGTON
MARSHALL
RIDGELAND
LAUREL
SOUTHAVEN
COLUMBUS
PONTOTOC
STARKVILLE
SENATOBIA
VICKSBURG
WAYNESBORO
PHILADELPHIA
LAUREL
BRANDON
BROOKHAVEN
SOUTHAVEN
NATCHEZ
LOUISVILLE
RIDGELAND
CLEVELAND
HATTIESBURG
HAZLEHURST
GULFPORT
PICAYUNE
MERIDIAN
GREENVILLE
State
MN
MN
MN
MN
MN
MN
MN
MN
MN
MN
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
550445591255106551235543155060554205637756187-1759
56258391573944038671397013886339759386683918039367393503944039042396013867139120393393915738732394023908339503394663930138701Last Updated 12/21/2012
133
NABP #
2514811
2514823
2514974
2514998
2515243
2515320
2515332
2515344
2515508
2515522
2515596
2515609
2515611
2515798
2515825
2515837
2515875
2515902
2515940
2515976
2515988
2516283
2516409
2516512
2516536
2516815
2516865
2516928
2517019
2517069
2517134
2517209
2517312
2517386
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7642
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
K MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3663
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
5520 HWY 80 EAST
2530 WEST JACKSON AVENUE
1608 SMITHDALE RD
870 S STATE ST
231 EASTSIDE DRIVE
1309 HWY 35 SO
4253 DENNY AVE.
1655 SUNSET DRIVE
2681 C T SWITZER SR DR
280 JOHN R JUNKIN DR
1000 SO STATE STREET
2270 WEST MAIN STREET
1001 HWY 98 BYPASS
344 HWY 90 WEST
1625 SIMPSON HWY 49
1313 HWY 45 SO
620 SOUTH APPLEGATE ST
460 HWY 90
1355 EAST PASS ROAD
11228 OLD 63 SOUTH
2400 HIGHWAY 19 N
3911 BIENVILLE BLVD
2202 HWY 82 WEST
633 HIGHWAY 82 WEST
205 HOUSE-CARLSON DRIVE
710 NORTH DAVIS AVENUE
660 EAST MADISON
950 HWY 80 EAST
200 WALMART CIRCLE
3520 TERRY ROAD
822 CITY AVENUE SOUTH
930 BARNES CROSSING
3929 N GLOSTER STREET
202 PARK PLAZA
City
PEARL
OXFORD
MCCOMB
CLARKSDALE
NEWTON
FOREST
PASCAGOULA
GRENADA
BILOXI
NATCHEZ
CLARKSDALE
TUPELO
COLUMBIA
WAVELAND
MAGEE
WEST POINT
WINONA
WAVELAND
GULFPORT
LUCEDALE
MERIDIAN
OCEAN SPRINGS
GREENWOOD
INDIANOLA
BATESVILLE
CLEVELAND
HOUSTON
CLINTON
BOONEVILLE
JACKSON
RIPLEY
TUPELO
TUPELO
NEW ALBANY
State
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3920838655396483861439345390743958138901395313912038614388013942939576-2600
3911139773389673957639507394523930739564389303875138606387323885139056388293921238663388013880438652Last Updated 12/21/2012
134
NABP #
2517401
2517526
2517588
2517742
2517754
2517766
2517843
2517982
2517994
2518136
2518148
2518352
2518390
2518403
2518768
2519037
2519227
2519811
2519873
2519948
2519974
2520004
2520155
2520270
2520511
2520749
2520751
2520838
2520927
2521018
2521068
2521195
2521234
3198961
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7719
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4213
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
826 HIGHWAY 12 WEST
1515 US HWY 278 EAST
2301 HARPER ROAD
1110 BATTLEGROUND DRIVE
950 MACKIE DRIVE
905 HWY 16 WEST
104 HIGHWAY 72 WEST
2308 HIGHWAY 45 N
1070 HIGHWAY 51
1829 HIGHWAY 45 NORTH
1778 HIGHWAY 1 SO
4910 I 55 NORTH
7251 INTERSTATE BLVD
7427 GOODMAN RD
1167 HIGHWAY 49 SOUTH
2711 GREENWAY DRIVE
220 VETERAN MEM DR
100 INTERCHANGE DRIVE
3615 SANGANI BLVD
5901 HIGHWAY 49 S.
3001 HIGHWAY 82 E
5341 LAKELAND DRIVE
110 KEATING RD
7950 CRAFT GOODMAN FRONTAGE RD
200 MARKETPLACE DRIVE
2013 UNIVERSITY AVE
465 GOODMAN ROAD
2380 MT PLEASANT
6360 RIDGEWOOD COURT DR
960 W MAIN ST
36 BYRD BLVD
1053 FRONTAGE DRIVE EAST
2401 GOODMAN ROAD
301 NASSAU PARK BLVD
City
STARKVILLE
AMORY
CORINTH
IUKA
HOLLY SPRINGS
CARTHAGE
CORINTH
COLUMBUS
MADISON
COLUMBUS
GREENVILLE
JACKSON
HORN LAKE
OLIVE BRANCH
RICHLAND
JACKSON
KOSCIUSKO
FULTON
DIBERVILLE
HATTIESBURG
GREENVILLE
FLOWOOD
BATESVILLE
OLIVE BRANCH
RICHLAND
OXFORD
SOUTHAVEN
HERNANDO
JACKSON
TUPELO
PETAL
WIGGINS
HORN LAKE
PRINCETON
State
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3975938821388343885238635390513883439705391103970138701392113863738654392183920439090388433954039402-2858
3870339047386063865439218386553867138632392113880139465395773863708540-5934
Last Updated 12/21/2012
135
NABP #
2521450
2521703
2585909
2585935
2586076
2586343
2586507
2587042
2587307
2587321
2587345
2587686
2587802
2587953
2587965
2588424
2601549
2601715
2603769
2604800
2608202
2609747
2613140
2613328
2613330
2613380
2613645
2613669
2613885
2613950
2614875
2614938
2615081
2615233
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY #497
KROGER PHARMACY #494
KROGER PHARMACY #499
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
RIDER DRUG INC
HILLCREST DRUG INC
KMART PHARMACY4157
KMART PHARMACY4220
KMART PHARMACY4427
KMART PHARMACY4743
KMART PHARMACY9336
KMART PHARMACY4304
KMART PHARMACY4720
SCHNUCKS PHARMACY
CABOOL PHARMACY
KMART PHARMACY9338
KMART PHARMACY4026
KMART PHARMACY3239
Address Line 1
127 GRAND VIEW BLVD
3095 GOODMAN ROAD
110 PROMENADE
2600 MCINGVALE ROAD
6745 S SIWELL RD
15065 CREOSOTE ROAD
3833 NORTH GLOSTER ST
115 COLONY CROSSING WAY
1070 SPILLWAY CIRCLE
3408 PEMBERTON SQUARE BLVD
107 HWY 80 EAST
90 BASS PRO DR
1617 E BEACH BLVD
143 ALBERTSON DR
7045 OLD CANTON ROAD
3926 GOODMAN RD
7450 HAMPTON AVE
1501 SOUTH RANGELINE ROAD
2623 WEST 7TH STREET
1060 SCHNUCKS WOODS MILL PLAZA
1207 S BALTIMORE ST
1100B SOUTH BISHOP
5615 BANNISTER RD E
2821 VIVION RD NE
16200 EAST US HWY 24
11978 ST CHARLES ROCK ROAD
4023 S NOLAND
1 FLOWER VALLEY SHP CTR
6650 MANCHESTER
19 SOUTH KINGSHIGHWAY
518 MAIN
3901 LEMAY FERRY ROAD
29015 N BELT HWY
7100 NW PRAIRIE VIEW RD
City
MADISON
SOUTHAVEN
FLOWOOD
HERNANDO
BYRAM
GULFPORT
TUPELO
MADISON
BRANDON
VICKSBURG
CLINTON
PEARL
PASS CHRISTIAN
FLOWOOD
RIDGELAND
HORN LAKE
ST LOUIS
JOPLIN
JOPLIN
CHESTERFIELD
KIRKSVILLE
ROLLA
KANSAS CITY
KANSAS CITY
INDEPENDENCE
BRIDGETON
INDEPENDENCE
FLORISSANT
ST LOUIS
CAPE GIRARDEAU
CABOOL
ST LOUIS
SAINT JOSEPH
KANSAS CITY
State
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3911038672392323863239272-8747
39503388043911039047-6035
39180-5573
39056-4738
392083957139232-6615
391573863763109-3931
64804648016301763501-4528
654016413764119640566304464055630336313963703-5742
656896312564505-9447
64151Last Updated 12/21/2012
136
NABP #
2615384
2615675
2615803
2616184
2616451
2616538
2616576
2616641
2616855
2616906
2616918
2616982
2616994
2617009
2617201
2617352
2617403
2617504
2617592
2617732
2617958
2617972
2618001
2618102
2618114
2618443
2618455
2618544
2618570
2618582
2618607
2618734
2618784
2618912
Pharmacy Name
GERBES PHARMACY
DILLON PHARMACY
DILLON PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
BOWLING GREEN
KMART PHARMACY7193
DILLON PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7021
KMART PHARMACY7018
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7324
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
Address Line 1
2805 W TRUMAN BLVD
1707 W BATTLEFIELD
1831 W KEARNEY
1225 SOUTH FLORISSANT RD
2825 N KANSAS EXPRESSWAY
1106 BUSINESS HIGHWAY 61 S
1930 E KEARNEY STREET
2843 E SUNSHINE
3201 WEST BROADWAY
11 S KINGS HIGHWAY 61
2304 MISSOURI BLVD
94 CECIL STREET
2705 GRAND AVE
3520 W SUNSHINE ST
141 HILLTOWN VILLAGE
2451 S SPRINGFIELD
1402 E 20TH ST
1212 SOUTH MADISON
885 HIGHWAY 60
1800 S JEFFERSON
20 OFALLON SQUARE
577 MIDRIVERS MALL DR
11253 ST CHARLES ROCK RD
2025 BUS HWY 60 WEST
1000 GRAVES ST
2203 PATSY LANE
937 PARK CIRCLE DR
8650 BIG BEND
2000 NORTH WALNUT
2004 WEST MARLER LANE
10070 GRAVOIS
855 S CHEROKEE DRIVE
8200 N LINDBERGH
1303 SOUTH MAIN
City
JEFFERSON CITY
SPRINGFIELD
SPRINGFIELD
ST LOUIS
SPRINGFIELD
BOWLING GREEN
SPRINGFIELD
SPRINGFIELD
SEDALIA
CAPE GIRARDEAU
JEFFERSON CITY
CAMDENTON
CARTHAGE
SPRINGFIELD
CHESTERFIELD
BOLIVAR
JOPLIN
WEBB CITY
MONETT
LEBANON
OFALLON
ST PETERS
BRIDGETON
DEXTER
CHILLICOTHE
SPRINGS
BROOKFIELD
WEBSTER GROVES
CAMERON
OZARK
ST LOUIS
MARSHALL
FLORISSANT
SIKESTON
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6510965807658036312165803633346580365804653016370365109650206483665807630176561364801648706570865536633666337663044-2702
6384164601640246462863119644296572163123653406303163801Last Updated 12/21/2012
137
NABP #
2618924
2618936
2618948
2618950
2619091
2619142
2619154
2619217
2619229
2619508
2619724
2619899
2619940
2619952
2620006
2620169
2620246
2620258
2620450
2620486
2620498
2620501
2620614
2620715
2620777
2620791
2621084
2621147
2621250
2621262
2621399
2621591
2621806
2621856
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3579
WAL-MART PHARMACY
INC
KMART PHARMACY7526
SCHNUCKS PHARMACY
KMART PHARMACY7543
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
GERBES PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GERBES PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
Address Line 1
701 WALTON DRIVE
301 E COOPER AVENUE
1007 NORTH DOUGLAS
29 SW 1ST LANE
500 SOUTH BISHOP
2770 NORTH WESTWOOD
3700 S CAMPBELL
3315 SOUTH CAMPBELL
490 N MEDICAL DRIVE
3909 HIGHWAY 169 S
48 PLAZA NINETY FOUR DR
4560 GRAVOIS VILLAGE CTR
4201 N BELT HIGHWAY
12332 MANCHESTER RD
8301 NO CHURCH ROAD
1729 W BROADWAY
600 NE CORONADO DRIVE
2206 NORTH BALTIMORE
333 S WESTWOOD
2015 WEST FOXWOOD DR
1000 NE SAM WALTON LANE
2900 N PARIS RD
8660 VETERANS MEMORIAL PARKWAY
1301 HWY 24 EAST
15446 MANCHESTER RD
350 PARKRIDGE ROAD
724 STADIUM WEST BLVD
2050 WEST HWY 76
1888 HWY 28 EAST
1661 JUNGERMAN RD
1101 HWY 32 WEST
705 EAST BRIGGS DRIVE
5055 ARSENAL ST
650 SOUTH TRUMAN BLVD
City
FARMINGTON
WARRENSBURG
MALDEN
LAMAR
ROLLA
POPLAR BLUFF
SPRINGFIELD
SPRINGFIELD
ASH GROVE
ST JOSEPH
ST CHARLES
HIGH RIDGE
ST JOSEPH
DESPERES
KANSAS CITY
COLUMBIA
BLUE SPRINGS
KIRKSVILLE
POPLAR BLUFF
RAYMORE
LEES SUMMIT
COLUMBIA
O FALLON
MOBERLY
ELLISVILLE
SULLIVAN
JEFFERSON CITY
BRANSON
OWENSVILLE
ST PETERS
SALEM
MACON
ST LOUIS
FESTUS
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
6364064093638636475965401639016580765807656046450363376630496450663131-4315
6415865203640146350163901640836408665202633666527063011630806510965616650666330465560635526313963028Last Updated 12/21/2012
138
NABP #
2621868
2621870
2621882
2621894
2622163
2622175
2622187
2622199
2622202
2622276
2622391
2622834
2622846
2623064
2623076
2623088
2623103
2623115
2623216
2623228
2623456
2623468
2623569
2623711
2623761
2623773
2623797
2623800
2623886
2624181
2624307
2624333
2624357
2624395
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
DILLON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
Address Line 1
3439 WILLIAMS STREET
1920 MAIN STREET
14740 STATE HWY 38
4252 HWY 54
1605 S MAIN ST
1250 WEST DALLAS
810 SO. 37TH ST.
101 W HIGHWAY 60
333 EAST WALNUT
13987 NEW HALLS FERRY RD
1260 E SAINT LOUIS ST
1433 SO SAM HOUSTON BLVD
1 MEMORIAL DRIVE
1310 PREACHER RD HGWY 160
400 S FRAN AVE
100 OZARK DR
10340 FARM ROAD 2176
2100 NORTH MAIN
1003 WEST NEWTON ST
653 GRAVOIS BLUFFS BLVD
3001 W BROADWAY
4000 SOUTH BOLGER DR
5519 OAKVILLE SHOPPING CTR
15 HALS PLAZA DR
4333 BUTLER HILL RD
5434 SOUTHFIELD CENTER
1150 US HWY 60 EAST
1275 N TRUMAN BLVD
500 WARREN COUNTY CENTER
10233 MANCHESTER RD
101 HWY 47 EAST
15425 MANCHESTER RD
1 TROY SQUARE
407 NO STATE ST
City
CAPE GIRARDEAU
BOONVILLE
MARSHFIELD
OSAGE BEACH
MARYVILLE
BUFFALO
BETHANY
MOUNTAINVIEW
THAYER
FLORISSANT
SPRINGFIELD
HOUSTON
POTOSI
WEST PLAINS
BUTLER
CUBA
CASSVILLE
MOUNTAIN GROVE
VERSAILLES
FENTON
COLUMBIA
INDEPENDENCE
ST LOUIS
PIEDMONT
ST LOUIS
ST LOUIS
REPUBLIC
FESTUS
WARRENTON
KIRKWOOD
TROY
BALLWIN
TROY
DESLOGE
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
63701652336570665065644686562264424655486579163033658026548363664657756473065453656256571165084630266520364055631296395763128631236573863028633836312263379630116337963601Last Updated 12/21/2012
139
NABP #
2624408
2624410
2624585
2624737
2624814
2624939
2625018
2625032
2625119
2625311
2625525
2625587
2625599
2625638
2625739
2625741
2625854
2626096
2626236
2626248
2626250
2626274
2626301
2626527
2626933
2626995
2627036
2627062
2627276
2627416
2627428
2627505
2627517
2627632
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GERBES PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GERBES PHARMACY
KMART PHARMACY3655
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SHOP N SAVE PHARMACY
KMART PHARMACY3759
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3812
SCHNUCKS PHARMACY
HY VEE PHARMACY 1
KMART PHARMACY3934
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
Address Line 1
10300 E HWY 350
7207 NORTH M 1 HWY
1180 W 19TH STTREET
1701 A ROY DRIVE
185 ST ROBERT BLVD
2897 VETERANS MEMORIAL PKWY
11900 SAINT CHARLES ROCK RD
1421 MEXICAN LOOP RD. EAST
13901 MANCHESTER RD
12756 OLIVE BLVD
9400 E. 350 HIGHWAY
4820 S. CLARK ST
2700 RIDGE POINT DR
410 E NORTH
908 WALTON WAY
10741 WEST FLORISSANT
1159 EAST HWY 54
600 NORTH EAST BARRY ROAD
11601 EAST US 40 HIGHWAY
9074 OVERLAND PLAZA
3430 SOUTH GRAND
10461 MANCHESTER RD
15909 MANCHESTER ROAD
1802 SOUTH BUSINESS HWY 54
2201 MICHIGAN AVENUE
2233 N WESTWOOD BLVD
1950 ZUMBEHL RD
301 NE RICE ROAD
1003 SOUTH BISHOP
131 ERKA TWN CNTR DR
1750 S PERRYVILLE
500 N BALTIMORE
625 W 40 HWY
1309 NW 12TH AVE
City
RAYTOWN
GLADSTONE
HIGGINSVILLE
WASHINGTON
SAINT ROBERT
ST CHARLES
BRIDGETON
OFALLON
COUNTRY
ST LOUIS
RAYTOWN
MEXICO
HIGH RIDGE
ELDON
RICHMOND
FERGUSON
CAMDENTON
KANSAS CITY
KANSAS CITY
STLOUIS
ST LOUIS
KIRKWOOD
BALLWIN
ELDON
ARNOLD
POPLAR BLUFF
ST CHARLES
LEES SUMMIT
ROLLA
EUREKA
PERRYVILLE
KIRKSVILLE
BLUE SPRINGS
AVA
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
64133641196403763090655846330363044-2612
6336663011631416413365265630496502664085631356502064155641336311463118631226301165026630106390163303640636540163025637756350164014-3232
65608Last Updated 12/21/2012
140
NABP #
2627656
2627707
2627719
2627745
2627771
2627783
2627935
2628090
2628177
2628242
2628317
2628406
2628418
2628595
2628696
2629092
2629244
2629333
2629345
2629357
2629369
2629496
2629535
2629547
2629600
2629648
2629650
2629751
2629763
2629787
2629876
2629890
2629915
2629939
Pharmacy Name
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
SCHNUCKS PHARMACY
HY VEE PHARMACY 1
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GERBES PHARMACY
HY VEE PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7710
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
Address Line 1
3020 SOUTH ELLIOTT
4660 CHIPPEWA ST
CENTER
74 GRANDVIEW PLAZA CTR
1525 E 23RD STREET
1500 EAST FIRST ST
1025 WALTON DRIVE
STATE HWY 84 WEST
1201 GRINDSTONE PKWY
2101 N SCHOTTHILL WOODS DR
7117 N PROSPECT
1400 FORUM BLVD
3200 LUSK DRIVE
8867 LADUE RD
1960 WENTZVILLE PARKWAY
1013 E HIGHWAY 60
1700 NORTH 291 HIGHWAY
415 CONLEY ROAD
18401 STATE HWY 13
US HIGHWAY 61 AND MC MASTERS
1477 STATE HWY 248
3270 TELEGRAPH ROAD
109 NORTH BLUE JAY DRIVE
1210 WASHINGTON STREET
2021 EAST INDEPENDENCE
1901 E DIVISION
2900 E SUNSHINE
8037 W FLORISSANT AVE
1589 SIERRA VISTA SHOPPING CTR
4171 LINDELL BLVD
9540 WATSON RD
1393 BIG BEND SQ
1160 SHACKELFORD RD
4127 N GRAND
City
AURORA
ST LOUIS
FLORISSANT
FLORISSANT
INDEPENDENCE
KENNETT
FREDERICKTOWN
CARUTHERSVILLE
COLUMBIA
JEFFERSON CITY
GLADSTONE
COLUMBIA
NEOSHO
ST LOUIS
WENTZVILLE
REPUBLIC
HARRISONVILLE
COLUMBIA
BRANSON WEST
HANNIBAL
BRANSON
ST LOUIS
LIBERTY
CHILLICOTHE
SPRINGFIELD
SPRINGFIELD
SPRINGFIELD
ST LOUIS
ST LOUIS
ST LOUIS
ST LOUIS
BALLWIN
FLORISSANT
ST LOUIS
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
656056311663033630336405163857636456383065203651016411965203-1997
648506312463385657386470165201657376340165616-7477
6312564068646016580465803-4517
6580463136631386310863126630216303163107Last Updated 12/21/2012
141
NABP #
2629941
2629989
2629991
2630021
2630083
2630146
2630211
2630538
2630730
2630742
2630754
2630956
2631035
2631148
2631162
2631186
2631225
2631299
2631364
2631427
2631491
2631516
2631655
2631679
2631756
2631794
2631819
2631857
2631934
2632013
2632063
2632087
2632099
2632253
Pharmacy Name
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
HY VEE PHARMACY 1
HY VEE PHARMACY
HY VEE PHARMACY 2
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
RAMEY PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
WAL-MART PHARMACY
PHARMACY
SCHNUCKS PHARMACY
SHOP N SAVE PHARMACY
SAMS PHARMACY
KMART PHARMACY9332
KMART PHARMACY9334
KMART PHARMACY9353
SCHNUCKS PHARMACY
SAMS PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
Address Line 1
800 S DUCHESNE DR
1020 LOUGHBOROUGH
1181 GANNON DR
1923 EAST KEARNEY
6600 CLAYTON RD
1701 NORTH BLUFF STREET
1445 E CENTRAL
1503 W MCARTHUR
8301 N ST CLAIR
1617 E 9TH ST
310 SW WARD ROAD
3029 HIGHWAY K
16570 MANCHESTER
2150 E CLEVELAND AVE
12862 STATE ROAD 21
20 GRAVOIS DILLON PLAZA
3 TOWN CENTER DR
10650 OLIVE BLVD
2250 LINCOLN AVENUE
6920 OLIVE BLVD
1307 HIGHWAY K
1720 W GRAND AVE
2030 DORSETT RD
7355 MANCHESTER RD
3660 EAST SUNSHINE BLVD
3101 S GLENSTONE
2855 DUNN ROAD
155 TWIN CITY MALL
3431 UNION
13455 MANCHESTER ROAD
3816A W CHESTNUT EXPRESSWAY
1102 NORTH MASSEY BLVD.
1712 EAST OHIO
2073 WASHINGTON CROSSING
City
ST CHARLES
ST LOUIS
FESTUS
SPRINGFIELD
ST LOUIS
FULTON
UNION
WEBB CITY
KANSAS CITY
TRENTON
LEES SUMMIT
O FALLON
WILDWOOD
MONETT
DE SOTO
HIGH RIDGE
BOWLING GREEN
ST LOUIS
NEVADA
ST LOUIS
O FALLON
SPRINGFIELD
HEIGHTS
MAPLEWOOD
SPRINGFIELD
SPRINGFIELD
FLORISSANT
CRYSTAL CITY
ST LOUIS
SAINT LOUIS
SPRINGFIELD
NIXA
CLINTON
WASHINGTON
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
633016311163028658036311765251630846487064151646836408163368-8696
63040657086302063049633346314164772631306336665802630436314365809658046303363019631156313165802657146473563090Last Updated 12/21/2012
142
NABP #
2632291
2632429
2632443
2632467
2632506
2632568
2632607
2632633
2632710
2632772
2632900
2632936
2633053
2633192
2633320
2633382
2633407
2633510
2633522
2633623
2633712
2633750
2633813
2633964
2634170
2634221
2634310
2634334
2634346
2634384
2634459
2634473
2634485
2634497
Pharmacy Name
WAL-MART PHARMACY
PHARMACY
HY VEE PHARMACY
SCHNUCKS PHARMACY
GERBES PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOP N SAVE PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SAMS PHARMACY
SHOP N SAVE PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
HY VEE PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
HY VEE PHARMACY
SAMS PHARMACY
HY VEE CLINIC
WAL-MART PHARMACY
PHARMACY
PHARMACY
PHARMACY
PHARMACY
Address Line 1
3051 EAST JACKSON BLVD
708 S ELLIOTT
1307 E NORTH AVENUE
10275 CLAYTON RD
205 E NIFONG BLVD
335 N NOLTING AVE
1971 WENTZVILLE PKWY
1223 W CENTRAL
1217 S MAIN STREET
100 THF BLVD
201 SOUTH SALEM STREET
60 HARVESTER SQUARE
196 THF BLVD
1202 SO KIRKWOOD ROAD
3900 VOGEL RD
2855 VETERANS MEMORIAL PARKWAY
45 GRAVOI BLUFFS PLZ DR
5110 NORTH OAK TRAFFICWAY
10735 W FLORISSANT AVE
3740 MONTICELLO PLAZA DR
8551 N.BOARDWALK AVE.
3022 SOUTH BELT HWY
4100 BOLGER ROAD
3100 BROADWAY W
1253 WATERTOWER PL
7057 CHIPPEWA
1104 S 25TH STREET
10248 BIG BEND BLVD
710 MAIN
3650 STAR DUST DRIVE
1850 MAIDEN LN
300 ICHORD CTR
400 N MASSEY BLVD
4228 S NATIONAL
City
JACKSON
AURORA
BELTON
ST LOUIS
COLUMBIA
SPRINGFIELD
WENTZVILLE
CARTHAGE
MARYVILLE
CHESTERFIELD
OAK GROVE
ST CHARLES
CHESTERFIELD
KIRKWOOD
ARNOLD
SAINT CHARLES
FENTON
KANSAS CITY
FERGUSON
ST CHARLES
KANSAS CITY
ST JOSEPH
INDEPENDENCE
COLUMBIA
ARNOLD
SHREWSBURY
BETHANY
CRESTWOOD
PRINCETON
HANNIBAL
JOPLIN
WAYNESVILLE
NIXA
SPRINGFIELD
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
63755656056401263124652036580263385648366446863005640756330363005631226301063303630266411863136633046415464503640556520363010631196442463122646736340164801655836571465810Last Updated 12/21/2012
143
NABP #
2634500
2634512
2634550
2634601
2634637
2634649
2634663
2634726
2634752
2634776
2634839
2634942
2634992
2635021
2635209
2635235
2635259
2635312
2635437
2635499
2635514
2635615
2635627
2635716
2635780
2635906
2635970
2635994
2636059
2636112
2636136
2636148
2636225
2636352
Pharmacy Name
PHARMACY
PHARMACY
SHOP N SAVE PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
HY VEE PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
PHARMACY
A & R PHARMACY II INC
SMITTYS PHARMACY
WAL-MART PHARMACY
PHARMACY
HY VEE PHARMACY 2
HY VEE PHARMACY 2
SCHNUCKS PHARMACY
SHOP N SAVE PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
LLC
WAL-MART PHARMACY
SCHNUCKS PHARMACY
SAMS PHARMACY
HY VEE PHARMACY
SAMS PHARMACY
SHOP N SAVE PHARMACY
SCHNUCKS PHARMACY
HY VEE CLINIC
PHARMACY
WAL-MART PHARMACY
Address Line 1
3260 E BATTLEFIELD
2021 W REPUBLIC RD
10634 ST CHARLES ROCK RD
60 HAMPTON VILLAGE PLZ
1801 MISSOURI BLVD
9070 ST CHARLES ROCK RD
1701 WEST 133RD STREET
3536 HAMMONS BLVD
201 N BELT HWY
3865 GRAVOIS AVE
10805 OLD HALLS FERRY RD
49 N FLORISSANT RD
5504 N 17TH ST
445 E MILL ST
601 S JEFFERSON
103 WEST POLK ST
1730 S CAMPBELL
207 NE ENGLEWOOD ROAD
4545 SOUTH NOLAND ROAD
101 CIVIC CENTER DR
1023 CROSSROADS PL
2100 MAPLEWOOD COMMONS DR
1900 MAPLEWOOD COMMONS DRIVE
219 MAIN STREET
100 COMMERCIAL DRIVE
6083 MID RIVERS MALL DR
5201 N BELT HWY BLDG A
929 HIGHWAY D
101 CONLEY ROAD
1032 LEMAY FERRY RD
245 EAST FIFTH ST
5816 OSAGE BEACH PKWY STE 104
91 S MAIN ST
6100 RONALD REAGAN DRIVE
City
SPRINGFIELD
SPRINGFIELD
ST ANN
ST LOUIS
JEFFERSON CITY
ST JOHN
KANSAS CITY
JOPLIN
ST JOSEPH
ST LOUIS
ST LOUIS
FERGUSON
OZARK
LIBERTY
LEBANON
WARSAW
SPRINGFIELD
KANSAS CITY
INDEPENDENCE
LAKE ST LOUIS
HIGH RIDGE
MAPLEWOOD
MAPLEWOOD
PECULIAR
PINEVILLE
COTTLEVILLE
SAINT JOSEPH
OSAGE BEACH
COLUMBIA
ST LOUIS
EUREKA
OSAGE BEACH
CASSVILLE
LAKE ST LOUIS
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
658046580763074631096510963114641456480464506631166313663135657216406865536-3665
65355658076411864055633676304963143631436407864856633046450665065652016312563025650656562563367Last Updated 12/21/2012
144
NABP #
2636477
2636922
2637138
2637176
2637203
2637366
2637621
2637710
2637734
2637974
2638178
2638560
2638584
2638635
2638724
2638813
2639005
2639067
2639322
2639360
2639372
2639675
2639714
2639827
2701541
2243828
2704523
2704573
2704787
2704799
2704876
2704927
2705070
2705094
Pharmacy Name
SAMS PHARMACY
PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
TWIN CITY PHARMACY
SHOP N SAVE PHARMACY
HY VEE PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
WAL-MART PHARMACY
COCONUT SPECIALTY C
105477
SAM'S PHARMACY
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
HY-VEE PHARMACY #2
HY-VEE PHARMACY #3
SCHNUCKS PHARMACY
SCHNUCKS PHARMACY
SHOP N SAVE PHARMACY
SHOP N SAVE PHARMACY
SAMS PHARMACY
HY-VEE PHARMACY #3
HY-VEE PHARMACY
SMITHS PHARMACY #172
PHARMACY
KMART PHARMACY7029
KMART PHARMACY3749
KMART PHARMACY7030
KMART PHARMACY4303
KMART PHARMACY7027
KMART PHARMACY3094
WAL-MART PHARMACY
KMART PHARMACY4814
Address Line 1
4512 LEMAY FERRY ROAD
1211 PARKWAY SHOPPING CTR
7909 HWY N
2183 CHARBONIER RD
1447 US HWY 61
9521 LEWIS AND CLARK BLVD
3721 W TRUMAN BLVD
100 JUNGERMANN RD
196 MAYFAIR PLAZA SHOPPING CENTER
1101 BRANSON HILLS P
111 CROSSINGS W STE F
401 SUPERCENTER DR
745 W. EL CAMINO ALTO DR
3960 LINDELL BLVD
315 N 9TH ST
405 E NIFONG BLVD
25 CONLEY RD
1520 S BRENTWOOD BLVD
12921 ENTERPRISE WAY
4447 NATURAL BRIDGE AVE
500 W HWY 50
232 SHIRLEY DR
5330 NW 64TH ST
1720 WEST BATTLEFIELD ROAD
195 3RD AVE NE
22 STATE ST
1700 CEDAR STREET
3300 HARRISON AVENUE
2024 US HWY 2 E
2424 CENTRAL AVE
1126 NORTH 7TH AVE
1000 3RD STREET NW
3901 HARRISON AVENUE
3180 HIGHWAY 2 WEST
City
SAINT LOUIS
WEST PLAINS
DARDENNE PRAIRIE
FLORISSANT
CRYSTAL CITY
MOLINE ACRES
JEFFERSON CITY
ST PETERS
FLORISSANT
BRANSON
LAKE OZARK
JEFFERSON CITY
SPRINGFIELD
SAINT LOUIS
SAINT LOUIS
COLUMBIA
COLUMBIA
SAINT LOUIS
BRIDGETON
ST LOUIS
UNION
CAPE GIRARDEAU
KANSAS CITY
SPRINGFIELD
KALISPEL
LYNN
HELENA
BUTTE
KALISPELL
BILLINGS
BOZEMAN
GREAT FALLS
BUTTE
HAVRE
State
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MO
MT
MA
MT
MT
MT
MT
MT
MT
MT
MT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
63129657756336863031630196313665109633766303365616650496510165810-1800
63108-3204
63101-1403
65201-3708
65201-6477
63144-1407
63044-1206
63115-2698
63084-1996
63701-8478
64151-2414
658075990101901-1505
596015970159901-2999
5910259715594045970159501Last Updated 12/21/2012
145
NABP #
2705107
2705133
2705183
2705284
2705436
2705626
2705664
2705676
2705789
2705791
2705816
2705929
2705955
2705981
2705993
2706008
2706010
2706022
2706034
2706046
2706058
2706060
2706084
2706096
2706109
2706111
2706123
2706135
2706147
2706159
2706185
2706325
2706414
2706464
Pharmacy Name
WAL-MART PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #168
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
SMITHS PHARMACY #170
SMITHS PHARMACY #166
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
KMART PHARMACY3072
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2750 PROSPECT AVENUE
200 S 23RD
2525 KING AVE WEST
1500 NORTH 7TH AVENUE
4000 HWY 93 SOUTH
170 HUTTON RANCH RD
419 NUCLEUS AVE
701 SMELTER AVE N.E.
3205 STOWER STREET
170 HERITAGE LANE
6999 JACKRABBIT LN
1400 N 19TH AVE
1601 MARKET PLACE DRIVE
900 W IDAHO
117 W JANEAUX ST
2205 OXFORD ST
1212 GRAND AVE
307 N HARMON
611 N 27TH ST
511 CENTRAL
670 MAIN ST
2334 CENTRAL AVE
501 W MAIN
1414 3RD ST NW
2250 10TH AVE S
519 S HAYNES
1313 N FIRST ST
3137 GRAND AVE
2120 PARK ST S
2230 N RESERVE ST
3800 RUSSELL ST
3626 BROOKS ST
1649 MAIN STREET
3555 MULLAN ROAD
City
HELENA
BOZEMAN
BILLINGS
BOZEMAN
MISSOULA
KALISPELL
COLUMBIA FALLS
GREAT FALLS
MILES CITY
POLSON
BELGRADE
BOZEMAN
GREAT FALLS
KALISPELL
LEWISTOWN
MISSOULA
BILLINGS
GLENDIVE
BILLINGS
BILLINGS
BILLINGS
BILLINGS
CUT BANK
GREAT FALLS
GREAT FALLS
MILES CITY
HAMILTON
BILLINGS
LIVINGSTON
MISSOULA
MISSOULA
MISSOULA
BILLINGS
MISSOULA
State
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
MT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
59601597185910259715598045990159912594045930159860597145971559404599015945759801591025933059101591025910559102594275940459405593015984059102590475980859801598015910559808Last Updated 12/21/2012
146
NABP #
2764997
2783113
2783238
2783505
2783581
2802064
2809892
2809929
2810097
2810554
2810566
2810910
2811063
2812356
2812508
2812546
2812558
2812750
2812798
2812899
2812914
2813017
2813384
2813473
2813548
2813586
2813637
2813651
2813790
2813803
2813877
2813916
2813978
2813980
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
OSCO PHARMACY
SAMS PHARMACY
HOLCOMB PHARMACY PC
KMART PHARMACY3907
KMART PHARMACY7024
KMART PHARMACY4130
KMART PHARMACY7493
KMART PHARMACY7579
HY VEE PHARMACY 1
HY VEE PHARMACY 2
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 4
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 7
HY VEE PHARMACY 8
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 6
WAL-MART PHARMACY
KMART PHARMACY3814
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 4
WAL-MART PHARMACY
Address Line 1
401 NW BYPASS
3510 HIGHWAY 2 WEST
101 BERNHARDT RD
3151 N MONTANA
4420 KING AVE E
540 S 8TH AVE
3535 W 13TH STREET
802 E 27TH STREET
5000 L STREET
5808 S 144TH STREET
13450 MAPLE ROAD
5150 CENTER
1601 N 84TH STREET
2400 PASEWALK AVE
200 FRONTIER STREET
3010 E 23RD AVE N
818 EAST 23RD ST.
1902 WEST B
6001 VILLAGE DRIVE
3322 AVENUE
1326 280TH ROAD
5411 N. SECOND AVENUE
3505 L STREET
747 NORTH 132ND STREET
2250 NO. DIERS AVE
1601 CORNHUSKERS DRIVE
9707 Q STREET
101 EAST DAVID DRIVE
4700 SECOND AVE
3803 OSBORNE DRIVE WEST
1401 SOUTH DEWEY ST.
6304 NORTH 99TH STREET
10808 FORT STREET
8525 S. 71ST ST. PLAZA
City
GREAT FALLS
HAVRE
LAUREL
HELENA
BILLINGS
BROKEN BOW
GRAND ISLAND
SCOTTS BLUFF
OMAHA
OMAHA
OMAHA
OMAHA
LINCOLN
NORFOLK
LEXINGTON
FREMONT
COLUMBUS
MCCOOK
LINCOLN
SCOTTS BLUFF
SEWARD
KEARNEY
OMAHA
OMAHA
GRAND ISLAND
SOUTH SIOUX CITY
OMAHA
YORK
KEARNEY
HASTINGS
NORTH PLATTE
OMAHA
OMAHA
PAPILLION
State
MT
MT
MT
MT
MT
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
594045950159044-8702
59601591016882268803693616811768137681646810668505687016885068025686016900168516693616843468847681076815468803687766812768467688486890169101681226816468133Last Updated 12/21/2012
147
NABP #
2814259
2814350
2814362
2814893
2815047
2815059
2815061
2815186
2815263
2815388
2815578
2815667
2815744
2815960
2816001
2816037
2816049
2816051
2816063
2816075
2816087
2816099
2816140
2816152
2816188
2816532
2816633
2816671
2816734
2816746
2816823
2816835
2816847
2816859
Pharmacy Name
WAL-MART PHARMACY
HY VEE PHARMACY 2
WAL-MART PHARMACY
HY VEE PHARMACY 3
HY VEE PHARMACY 1
HY VEE PHARMACY 2
HY VEE PHARMACY 5
WAL-MART PHARMACY
HY VEE DRUGSTORE
HY VEE PHARMACY 5
HY VEE PHARMACY 3
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
HY VEE PHARMACY
BAKERS PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 9
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
BAKERS PHARMACY
Address Line 1
4700 N 27TH STREET
14591 STONY BROOK BLVD.
2831 HWY 15
5020 N 27TH STREET
120 E NORFOLK
2107 TAYLOR AVENUE
7910 CASS STREET
510 LINDEN STREET
8404 N 30TH STREET
7151 STACY LANE
8809 W CENTER ROAD
2268 33RD AVENUE
3620 NORTH 6TH STREET
10504 SOUTH 15TH STREET
5555 N 90TH ST
13250 W MAPLE RD
7312 N 30TH ST
888 SADDLECREEK RD
17370 LAKESIDE HILLS PLAZA
505 N 155TH PLAZA
1531 N BELL ST
18201 WRIGHT ST.
4900 NORTH 27TH STREET
2501 CORNHUSKER PLAZA
801 GALVIN RD
8700 ANDERMATT DRIVE
17810 WELCH PLAZA
3001 SILVERBERG DRIVE
13130 L STREET
12850 L STREET
840 EAST 23RD STREET
4405 N 72ND ST
12025 W CENTER RD
3614 TWIN CREEK DR
City
LINCOLN
OMAHA
FAIRBURY
LINCOLN
NORFOLK
NORFOLK
OMAHA
CHADRON
OMAHA
LINCOLN
OMAHA
COLUMBUS
BEATRICE
BELLEVUE
OMAHA
OMAHA
OMAHA
OMAHA
OMAHA
OMAHA
FREMONT
OMAHA
LINCOLN
SOUTH SIOUX CITY
BELLEVUE
LINCOLN
OMAHA
SIDNEY
OMAHA
OMAHA
FREMONT
OMAHA
OMAHA
BELLEVUE
State
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
68521681376835268521687016870168114693376811268516681246860168310681236813468164681126810668130681546802568130685216877668005685266813569162681376813768025681346814468123Last Updated 12/21/2012
148
NABP #
2816950
2817089
2817116
2817344
2817382
2817421
2817560
2817659
2817697
2817700
2817899
2817990
2818029
2818257
2818269
2818283
2900199
2902080
2902167
2902410
2902826
2902888
2903119
2903715
2903727
2903789
2903791
2903804
2903842
2903854
2903931
2904185
2904197
2904325
Pharmacy Name
HY VEE PHARMACY 10
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 7 LTC
WAL-MART PHARMACY
(7062)
(1460) LTC
(1478)
WAL-MART PHARMACY
COMPOUNDING
KMART PHARMACY3095
SMITHS PHARMACY #377
KMART PHARMACY4369
KMART PHARMACY3592
SMITHS PHARMACY #381
KMART PHARMACY3857
SMITHS PHARMACY #354
SMITHS PHARMACY #358
SMITHS PHARMACY #357
SMITHS PHARMACY #356
SMITHS PHARMACY #378
SMITHS PHARMACY #351
SMITHS PHARMACY #355
KMART PHARMACY3680
GREEN VALLEY DRUGS
SMITHS PHARMACY #350
SMITHS PHARMACY #383
Address Line 1
3410 NORTH 156TH STREET
3501 SOUTH LOCUST STREET
16960 WEST MAPLE ROAD
2101 S. 11TH STREET
111650 S 73RD ST
1800 EAST 29TH STREET
115 WILMAR AVE
5010 O STREET
1606 SOUTH 72ND STREET
3400 NORTH 85TH STREET
3505 L STREET
11350 WICKERSHAM BLVD
8404 N. 30TH
120 E. NORFOLK AVNUE
1000 SOUTH 178TH STREET
1882 HOLLY ST
3041 W HORIZON RIDGE PKWY
2671 LAS VEGAS BLVD N
850 SOUTH RANCHO DR
2975 E SAHARA AVE
5050 E BONANZA RD
830 SOUTH BOULDER HIGHWAY
732 SOUTH RACETRACK ROAD
3850 FLAMINGO RD
2540 MARYLAND PARKWAY
1255 BARING BLVD
599 EAST WILLIAMS ST
750 SOUTH MEADOWS PARKWAY
6130 W TROPICANA
450 NORTH NELLIS
3760 EAST SUNSET ROAD
1850 WHITNEY MESA
4600 EAST SUNSET BLVD
4440 N RANCHO DR
City
OMAHA
GRAND ISLAND
OMAHA
NEBRASKA CITY
PAPILLION
CRETE
GRAND ISLAND
LINCOLN
OMAHA
LINCOLN
OMAHA
GRETNA
OMAHA
NORFOLK
OMAHA
BLAIR
HENERSON
NORTH LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
HENDERSON
HENDERSON
LAS VEGAS
LAS VEGAS
SPARKS
CARSON CITY
RENO
LAS VEGAS
LAS VEGAS
LAS VEGAS
HENDERSON
HENDERSON
LAS VEGAS
State
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NE
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
68116688016811668410680466833368803685106812468507681076802868112687016811868008-6309
890528903089106891048911089015890158912189109894318970289521891038911089120890148901589130Last Updated 12/21/2012
149
NABP #
2904402
2904426
2904476
2904488
2904553
2904666
2904781
2904806
2904921
2904957
2904969
2904983
2905163
2905276
2905315
2905341
2905442
2905543
2905567
2905606
2905719
2905846
2906127
2906139
2906456
2906468
2906470
2906672
2906684
2906862
2906901
2906913
2907066
2907105
Pharmacy Name
WAL-MART PHARMACY
KMART PHARMACY3719
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3894
WAL-MART PHARMACY
SMITHS PHARMACY #385
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #341
SMITHS PHARMACY #389
SMITHS PHARMACY #388
WAL-MART PHARMACY
SMITHS PHARMACY #371
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #342
SMITHS PHARMACY #348
SMITHS PHARMACY #390
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #376
SAVON PHARMACY
SMITHS PHARMACY #344
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #370
SMITHS PHARMACY #364
Address Line 1
201 NORTH NELLIS BLVD
4500 NORTH RANCHO DRIVE
3615 SOUTH RAINBOW ROAD
6005 EASTERN AVE
3770 SOUTH HIGHWAY 395
2450 MOUNTAIN CITY HWY
3041 NORTH RAINBOW BLVD
2211 NORTH RAMPART
5500 BOULDER HWY
2851 GREEN VALLEY PKWY
190 N BOULDER HWY
1001 S RAINBOW BLVD
300 EAST LAKE MEAD DRIVE
2425 E 2ND ST
601 S HIGHWAY 160
1341 NORTH HIGHWAY 395
1740 MOUNTAIN CITY HIGHWAY
2944 MOUNTAIN CITY HWY
8555 WEST SAHARA AVE
4855 KIETZKE LANE
2333 RENO HIGHWAY
350 SANDHILL
1000 NO GREEN VALLEY PKWY
1855 WEST WENDOVER BLVD
1807 W. CRAIG RD
3010 POTATO ROAD
2310 E SERENE AVENUE
2385 E WINDMILL
1008 NEVADA HWY
175 LEMMON DRIVE
5200 S FORT APACHE ROAD
300 SOUTH HIGHWAY 160
3160 NORTH RAINBOW BLVD
PARKWAY
City
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
CARSON CITY
ELKO
LAS VEGAS
LAS VEGAS
LAS VEGAS
HENDERSON
HENDERSON
LAS VEGAS
HENDERSON
RENO
PAHRUMP
GARDNERVILLE
ELKO
ELKO
LAS VEGAS
RENO
FALLON
MESQUITE
HENDERSON
WENDOVER
N. LAS VEGAS
WINNEMUCCA
LAS VEGAS
LAS VEGAS
BOULDER CITY
RENO
LAS VEGAS
PAHRUMP
LAS VEGAS
LAS VEGAS
State
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
89110891308910389121897058980189108891288912289014890158910289015895128904889410898018980189117895028940689024890148988389032-0217
894458912389123890058950689148890488910889141Last Updated 12/21/2012
150
NABP #
2907181
2907232
2907282
2969268
2970968
2974384
2975297
2977342
2978584
2978813
2979500
2979839
2980426
2980539
2980642
2981000
2981113
2982242
2982797
2983042
2983268
2983371
2983600
2983713
2983939
2984400
2984626
2985084
2985426
2985539
2987139
2987468
2987571
2987684
Pharmacy Name
WAL-MART PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #361
SMITHS PHARMACY #392
SMITHS PHARMACY #347
SMITHS PHARMACY #346
SMITHS PHARMACY #345
KMART PHARMACY9389
SAMS PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #394
SAVON PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
KMART PHARMACY9819
SAMS PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #396
SAVON PHARMACY
SAMS PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #399
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SMITHS PHARMACY #366
SMITHS PHARMACY #372
SMITHS PHARMACY #365
Address Line 1
5260 WEST 7TH STREET
10140 W FLAMINGO RD
4700 WEST ANN ROAD
2200 HWY 50 E
9851 W CHARLESTON BLVD
10616 SOUTH EASTERN AVENUE
5564 CAMINO AL NORTE
7501 W WASHINGTON
1910 EAST SERENE
4350 NORTH NELLIS BLVD
9750 S MARYLAND PARKWAY
5881 E CHARLESTON BLVD
8080 WEST TROPICAL PKWY
8060 WEST TROPICAL PKWY
540 MARKS STREET
201 S STEPHANIE ST
575 COLLEGE DR
2885 E DESERT INN
4850 W CRAIG RD
10405 SOUTH EASTERN AVENUE
7175 SPRING MOUNTAIN ROAD
155 DAMONTE RANCH PKWY
9350 WEST FLAMINGO RD
10250 W CHARLESTON BLVD
5101 S PECOS ROAD
4055 S DURANGO DR
4840 W DESERT INN ROAD
8410 FARM RD
7151 W CRAIG RD
4505 WEST CHARLESTON BLVD
4835 KIETZKE LANE
55 S VALLE VERDE DRIVE
1421 N JONES BLVD
6150 W FLAMINGO ROAD
City
RENO
LAS VEGAS
LAS VEGAS
DAYTON
LAS VEGAS
HENDERSON
NORTH LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
HENDERSON
HENDERSON
HENDERSON
LAS VEGAS
LAS VEGAS
HENDERSON
LAS VEGAS
RENO
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
RENO
LAS VEGAS
LAS VEGAS
LAS VEGAS
State
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8952389147890318940389117890528903189128891238911589183-7119
8911089149891498901489012890158912189130890528911789511891478913589120891478910289131891298910289509890128910889103Last Updated 12/21/2012
151
NABP #
2987797
2988763
2988775
2988787
2988799
2989018
2989044
2989133
2989195
2989208
2989258
2989284
2989309
2989385
2989424
2989905
2989917
2989931
2989943
2990061
2990112
2990186
2990338
2990340
2990530
2990617
2990720
2990819
2990821
2990833
2990895
2991013
2991164
2992875
Pharmacy Name
SMITHS PHARMACY #363
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #349
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #332
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #334
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #338
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #311
SAVON PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAVON PHARMACY
SAV ON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
4015 S BUFFALO DRIVE
5850 WEST CRAIG ROAD
6151 WEST LAKE MEAD BLVD
490 EAST SILVERADO RANCH BLVD
5545 SIMMONS STREET
3010 W ANN RD
10100 WEST TROPICANA AVENUE
1401 AMERICAN PACIFIC DRIVE
6570 EAST LAKE MEAD BLVD
3200 MARKET STREET
7130 N DURANGO DRIVE
10440 WEST CHEYENNE AVENUE
5065 PYRAMID LAKE ROAD
1120 WEST PIONEER BLVD
2255 EAST CENTENNIAL PARKWAY
7445 SOUTH EASTERN AVE
6310 WEST CHARLESTON BLVD
6855 ALIANTE PARKWAY
1400 SOUTH LAMB BLVD
6464 NORTH DECATUR BLVD
7350 S RAINBOW BLVD
5198 BOULDER HIGHWAY
3950 WEST LAKE MEAD BLVD
8050 SOUTH RAINBOW BLVD
11720 W CHARLESTON BLVD
5940 LOSEE ROAD
2650 EAST CRAIG RD
7200 ARROYO CROSSING PARKWAY
1550 EAST NEWLANDS DRIVE
PARKWAY
7075 WEST ANN ROAD
4800 BLUE DIAMOND RD
3075 EAST TROPICANA
250 VISTA KNOLL PKWY
City
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
NORTH LAS VEGAS
NORTH LAS VEGAS
LAS VEGAS
HENDERSON
LAS VEGAS
CARSON CITY
LAS VEGAS
LAS VEGAS
SPARKS
MESQUITE
LAS VEGAS
LAS VEGAS
LAS VEGAS
NORTH LAS VEGAS
LAS VEGAS
NORTH LAS VEGAS
LAS VEGAS
LAS VEGAS
NORTH LAS VEGAS
LAS VEGAS
LAS VEGAS
N LAS VEGAS
LAS VEGAS
LAS VEGAS
FERNLEY
LAS VEGAS
LAS VEGAS
LAS VEGAS
LAS VEGAS
STEAD
State
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
NV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
89147891308910889123890318903189147890748915689706891498912989436890278908189123891468908489104890848913989122890328913989135-1572
890818903089118894088911389130891398912189506Last Updated 12/21/2012
152
NABP #
3000077
3000231
3000356
3000546
3000952
3001043
3001120
3001295
3002413
3003453
3003580
3003857
3003946
3004746
3004758
3004760
3004811
3004948
3004950
3004974
3005041
3005077
3005142
3005243
3005546
3005558
3005584
3005659
3005801
3005849
3005938
3006017
3006079
3006106
Pharmacy Name
EASTMANS PHARMACY
LLC
KENS PHARMACY INC
MODERN PHARMACY
INC
COLONIAL PHARMACY
OLIVER DRUG
HENNIKER PHARMACY
ROCHESTER
EPSOM
HOWES PHARMACY
HOLLIS PHARMACY
ASSOC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DOVER
WAL-MART PHARMACY
KMART PHARMACY7048
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
22 S MAIN ST
305 VILLAGE ST
36 ELM ST
5 CLINTON ST
129 MAIN ST
247 NEWPORT RD
103 BOULDER POINT DR
PROCTOR SQUARE
161 S MAIN ST
1912 DOVER
39 MAIN STREET
6 ASH ST
505 US ROUTE 4
59 WALTONS WAY
30 MANCHESTER ROAD
270 LAFAYETTE ROAD
85 ROUTE 101A
724 BRATTLEBORO RD
58 PLAISTOW ROAD
254 LOWELL ROAD
14 BOWEN STREET
344 LOUDON ROAD
750 US HWY 202
2460 LAFAYETTE ROAD
300-344 NORTH BROADWAY
17 COLBY COURT
39 E MAIN I 93 EXIT 20
118 CENTRAL AVE
116 FARMINGTON ROAD
RTE 12 A
1458 LAKE SHORE ROAD
561 MAIN STREET
615 MEADOW STREET
285 PLAINFIELD ROAD
City
HANOVER
PENACOOK
MANCHESTER
CONCORD
NASHUA
NEW LONDON
PLYMOUTH
HENNIKER
ROCHESTER
EPSOM
GOFFSTOWN
HOLLIS
ENFIELD
SOMERSWORTH
DERRY
SEABROOK
AMHERST
HINSDALE
PLAISTOW
HUDSON
CLAREMONT
CONCORD
RINDGE
PORTSMOUTH
SALEM
BEDFORD
TILTON
DOVER
ROCHESTER
WEST LEBANON
GILFORD
GORHAM
LITTLETON
WEST LEBANON
State
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
0375503303-4822
0310103301-2303
03060-2718
03257-0010
03264-3168
0324203867-3128
03234-0389
03045-1748
03049-0357
03748-0777
038780303803874030310345103865030510374303301034610380103079031100327603820038670378403249035810356103784Last Updated 12/21/2012
153
NABP #
3006271
3006295
3006346
3006384
3006411
3006459
3006461
3006497
3006574
3006815
3006827
3006839
3006877
3006889
3006930
3006954
3006966
3006978
3006992
3060566
3060681
3060756
3061051
3061188
3061241
3061265
3061277
3061304
3061316
3061366
3101273
3104003
3108102
3108342
Pharmacy Name
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
SAMS PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
SAMS PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
Z PHARMACY
WARNER PHARMACY INC
PHARMACY EXPRESS
CARE PHARMACY
SAMS PHARMACY
ARLINGTON PHARMACY
EASTPARK PHARMACY
GERARD'S PHARMACY
RITE CARE PHARMACY
Address Line 1
46 NORTH SOUTH ROAD
1150 EASTMAN RD
1400 LAKESHORE DR
55 CRYSTAL AVE
75 LACONIA RD
2200 WOODBURY AVE
300 KELLER ST
625 MEADOW ST
246 LOUDON RD
11 BATCHELDER ROAD
553 MAST RD
683 TENNEY MOUNTAIN HIGHWAY
300 MAIN ST
570 DANIEL WEBSTER HWY
7 WALMART BLVD
375 S WILLOW ST
276 W MAIN ST
35 FRESH RIVER ROAD
RT 102 OLD ORCHARD VIEW DR
100 SHAWS LN
43 INDIAN ROCK RD
7 CONTINENTAL BLVD
4901 DARTMOUTH COLLEGE HWY
3 COMMERCE DR
46 JOHN STARK HWY
239 SUNAPEE ST.
11 E. MAIN ST
68 SCHOOL ST
36 CENTER ST
304 SHEEP DAVIS RD
434 KEARNY AVE
1 ROSE ST
490 E MAIN ST # 102
630 CENTRAL AVE
City
NORTH CONWAY
CENTER CONWAY
GILFORD
DERRY
TILTON
NEWINGTON
MANCHESTER
LITTLETON
CONCORD
SEABROOK
GOFFTOWN
PLYMOUTH
NASHUA
MERRIMACK
HUDSON
MANCHESTER
HILLSBOROUGH
EPPING
LONDONDERRY
STRATHAM
WINDHAM
MERRIMACK
WOODSVILLE
HOOKSETT
NEWPORT
NEWPORT
WARNER
ALLENSTOWN
WOLFEBORO FALLS
CONCORD
KEARNY
WILLINGBORO
DENVILLE
EAST ORANGE
State
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NH
NJ
NJ
NJ
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
03860038130324903038032760380103103035610330103874030450326403060030540305103103032440304203053038850308703054037850310603773-1811
037730327803275-1978
03896-1012
03301-5736
070320804607834-2703
07018-1403
Last Updated 12/21/2012
154
NABP #
3109407
3109837
3110272
3111298
3111452
3112567
3116731
3117240
3117404
3117454
3119686
1720463
1936092
3122392
3122912
3123368
3123469
3126617
3126706
3126972
3127289
3128849
3129360
3129714
3130604
3130678
3130806
3131113
3132014
3132242
3132622
3132658
3132723
3132759
Pharmacy Name
GLEN RIDGE PHARMACY
ALBINI PHARMACY
SURGICAL
DRUG AND SURGICAL
PHARMACY
KAYES DRUG STORE
PHARMACY
MILLERS OF WYCOFF
MYERSON PHARMACY
PHARMACY
MEDICAL CENTER
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
PHARMACY
NORTH ASBURY DRUGS
PLAINS PHARMACY
INC
AMES DRUG STORE
CROPWELL PHARMACY
PHARMACY
BURGESS CHEMIST
J AND J PHARMACY
CENTER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
PETERSON PHARMACY
BURGESS CHEMIST
KMART PHARMACY3060
WAL-MART PHARMACY
KMART PHARMACY4478
KMART PHARMACY4470
KMART PHARMACY3027
Address Line 1
855 BLOOMFIELD AVE
401 ADAMS ST
753 BERGEN AVE
2168 MILLBURN AVE
1990 WASHINGTON VALLEY RD
1069 BERGEN ST
232 60TH ST
678 WYCKOFF AVE
1019 SUMMITT AVE
32 HINE ST
230 E RIDGEWOOD AVE
4794 E 13TH ST N
34025 LA HIGHWAY 16
103 SUMMIT AVE
501 BOULEVARD
806 5TH AVE
66 RT 23
501 JERSEY AVE
701 COLLINGS AVE
527 W OLD MARLTON PIKE
733 N BEERS ST
559 FRANKLIN AVENUE
527 CEDAR LN
1108 LIBERTY AVE
4454 BLACK HORSE PIKE
2087 SHORE RD
3845 BAYSHORE RD
125 N BROADWAY
56 BROAD ST
222 BRIDGETON PIKE
3501 ROUTE 42
1061 WHITEHORSE AVENUE
108 MONMOUTH ROAD
1468 CLEMENTON ROAD STE 325
City
GLEN RIDGE
HOBOKEN
JERSEY CITY
MAPLEWOOD
MARTINSVILLE
NEWARK
WEST NEW YORK
WYCKOFF
UNION CITY
PATERSON
PARAMUS
WICHITA
DENHAM SPRINGS
JERSEY CITY
KENILWORTH
ASBURY PARK
FRANKLIN
JERSEY CITY
COLLINGSWOOD
MARLTON
HOLMDEL
NUTLEY
TEANECK
HILLSIDE
MAYS LANDING
OCEAN VIEW
NORTH CAPE MAY
SOUTH AMBOY
BLOOMFIELD
MANTUA
TURNERSVILLE
TRENTON
BRANCH
CLEMENTON
State
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
KS
LA
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
07028-1307
07030-2699
07306-4705
070400883607112-9991
07093-2824
07481-1430
07087-5598
07503-2955
07652-3613
67208-2204
70706-8629
0730407033-1637
07712-5331
07416-2002
073020810708053-2041
07733-1513
0711007666-1710
07205-2191
08330082300820408879-1642
07003-2524
080510801208610-1424
0776408021Last Updated 12/21/2012
155
NABP #
3132824
3132886
3133016
3133131
3133371
3133434
3133903
3133953
3133977
3134424
3134474
3134791
3134804
3134931
3134955
3134967
3135313
3135969
3136125
3136163
3136175
3136707
3137177
3137317
3137329
2376906
3137331
3137343
3137456
3137747
3138117
3138547
3138662
3138838
Pharmacy Name
KMART PHARMACY3071
KMART PHARMACY3222
NUTRITION
KMART PHARMACY3522
KMART PHARMACY4397
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HAMILTON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3641
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
J T L PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
213 ROUTE 37 E
3850 SOUTH DELSEA DR
8416 KENNEDY BLVD
180 BROADWAY
140 US HIGHWAY ROUTE 10
265 ROUTE 73 NORTH
150 ROUTE 70 EAST
950 ROUTE 37 WEST
177 MARKET ST
525 RTE 72 WEST
1872 ROUTE 88
979 ROUTE 1 SOUTH
709 SOUTH BROADWAY
733 ROUTE 72 WEST
953 ROUTE 33
2091 ROUTE 130 N
631 MANTUA AVE
4620 BLACK HORSE PIKE
ROUTE 9 AND BETHEL RD
191 MAIN ST
2291 NORTH SECOND STREET
101 NASSAU PARK BLVD
4900 US HWY 9
415 EGG HARBOR RD
29 CORNWELL DR
26090 INGERSOL DR
531 HIGH ST FAIRGROUND PLZ
501 E EVESHAM RD
55 S WHITE HORSE PIKE
18 BROADWAY
11 S DENNIS RD
301 S MAIN RD
175 ROUTE 70 SHARP RUN PLZ
700 HADDONFIELD BERLIN RD
City
TOMS RIVER
VINELAND
NORTH BERGEN
ELMWOOD PARK
DOVER
WEST BERLIN
MARLTON
TOMS RIVER
PATERSON
MANAHAWKIN
BRICK
NORTH BRUNSWICK
PENNSVILLE
MANAHAWKIN
HAMILTON SQUARE
WILLINGBORO
WOODBURY
MAYS LANDING
SOMERS POINT
LITTLE FERRY
MILLVILLE
PRINCETON
HOWELL
SEWELL
BRIDGETON
NOVI
MOUNT HOLLY
RUNNEMEDE
HAMMONTON
BROWNS MILLS
HOUSE
VINELAND
MEDFORD
VOORHEES
State
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
MI
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
087530836007047074070780108091080530875507505-1507
0805008723089020807008050086900804608096083300824407643-1333
083320854307731080800830248375-1212
0806008070080370801508210083600805508043Last Updated 12/21/2012
156
NABP #
3138888
3138939
3139436
3139498
3139575
3139587
3140352
3140364
3140857
3140922
3140934
3141049
3141277
3141392
3141582
3141607
3141809
3141861
3141873
3142065
3142089
3142130
3142356
3142611
3143194
3143295
3143447
3143675
3143687
3143740
3143752
3143788
3143942
3144045
Pharmacy Name
KMART PHARMACY3825
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
SAVON PHARMACY
LINCOLN MED PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9133
LEGACY HEALTH DRUG
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
KMART PHARMACY7554
SAVON PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9395
SAVON PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
PHARMACY DEPT
SAVON PHARMACY
WAL-MART PHARMACY
Address Line 1
808 ROUTE 46
ROUTE 513 AND I 78
1300 US HIGHWAY 22
251 N BROADWAY
DELSEA DR AND HESTON RD
2200 MOUNT HOLLY RD
100 NO MAIN STREET
1303 CENTENNIAL AVE
145 NEWTONS CORNER RD
616 NEWMAN SPRINGS RD
941 LINCOLN AVE
461 RT 10 LEDGEWOOD MALL 29
RTE 9 RTE 47 RIO MALL
341 W MAIN ST
230 STATE HIGHWAY
260 DUNNS MILL RD
ROUTE 168 AND NICHOLSON RD
26 HAMPTON HOUSE RD ROUTE 206
1885 ROUTE 57 SUITE 100
KINGS HWY AND LENOLA RD
857 ROUTE 45
4594 RTE 9 SOUTH
329 SPEEDWELL AVE
1740 ROUTE 38
200 WHITE HORSE PIKE
425 US HWY 9
2080 NO BLACKHORSE PIKE
900 SPRINGFIELD ROAD
1126 ROUTE 9
1601 WEST EDGAR ROAD
290 HIGHWAY 18
917 FRANKLIN AVE
4400 S BROAD ST
40 INTERNATIONAL DRIVE SOUTH
City
PARSIPPANY
CLINTON
PHILLIPSBURG
PENNSVILLE
GLASSBORO
BURLINGTON
MANVILLE
PISCATAWAY
HOWELL
LINCROFT
GLEN ROCK
LEDGEWOOD
RIO GRANDE
FREEHOLD
FRANKLIN
BORDENTOWN
AUDUBON
NEWTON
HACKETTSTOWN
MAPLE SHADE
PILESGROVE
HOWELL
MORRIS PLAINS
LUMBERTON
LAWNSIDE
TUCKERTON
WILLIAMSTOWN
UNION
OLD BRIDGE
LINDEN
E BRUNSWICK
NEWARK
YARDVILLE
FLANDERS
State
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
0705408809088650807008016080160883508854077310773807452078520824207728074160850508106078600784008052080980773107950080480804508087080940708308857070360881607107-2809
0862007836Last Updated 12/21/2012
157
NABP #
3144261
3144413
3144641
3144730
3144831
3145047
3145059
3145061
3145148
3145186
3460336
3145477
3145489
3145566
3145782
3145794
3145807
3145833
3146049
3146087
3192111
3192123
3192135
3192337
3192363
3192399
3192426
3192616
3192729
3192868
3192957
3193098
3193175
3193252
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY9463
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
INMAN RX DRUGS
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
ALLTOWN PHARMACY
IRVING PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
COLFAX PHARMACY
WAL-MART PHARMACY
LLC
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY INC
PHARMACY
AND MEDICAL SUP
WAL-MART PHARMACY
WAL-MART PHARMACY
DOWNTOWN PHARMACY
WAL-MART PHARMACY
SURGICALS
PHARMACY
SAMS PHARMACY
Address Line 1
81 INTERNATIONAL DRIVE SOUTH
189 ROUTE 46 WEST
690 MILLBROOK AVE
250 NEW ROAD RT 9
1619 CENTER SQUARE RD
2106 MT HOLLY ROAD
2501 ROUTE 130 SOUTH
2521 ROUTE 130 SOUTH
976 INMAN AVE
700 MARKETPLACE BLVD
2750 NC 55 HWY
515 BERLIN CROSS KEYS RD
158 WYCKOFF RD
382 MAIN ST
3575 ROUTE 66 WEST
3576 ROUTE 22 WEST
1501 ROUTE 22 WEST
2510 BELMAR BLVD
300 WOOTTON STREET
518 ANDERSON AVE
300 PARK PLACE
400 PARK PLACE
306 US HIGHWAY 9 NORTH
500 ROUTE 38
268 MARTIN LUTHER KING BLVD
953 GARFIELD AVE
1409 WICKAPECKO DRIVE
839 ROUTE 130 NORTH
220 ENTERPRISE DRIVE
52 ESSEX ST
130 BLACKHORSE PIKE
200 PERRINE RD
90 WASHINGTON ST
320 WEST MAIN STREET
City
BUDD LAKE
SADDLE BROOK
RANDOLPH
SOMERS POINT
SWEDESBORO
BURLINGTON
CINNAMINSON
CINNAMINSON
EDISON
HAMILTON
CARY
SICKLERVILLE
EATONTOWN
PATERSON
NEPTUNE
STATION
WATCHUNG
WALL
BOONTON
CLIFFSIDE PARK
SECAUCUS
SECAUCUS
WOODBRIDGE
CHERRY HILL
NEWARK
JERSEY CITY
WANAMASSA
EAST WINDSOR
ROCKAWAY
JERSEY CITY
AUDUBON
OLD BRIDGE
EAST ORANGE
FREEHOLD
State
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NC
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
0782807663078690824408085080160807708077088200869127519-6205
080810772407501-2840
0775308889070690771907005070100709407094070950800207102073040771208520078660730208106088570701707728Last Updated 12/21/2012
158
NABP #
3193264
3193416
3193478
3193492
3193618
3193911
3193947
3194355
3194836
3195206
3195218
3195294
3195458
3195509
3195636
3195674
3196119
3196169
3196222
3196234
3196513
3196575
3196739
3197111
3197173
3197337
3197414
3197589
3197591
3197604
3197969
3198000
3198062
3198226
Pharmacy Name
WAL-MART PHARMACY
INC
PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
FEINSTEINS PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SPECIALTY SCRIPT
ROSEVILLE PHARMACY
WAL-MART PHARMACY
DEPT
WAL-MART PHARMACY
IDEAL PHARMACY CORP
HUDSON PHARMACY
PHARMACY
PHARMACY LLC
ESSEX PHARMACY
BOB'S PHARMACY
WAL-MART PHARMACY
PHARMACY
Address Line 1
326 WEST MAIN STREET
953 FRELINGHUYSEN AVE
393 CENTRAL AVE
1130 HIGHWAY 77
150 HARRISON AVE
48 ROUTE 23 NORTH
1025 WEST BLACK HORSE PIKE
3159 ROUTE 9 SOUTH
1900 EAST LINDEN AVE
2000 CLEMENTS BRIDGE RD
2000 CLEMENTS BRIDGE RD
2220 RT 27
204 E FRONT ST
1070 W LANDIS AVE
295 16TH AVENUE
298 STATE ST
1350 DELSEA DR
521 S BROAD ST.
580 RT 9 NORTH
150 RT 31
2100 88TH ST
901 W MAIN ST STE 162
500 ORANGE ST
174 PASSAIC ST
300 MAIN STREET
1 COOPERTOWN BLVD
2333 MORRIS AVE UNIT B # 101
5313 HUDSON AVE
605-607 S BROAD ST.
2707 MORRIS AVE
60 ESSEX ST STE 105
321 WASHINGTON AVE
500 BAYONNE CROSSING WAY
365 E NORTHFIELD RD
City
FREEHOLD
NEWARK
NEWARK
BRIDGETON
KEARNY
RIVERDALE
PLEASANTVILLE
RIO GRANDE
LINDEN
DEPTFORD
DEPTFORD
EDISON
PLAINFIELD
VINELAND
NEWARK
HACKENSACK
DEPTFORD
TRENTON
LANOKA HARBOR
FLEMINGTON
N. BERGEN
FREEHOLD
NEWARK
GARFIELD
KEANSBURG
SOMERDALE
UNION
WEST NEW YORK
ELIZABETH
UNION
ROCHELLE PARK
ELIZABETH
BAYONNE
LIVINGSTON
State
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
NJ
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
07728071140710308302-5988
070320745708232082420703608096080960881807060083600710307601080960861108734088220704707728-2537
0710707026077340808307083-5714
07093-2615
072020708307662-4347
0720207002-5305
07039-4810
Last Updated 12/21/2012
159
NABP #
3205689
3205730
3205742
3205956
3206047
3206061
3206073
3206085
3206302
3206415
3206528
3206720
3206821
3207037
3207049
3207051
3207075
3207087
3207099
3207102
3207188
3207241
3207289
3207417
3207455
3207479
3207493
3207607
3207669
3207760
3207796
3207811
3207835
3207912
Pharmacy Name
KMART PHARMACY4136
KMART PHARMACY3301
KMART PHARMACY4400
KMART PHARMACY3444
KMART PHARMACY3058
KMART PHARMACY7016
KMART PHARMACY7017
KMART PHARMACY7035
SMITHS PHARMACY #409
SMITHS PHARMACY #413
SMITHS PHARMACY #414
SMITHS PHARMACY #423
SMITHS PHARMACY #571
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #432
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #426
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #446
WAL-MART PHARMACY
KMART PHARMACY3682
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #439
KMART PHARMACY9119
Address Line 1
2100 CARLISLE AVE NE
1712 ST MICHAEL S DR
4208 CENTRAL AVE SW
9500 MONTGOMERY BLVD NE
1240 S EL PASEO RD
2220 NORTH GRIMES ST
1705 S MAIN ST
3000 EAST MAIN ST
600 EAST 20TH ST
1000 RIO RANCHO DR
2580 HWY 47 & 49
6125 4TH ST NW
1601 ARENAL SW
8000 ACADEMY ROAD NE
301 SAN MATEO BLVD SE
400 EUBANK BLVD NE
3251 CERILLOS RD
2701 CARLISLE BLVD NE
4600 EAST MAIN
31 SHERWOOD BLVD
571 S WALTON BLVD
3728 N PRINCE STREET
224 PASEO PUEBLO SUR
2401 S CANAL ST
926 PASEO DEL PUEBLO SUR
1800 W HWY 70
1650 WEST MALONEY AVE
6001 LOMAS NE
4500 A NORTH MAIN
1900 BATAAN MEMORIAL E
233 S NEW YORK AVE
3800 LOVINGTON HWY
4700 TRAMWAY NE
3201 N WHITE SAND BLVD
City
ALBUQUERQUE
SANTA FE
ALBUQUERQUE
ALBUQUERQUE
LAS CRUCES
HOBBS
ROSWELL
FARMINGTON
FARMINGTON
RIO RANCHO
LOS LUNAS
ALBUQUERQUE
ALBUQUERQUE
ALBUQUERQUE
ALBUQUERQUE
ALBUQUERQUE
SANTA FE
ALBUQUERQUE
FARMINGTON
WHITE ROCK
LAS CRUCES
CLOVIS
TAOS
CARLSBAD
TAOS
RUIDOSO DOWNS
GALLUP
ALBUQUERQUE
ROSWELL
LAS CRUCES
ALAMOGORDO
HOBBS
ALBUQUERQUE
ALAMOGORDO
State
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
87110875018710587111880018824088203-1899
87402-7698
87401871248703187107871058711187108871238750587110874028754488001881018757188220875718834687301871108820188011-6011
88310882408711188310Last Updated 12/21/2012
160
NABP #
3207936
3207962
3207986
3207998
3208027
3208508
3208546
3208736
3208990
3209029
3209461
3209891
3209942
3210022
3210111
3210212
3210313
3210440
3210476
3210488
3210490
3210503
3210515
3210527
3210539
3210630
3210642
3210743
3210779
3210844
3210856
3210868
3210995
3211048
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3551
SMITHS PHARMACY #427
KMART PHARMACY9267
SMITHS PHARMACY #450
SMITHS PHARMACY #448
KMART PHARMACY7755
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #461
SMITHS PHARMACY #424
SMITHS PHARMACY #459
SAMS PHARMACY
SAMS PHARMACY
SMITHS PHARMACY #499
SMITHS PHARMACY #498
SMITHS PHARMACY #497
SMITHS PHARMACY #496
SMITHS PHARMACY #485
SMITHS PHARMACY #494
SMITHS PHARMACY #491
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2501 HWY 180 EAST
2609 7TH STREET
01 I 25 INTERCHANGE
10224 COORS BYPASSNW
1640 RIO RANCHO DR
200 TRAMWAY SE
2307 WEST MAIN
8040 ACADEMY RD NE
8301 GOLF COURSE RD
1205 E PINE
1604 EAST SPRUCE STREET
1610 N RIVERSIDE DRIVE
1000 ROBERTS DRIVE
2308 CERRILLOS ROAD
02B HWY 344
8100 WYOMING NE SUITE A
10600 COORS BLVD BYPASS NW
300 EUBANK BLVD NE
901 CALIFORNIA
111 COORS RD NW
535 CENTRAL AVE
3701 CONSTITUTION NE
4016 LOUISIANA NE
5850 EUBANK NE
2110 PACHECO
2550 COORS BLDV NW
4500 EAST MAIN
2711 N. TELSHOR BLVD
2250 MAIN STREET NW
1550 SOUTH VALLEY DRIVE
1021 EAST PINE STREET
4201 RODEO ROAD
700 NORTH 6TH STREET
3500 COORS BLVD SW
City
SILVER CITY
LAS VEGAS
BELEN
ALBUQUERQUE
RIO RANCHO
ALBUQUERQUE
ARTESIA
ALBUQUERQUE
ALBUQUERQUE
DEMING
PORTALES
ESPANOLA
GRANTS
SANTA FE
EDGEWOOD
ALBUQUERQUE
ALBUQUERQUE
ALBUQUERQUE
SOCORRO
ALBUQUERQUE
LOS ALAMOS
ALBUQUERQUE
ALBUQUERQUE
ALBUQUERQUE
SANTA FE
ALBUQUERQUE
FARMINGTON
LAS CRUCES
LOS LUNAS
LAS CRUCES
DEMING
SANTA FE
SOCORRO
ALBUQUERQUE
State
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
88061877018700287114871248712388210871118712088030881308753287020875018701587109871148712387801871218754487110871108711187501871208740288011-8202
870318800588030875058780187105Last Updated 12/21/2012
161
NABP #
3211074
3211149
3211151
3211214
3211240
3211303
3211341
3211529
3211567
3211579
3211606
3211834
3212189
3300287
3301239
3301734
3301809
3302344
3302685
3303889
3304209
3304211
3304285
3304730
3305554
3305566
3305580
3305592
2588828
3306291
3306594
3306986
3307229
3307281
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #463
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FARMACIA APOTEK
KMART PHARMACY4726
DEAR DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7695
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SLATERS PHARMACY INC
WAL-MART PHARMACY
SAMS PHARMACY
MASON RX INC
SURGICALS
PHARMACEUTICAL
KMART PHARMACY9418
KMART PHARMACY9419
Address Line 1
604 NORTH 26TH STREET
1421 NORTH RENAISSANCE BLVD NE
8511 GOLF COURSE ROAD NW
901 UNSER BLVD SOUTHEAST
1400 WEST MAIN STREET
4400 NORTH MAIN STREET
9600 SAGE ROAD SW
4800 MCMAHON BLVD NW
460 NM HIGHWAY 528
86 STATE ROAD 344
2001 HR ASHBAUGH DR
2266 WYOMING BLVD NE
5701 HERRERA DRIVE
350 E FAIRMOUNT AVE
710 HORATIO ST
601 FRANK STOTTILE BLVD
317 S CASCADE DRIVE
753 E TREMONT AVENUE
975 FAIRMOUNT AVE WE
490 AVE P
1869 PLAZA DRIVE
4133 VETERANS MEMORIAL DRIVE
2801 W STATE STREET
41 ANAWANA LAKE ROAD
139 MERCHANT PLACE
5054 STATE HWY 23
407 HAWKINS AVE
161 CENTEREACH MALL
6080 U S HIGHWAY 98
1255 CASTLE HILL AVE
82 GLEN COVE RD STE 14
1981 MARCUS AVE
25301 ROCKAWAY TURNPIKE
6626 METROPOLITAN AVENUE
City
ARTESIA
ALBUQUERQUE
ALBUQUERQUE
RIO RANCHO
FARMINGTON
ROSWELL
ALBUQUERQUE
ALBUQUERQUE
BERNALILLO
EDGEWOOD
CONSEQUEN
ALBUQUERQUE
SANTA FE
LAKEWOOD
UTICA
KINGSTON
SPRINGVILLE
BRONX
JAMESTOWN
BROOKLYN
OLEAN
BATAVIA
OLEAN
MONTICELLO
COBLESKILL
ONEONTA
LAKE RONKONKOMA
CENTEREACH
HATTIESBURG
BRONX
GREENVALE
LAKE SUCCESS
ROSEDALE
MIDDLE VILLAGE
State
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NM
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
MS
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8821087107871148712487401882018712187114-5010
87004870158790187112875071475013502124011414110457147011122314760140201476012701120431382011779-4239
1172039402-8854
1046211548-1039
110421142211379Last Updated 12/21/2012
162
NABP #
3307293
3307407
3307495
3309867
3309982
3310036
3310430
3312179
3312648
3312698
3313169
3313626
3315048
3315377
3316533
3316723
3316898
3317129
3317662
3318260
3318537
3319476
3319488
3320835
3321813
3321825
3322017
3322106
3322257
3322283
3322346
3322447
3322651
3322726
Pharmacy Name
KMART PHARMACY9420
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ROBBINS PHARMACY
WAL-MART PHARMACY
LLC
WORLD PHARMACY INC
WAL-MART PHARMACY
KMART PHARMACY7749
ABC DRUGS
KMART PHARMACY7777
SHIMONS PHARMACY INC
WAL-MART PHARMACY
KAYS PHARMACY
WAL-MART PHARMACY
DUMONT PHARMACY
OF OSSINING
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9381
PHARMACY EXPRESS
WAL-MART PHARMACY
KINGS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ST ANTHONY PHARMACY
SAMS PHARMACY
CITY DRUGS INC
Address Line 1
1998 BRUCKNER BLVD
891 ROUTE 9
103 NORTH CAROLINE ST
5783 SO TRANSIT ROAD
5360 SOUTHWESTERN BLVD
1000 STATE ROUTE 36
5033 TRANSIT ROAD
128 GRAND ST
760 HOOSICK ROAD
440 E 138TH ST
1729 E 174TH STREET
2024 GENESEE STREET
1 PENN PLAZA 250 W 34TH STREET
1942 86TH ST
770 BROADWAY
115 LEE AVE
288 LARKIN
2201 BATH AVE
1320 ALTAMONT AVENUE
364 JUNIUS ST
162 CROTON AVE
250 RT 59
765 OLD COUNTRY ROAD
839 NEW YORK AVENUE
274 BRIGHTON BEACH AVE
1549 RT 9
194 BEACH 116TH ST
2150 CHILI AVENUE
819 BENNIE RD
4238 RECREATION DRIVE
3217 SILVERBACK LANE
3860 BROADWAY
2950 HORSEBLOCK RD
422 CHURCH AVE
City
BRONX
QUEENSBURY
HERKIMER
LOCKPORT
HAMBURG
HORNELL
CLARENCE
HUDSON
BRUNSWICK
BRONX
BRONX
ONEIDA
NEW YORK
BROOKLYN
NEW YORK
BROOKLYN
MONROE
BROOKLYN
ROTTERDAM
BROOKLYN
OSSINING
AIRMONT
RIVERHEAD
HUNTINGTON
BROOKLYN
HALFMOON
ROCKAWAY PARK
ROCHESTER
CORTLANDVILLE
CANANDAIGUA
PAINTED POST
NEW YORK
MEDFORD
BROOKLYN
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
1047312804133501409414075148431403110520-2398
1218010454104721342110119-0004
1121410003112111095011214-5603
123031121210562-4201
10901119011174311235120651169414624130451442414870100321176311218Last Updated 12/21/2012
163
NABP #
3322980
3323007
3323449
3323487
3323502
3323665
3323879
3324009
3324085
3324302
3324314
3324643
3324679
3324720
3324922
3324960
3325380
3326205
3326370
3326419
3326748
3326750
3326762
3326988
3327055
3327067
3327194
3327245
3327334
3327360
3327423
3327904
3328285
3328398
Pharmacy Name
KMART PHARMACY9462
CONGRESS PHARMACY
ANTELIS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GLEN COVE PHARM LLC
PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
INC
WAL-MART PHARMACY
KMART PHARMACY9542
WAL-MART PHARMACY
BROADWAY PHARMACY
ABA NOUB
PALMA CHEMIST
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
JW PHARMACY LLC
LTD
WOODHULL RX CENTER
ALDAV PHARMACY
TOWN TOTAL HEALTH
FALAK PHARMACY
SURGICAL INC
WAL-MART PHARMACY
Address Line 1
374 WINDSOR HIGHWAY STE 100
542 SOUTHERN BLVD
1502 ELM AVE
233 5TH AVE EXT
6788 RT 31 EAST
2465 HEMPSTEAD TURNPIKE
20 FOREST AVE
2315 65TH ST
5399 WEST GENESEE STREET
2405 VESTAL PKWY E
3949 ROUTE 31
2110G RICHMOND RD
200 DUTCH MEADOWS LANE
200 S WASHINGTON STREET
20823 NYS RT 3
88 08 55TH AVE
216 W 72ND ST
159 7TH AVE
3018 EAST AVENUE
1490 HUDSON AVENUE
56 WEST MERRITT BLVD
2441 VESTAL PARKWAY EAST
4765 COMMERCIAL DRIVE
297 GRANT AVENUE
700 ELM RIDGE CENTER DR
300 NORTH GALLERIA DR
141 02 NORTHERN BLVD
645 ROSSVILLE AVE
755 FLUSHING AVE
749 OCEAN PARKWAY
532 BROAD HOLLOW RD
2730 E TREMONT AVE
379 W 125TH ST
5555 PORTER ROAD
City
VAILS GATE
BRONX
BROOKLYN
JOHNSTOWN
NEWARK
EAST MEADOW
GLEN COVE
BROOKLYN
CAMILLUS
VESTAL
CLAY
STATEN ISLAND
GLENVILLE
HERKIMER
WATERTOWN
ELMHURST
NEW YORK
BROOKLYN
CENTRAL SQUARE
ROCHESTER
FISHKILL
VESTAL
NEW HARTFORD
AUBURN
ROCHESTER
MIDDLETOWN
FLUSHING
STATEN ISLAND
BROOKLYN
BROOKLYN
MELVILLE
BRONX
NEW YORK
NIAGARA FALLS
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
1258410455-3791
11230-5295
1209514513115541154211204130311385013041103061230213350136011137310023-2805
1121513036146211252413850134131302114626109401135410309-1752
11206112301174710461-2877
1002714304Last Updated 12/21/2012
164
NABP #
3328449
3328487
3329061
3329073
3329085
3329100
3329237
3329528
3329732
3329922
3330052
3330418
3330456
3330521
3330533
3330812
3330850
3330862
3331941
3332272
3332400
3332448
3332513
3333022
3333692
3333729
3334149
3334252
3334353
3334442
3334783
3334860
3335139
3335444
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DOWNTOWN PHARMACY
WAL-MART PHARMACY
METRO DRUGS
SURGICAL
TRIANGLE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7432
WAL-MART PHARMACY
FAMILY PHARMACY
TULSI PHARMACY
ABC PHARMACY
PRINCESS RX
SAMS PHARMACY
SURGICAL SUPPLI
WAL-MART PHARMACY
PANCARE PHARMACY INC
WAL-MART PHARMACY
WISE DRUGS
WAL-MART PHARMACY
INC
WYANDANCH DRUG
WAL-MART PHARMACY
WAL-MART PHARMACY
SURGICALS INC
WAL-MART PHARMACY
Address Line 1
341 ROUTE 104 EAST
4235 VETERAN DRIVE
3990 NESCONSET HIGHWAY
470 ROUTE 211 EAST
279 TROY ROAD
1850 VETERANS MEMORIAL HWY
1123 JERUSALEM AVENUE
165 WILLIAM ST
515 EAST 4TH STREET
13402 JAMAICA AVE
719 WEST 181 STREET
119 01 JAMAICA AVE
43 STEPHENVILLE ST
10401 BENNETT ROAD
6265 BROCKPORT SPENCERPORT RD
21082 PIONEER PLAZA ROAD
200 SUNRISE MALL
45-60 43RD ST
565 W 181ST
371 MCDONALD AVE
2061 ATLANTIC AVE
3735 UNION ROAD
1757 BATH AVE
100 THRUWAY PLAZA
22 BOWERY
1400 COUNTY RD 64
111 05 JAMAICA AVE
77 GREEN ACRES ROAD
88 31 37TH AVE
323 MERRITT AVE
26 WEST MERRITT BLVD
579 TROY SCHENECTADY ROAD
6112 FIFTH AVE
311 ROUTE 9W
City
OSWEGO
GENESEO
SOUTH SETAUKET
MIDDLETOWN
EAST GREENBUSH
ISLANDIA
UNIONDALE
NEW YORK
WATKINS GLEN
RICHMOND HILL
NEW YORK
RICHMOND HILL
MASSENA
FREDONIA
BROCKPORT
WATERTOWN
MASSAPEQUA
SUNNYSIDE
NEW YORK
BROOKLYN
BROOKLYN
CHEEKTOWAGA
BROOKLYN
CHEEKTOWAGA
NEW YORK
HORSEHEADS
RICHMOND HILL
VALLEY STREAM
JACKSON HEIGHTS
WYANDANCH
FISHKILL
LATHAM
BROOKLYN
GLENMONT
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
131261445411733109401206111749115531003814891114181003311418-2597
136621406314420136011175811104100331121811233142251121414225100131484511418-2323
11581113721179812524121101122012077Last Updated 12/21/2012
165
NABP #
3336155
3336876
3337082
3337323
3337373
3337436
3337715
3337842
3338375
3338604
3338793
3338818
3338995
3339113
3339187
3339620
2783846
3339872
3340116
3340128
3340243
3340712
3340786
3340849
3340851
3341017
3341031
3341435
3341536
2431497
3341776
3342728
3343061
3343693
Pharmacy Name
PRESCRIPTION CENTER
SAMS PHARMACY
ANDY PHARMACY INC
PHARMACY
139 PHARMACY INC
GALLERY DRUG
PHARMACY
CORPORATION
PHARMACY
FAIRVIEW PHARMACY
HARTLEY PHARMACY
DALIZA PHARMACY INC
FELICITY PHARMACY INC
JAROS DRUGS
CORP
THERESA PHARMACY
OSCO PHARMACY
REDWOOD APOTHECARY
WAL-MART PHARMACY
WAL-MART PHARMACY
CHEMISTS
PHARMACY INC
PINEBROOK PHARMACY
TOWER CHEMISTS
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GUSARS PHARMACY
MEGA PHARMACY LLC
WAL-MART PHARMACY
KOBLINS PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
CARE PLUS PHARMACY
Address Line 1
41 AVE A
1600 MARKETPLACE DR
3750 BROADWAY
350 NORTHERN BLVD
3415 BROADWAY
131 E 60TH ST
2832 LINDEN BLVD
52 W 39TH ST
3586 BROADWAY
4478 BROADWAY
1219 AMSTERDAM AVE
3481 BROADWAY
621 E TREMONT AVE
25 CENTRAL PARK W
158-14 CROSS BAY BLVD
3901 BROADWAY
1003 E BROADWAY ST
1280 ST NICHOLAS AVE
16 OLD GICK ROAD
25 CONSUMER SQUARE
60 FOREST AVE
116 65 QUEENS BLVD
1183 JEROME AVE
1219 FIRST AVE
2348 ROUTE 19
1220 OLD COUNTRY ROAD
135 FAIRGROUNDS MEMORIAL PKWY
458 BROADWAY
1560 GRAND CONCOURSE
1200 SHINGLE CREEK C
96 MAIN ST
351 FAIRVIEW AVENUE
3133 EAST MAIN ST
7010 18TH AVE
City
NEW YORK
HENRIETTA
NEW YORK
ALBANY
NEW YORK
NEW YORK
BROOKLYN
NEW YORK
NEW YORK
NEW YORK
NEW YORK
NEW YORK
BRONX
NEW YORK
HOWARD BEACH
NEW YORK
MISSOULA
NEW YORK
SPRINGS
PLATTSBURGH
LOCUST VALLEY
FOREST HILLS
BRONX
NEW YORK
WARSAW
WESTBURY
ITHACA
MONTICELLO
BRONX
BROOKLYN CENTER
NYACK
GREENPORT
MOHEGAN LAKE
BROOKLYN
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
MT
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
MN
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
10009-7268
14467100321220410031-7407
10022-1102
112081001810031-3201
100401002710031-5612
1045710023-7253
1141410032598021003312866129011156011375104521006514569115901485012701104575543010960-3196
125341054711204Last Updated 12/21/2012
166
NABP #
3343770
3344607
3344772
3344823
3344948
3345685
3346182
3346891
3348340
3348643
3348756
3348770
3348819
3348871
3349114
3349607
3349645
3349811
3350535
3350559
3351020
3351450
3351525
3351549
3351929
3352096
3352135
3352274
3352452
3352591
3352604
3352779
3352806
3353062
Pharmacy Name
PHARMACY INC
WAL-MART PHARMACY
INC
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
JUNCTION PHARMACY
CENTER INC
KMART PHARMACY7676
JANIS PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SUNRAY PHARMACY
SAMS PHARMACY
KMART PHARMACY9415
KMART PHARMACY9416
AND SURGICAL IN
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7451
SAMS PHARMACY
LLC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DOWNTOWN PHARMACY
INC
WAL-MART PHARMACY
WAL-MART PHARMACY
INC
1 STOP PHARMACY
PHARMACY INC.
Address Line 1
1422 AVENUE U
8064 BREWERTON ROAD
41 28 MAIN ST
1134 WICKER STREET
44 EAST POST ROAD
141 WASHINGTON AVE EXTENSION
2109 NOSTRAND AVE
1380 LORING AVE
171 DELAWARE AVENUE
455 S BROADWAY
275 MAIN STREET
7155 STATE ROUTE 12 SOUTH
25737 US ROUTE 11
1191 SUNRISE HIGHWAY
333 SAWMILL RIVER ROAD
987 RT 6 AND BALDWIN PLAZA
399 TARRYTOWN ROAD
400 E 141ST ST
1201 UNION AVE ROUTE 300
3290 SHERIDAN DR
13858 ROUTE 31 WEST
2078 STATE RTE 481 STATE 57
830 COUNTY ROAD 64
31 33 OLIVER ST
3222 STATE ROUTE 11
6438 BASILE ROWE
101 SANFORD FARM SHPG CENTER
19 BEEKMAN STREET
414 FLUSHING AVE
30 CATSKILL
85 CROOKED HILL ROAD
106 GRAHAM AVE
1220 AVE P
5905 8TH AVE
City
BROOKLYN
CICERO
FLUSHING
TICONDEROGA
WHITE PLAINS
ALBANY
BROOKLYN
BROOKLYN
SIDNEY
YONKERS
WHITE PLAINS
LOWVILLE
LERAY
BAY SHORE
ELMSFORD
MAHOPAC
WHITE PLAINS
BRONX
NEWBURGH
AMHERST
ALBION
FULTON
BIG FLATS
NEW YORK
MALONE
EAST SYRACUSE
AMSTERDAM
NEW YORK
BROOKLYN
CATSKILL
COMMACK
BROOKLYN
BROOKLYN
BROOKLYN
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
11229130391135512883106011220511210112081383810705-2338
106011336713637117061052310541106071045412550142281441113069149031003812953130571201010038112051241411725112061122911220Last Updated 12/21/2012
167
NABP #
3353137
3353175
3353199
3353656
3353769
3353771
3353783
3354088
3354850
2818358
3355345
3198668
3357426
3357945
3358505
3359064
3359949
3997155
3360360
3360651
3360726
3361502
3361653
4230683
3362225
3362326
3362679
3362794
3363241
3363304
3364192
3364281
3364469
3364534
Pharmacy Name
J RX PHARMACY
PHRM AND SURG IN
WAL-MART PHARMACY
AGUSTIN PHARMACY INC
KMART PHARMACY4871
KMART PHARMACY7608
WAL-MART PHARMACY
WAL-MART PHARMACY
MHN RX MELROSE INC
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
NEXTGEN PHARMACY
WAL-MART PHARMACY
PHARMACY
APS
BIG OAK PHARMACY
PHARMACY INC.
INC
PEN MILL PHARMACY
PHARMACY & SURGICAL
INC
SAMS PHARMACY
KMART PHARMACY4928
KEAP DRUGS INC
FARMACON ENT LTD
SUNSHINE PHARMACY
HAMILTON DRUG INC
GUNHILL PHARMACY
WAL-MART PHARMACY
PHARMACY
TOWN TOTAL HEALTH
HARLEM PHARMACY
Address Line 1
65 15 FRESH POND RD
1445 UNIONPORT RD
965 BROADHOLLOW RD
39 20 29TH ST
2280 NORTH OCEAN AVENUE
10 COBBLESTONE COURT DRIVE
425 ROUTE 31
5396 STATE HWY 12
730 COURTLANDT AVE
8480 ANDERMATT DR
5535 PORTER ROAD
1840 S BLACK HORSE PIKE
1818 STATE ROUTE 3
2483 86TH STREET
7494 US HIGHWAY 11
2450 MONTAUK HWY STORE B
61-16 COOPER AVE
364 W TRENTON AVE STE C
404 NEW LOTS AVE
5423 7TH AVE
1336 PENNISULA BLVD
161 MADISON AVE
1675 FLATBUSH AVE
3812 LIBERTY HWY STE 6
308 DIX AVENUE
361 BROADWAY
8007 5TH AVE
1622 VOORHIES AVE
5 HAMILTON PLACE
83 E GUNHILL RD
441 COMMERCE DR
4277 HEMPSTEAD TPKE
26-19 FRANCIS LEWIS BLVD
17 WEST 125TH ST
City
RIDGEWOOD
BRONX
FARMINGDALE
LONG ISLAND CITY
FARMINGVILLE
VICTOR
MACEDON
NORWICH
BRONX
LINCOLN
NIAGARA FALLS
WILLIAMSTOWN
FULTON
BROOKLYN
POTSDAM
BRIDGEHAMPTON
GLENDALE
MORRISVILLE
BROOKLYN
BROOKLYN
HEWLETT
NEW YORK
BROOKLYN
ANDERSON
QUEENSBURY
BROOKLYN
BROOKLYN
BROOKLYN
NEW YORK
BRONX
VICTOR
BETHPAGE
BAYSIDE
NEW YORK
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NE
NY
NJ
NY
NY
NY
NY
NY
PA
NY
NY
NY
NY
NY
SC
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
113851046211735111011173814564-1050
145021381510451685261430408094-3883
130691121413676119321135619067-2004
11207112201155710016-5421
11210-3946
29621-1344
1280411211-7396
11209-4088
1123510031-6801
1046714564117141135810027Last Updated 12/21/2012
168
NABP #
3364560
3364596
3364661
3364697
3364700
3364724
3364762
3364774
3364786
3364899
3364926
3365005
3365043
3198745
3365079
3365106
3365233
3365500
3365524
3365536
3366019
3366158
3366540
3366831
3368722
3368796
3369469
3370032
3370525
3370537
3370640
3371008
3371159
3371488
Pharmacy Name
PRESCRIPTION WORLD
WAL-MART PHARMACY
METCARE RX
METCARE RX
WAL-MART PHARMACY
METCARE RX
METCARE RX
METCARE RX
METCARE RX
BUFFALO DRUGS
METCARE RX
RJ PHARMACY, INC
MAYFLOWER PHARMACY
PHARMACY
KMART PHARMACY7171
KMART PHARMACY4176
RITE CHOICE PHARMACY
KMART PHARMACY3415
KMART PHARMACY9392
KMART PHARMACY4741
KMART PHARMACY3115
KMART PHARMACY3282
LLC
KMART PHARMACY4123
HEALTH WISE PHARMACY
KMART PHARMACY3521
BROOK PHCY
KMART PHARMACY3396
KMART PHARMACY4868
THREE JS PHARMACY INC
PHARMACY
PHARMACY
SURGICAL PHARMACY
TOWN DRUG
Address Line 1
711B SEAGIRT AVE
3000 FORD STREET EXTENSION
322 LAKE AVE
34 BENWOOD
750 MIDDLE COUNTRY ROAD
1515 BLONDELL AVE
305 E 161ST ST
462 GRIDER ST
480 GENESEE ST
183 BUFFALO AVE
360 EAST 193RD ST
2111 WILLIAMSBRIDGE RD
397 KINGS HWY
1177 STATE ROUTE 18
1460 FRENCH RD
2055 WALDEN AVE
39-41 EAST 170 STREET
1001 HERTEL AVENUE
349 ORCHARD PARK ROAD
8363 LEWISTON ROAD
3469 ERIE BLVD EAST
810 PAUL RD
392B BEDFORD PARK BLVD
2590 MILITARY RD
1233 NOSTRAND AVE
33 WEST STATE ST
530 E 138TH ST
635 DUTCHESS TURNPIKE
605 OLD COUNTRY ROAD
9012 ELMHURST AVE
4624 NEW UTRECHT AVE
125 01 101ST AVE
359 E MAIN ST
517 A LARKFIELD RD
City
FAR ROCKAWAY
OGDENSBURG
ROCHESTER
BUFFALO
MIDDLE ISLAND
BRONX
BRONX
BUFFALO
ROCHESTER
BROOKLYN
BRONX
BRONX
BROOKLYN
EAST BRUNSWICK
DEPEW
CHEEKTOWAGA
BRONX
BUFFALO
WEST SENECA
BATAVIA
DE WITT
ROCHESTER
BRONX
NIAGARA FALLS
BROOKLYN
BINGHAMTON
BRONX
POUGHKEEPSIE
RIVERHEAD
JACKSON HEIGHTS
BROOKLYN
RICHMOND HILL
MOUNT KISCO
EAST NORTHPORT
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NJ
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
11691-5730
1366914608142141195310461104511421514611112131045810461-1601
11223-1615
08816-4921
1404314225104521421614224140201321414624104581430411225-3844
1390110454-3008
12603-1900
1190111372-7936
1121911419-1411
10549-3028
11731Last Updated 12/21/2012
169
NABP #
3371628
3371755
3374206
3374307
3374319
3374662
3375866
3377252
3378824
3380552
3380730
3381009
3381744
3381984
3382239
3384889
3385792
3198771
3389409
3389512
3392379
3393016
3393066
3393294
3393357
3393749
3394222
3395426
3396240
3397002
3397141
3397177
3397343
3398129
Pharmacy Name
EMCON PHARMACY INC
WAL-MART PHARMACY
AND HOMECARE SUPP
KMART PHARMACY4034
KMART PHARMACY7044
TOWN DRUG
KMART PHARMACY7677
HILLSIDE PHARMACY
KELLYS PHARMACY
AMAR PHARMACY INC
MIDLAWN PHARMACY
SIMS PHARMACY INC
ALBANY PHARMACY INC
PARAS DRUGS
CONCORD DRUG
FARMACIA CENTRAL
RAY DRUG
PHARMACY
INC
SURGICALS
VARIETY DRUGS
KMART PHARMACY3600
CORP
VIVA PHARMACY
SURGICAL
THIS WAY PHARMACY
SURGICAL
PHARMACY
INC
SURGICAL
KMART PHARMACY3837
ESTABLISHED DRUGS INC
OF EAST NORTHPO
WAL-MART PHARMACY
Address Line 1
49 5TH AVE
5815 ROME TABERG ROAD
4747 NESCONSET HWY
2803 BREWERTON RD
57 CENTRE DRIVE
501 W 113 ST
121 BOLIVAR ROAD
184 20 HILLSIDE AVE
5825 5TH AVE
4446 BROADWAY
1043 HICKSVILLE RD
1711 PITKIN AVE
178 ALBANY AVE
2070 BATH AVE
138 50 84TH DRIVE
55A E GUN HILL RD
4043 BROADWAY
3196 KENNEDY BLVD
2712 AVE U
273 E 3RD STREET
169 33 137TH AVE
2 CAMPBELL ROAD
4914 NEW UTRECHT AVE
1494 ST NICHOLAS AVE
1796 CLOVE RD
3601 QUENTIN RD
428 WEST 59TH STREET
244 ROEBLING ST
27 EAST GUNHILL RD
371 1ST AVE
950 RIDGE RD
1743 NOSTRAND AVE
1842 E JERICHO TPKE
1200 MARKETPLACE DRIVE
City
BROOKLYN
ROME
STA
MATTYDALE
PLATTSBURGH
NEW YORK
WELLSVILLE
JAMAICA
BROOKLYN
NEW YORK
SEAFORD
BROOKLYN
BROOKLYN
BROOKLYN
JAMAICA
BRONX
NEW YORK
UNION CITY
BROOKLYN
NEW YORK
JAMAICA
SCHENECTADY
BROOKLYN
NEW YORK
STATEN ISLAND
BROOKLYN
NEW YORK
BROOKLYN
BRONX
NEW YORK
WEBSTER
BROOKLYN
HUNTINGTON
ROCHESTER
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NJ
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
11217-2043
13440117761321112901-6553
100251489511432-4858
112201004011783-1327
11212-6601
11213-2105
11214-4904
11435-1840
10467-2103
1003207087-2436
11229-5052
10009-6934
11434-4595
123061121910033-4022
10304-1694
11234-4203
1001911211-5664
104671001014580112261174314623Last Updated 12/21/2012
170
NABP #
3398383
3398648
3398749
4934558
3399549
3399551
3399929
3400025
3400431
3400897
3844429
3403920
3403932
3403994
3404023
3404059
3404845
3404869
3405455
3405594
3405734
3406344
3406609
3407461
3407536
3407548
3407702
3408045
3408071
3408805
3409403
3409439
3409756
3409794
Pharmacy Name
KMART PHARMACY3862
WAL-MART PHARMACY
STORE INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
5151 SUNRISE HWY
100 ELM RIDGE CENTER DR
20 W 135TH ST
15063 MAIN ST
1902 EMPIRE BLVD
1860 N RD
990 ROUTE 5 20
3420 SW DURHAM DR
9820 CALLABRIDGE COURT
683 S HUGHES BLVD
17711 JEAN WAY
1450 SKIBO ROAD
1624 NC 14 HIGHWAY
3240 WILKINSON BLVD
121 W. ELMSLEY DRIVE
930 HIGHWAY 711 EAST
1318 MEBANE OAKS ROAD
6711 NC HIGHWAY 135
701 HAWLEY AVENUE
530 SO. GRAHAM-HOPEDALE ROAD
2101 YOUNTS ROAD
2107 PYRAMID VILLAGE BLVD
300 HIGHLANDS SQUARE DRIVE
201 ZELKOVA COURT NW
1330 W. CLEMONSVILLE EXT.
300 TARRYTOWN CENTER
1112 NEWPOINT BLVD
5085 DAWN DRIVE
308 NC 55 WEST
4240 WINTERVILLE PARKWAY
7016 G B ALFORD HIGHWAY
2908 US HIGHWAY 70 WEST
561 YOPP ROAD
2505 LINCOLNTON HIGHWAY
City
BOHEMIA
GREECE
NEW YORK
BELLEVUE
WEBSTER
WATERLOO
GENEVA
DURHAM
CHARLOTTE
ELIZABETH CITY
LAKE OSWEGO
FAYETTEVILLE
REIDSVILLE
CHARLOTTE
GREENSBORO
PEMBROKE
MEBANE
MAYODAN
BELMONT
BURLINGTON
INDIAN TRAIL
GREENSBORO
HENDERSONVILLE
CONOVER
WINSTON SALEM
ROCKY MOUNT
LELAND
LUMBERTON
MOUNT OLIVE
WINTERVILLE
HOLLY SPRINGS
GOLDSBORO
JACKSONVILLE
CHERRYVILLE
State
NY
NY
NY
WA
NY
NY
NY
NC
NC
NC
OR
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
117161462610037-2534
98007-5225
14580131651445627707282162790997035-5305
2830327320282082740628372273022702728012272172807927405287922861327127278042845128360283652859027540275302854028021Last Updated 12/21/2012
171
NABP #
3410230
3410242
3410254
3410266
3410280
3412044
5133119
5133121
3413084
3413197
3413553
3413844
3414086
3414529
3414567
5643475
5643499
5643514
5643526
5643538
3415127
3415153
3415280
3415367
3415393
3415583
3415595
3415610
3415646
3415696
3416155
3416408
3417068
3417157
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3253
KMART PHARMACY4716
KMART PHARMACY4450
KMART PHARMACY4955
SAM'S PHARMACY 106668
4334
THE ART OF PHARMACY
TBT PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
BEST CHOICE PHARMACY
KMART PHARMACY7060
KMART PHARMACY4112
WAL-MART PHARMACY
KMART PHARMACY7080
WAL-MART PHARMACY
KMART PHARMACY4956
KMART PHARMACY3116
KMART PHARMACY4961
KMART PHARMACY3852
WAL-MART PHARMACY
KMART PHARMACY4137
KMART PHARMACY3428
KMART PHARMACY7254
WAL-MART PHARMACY
Address Line 1
566 HIGHWAY 70 WEST
7131 HIGHWAY 73
4780 HICKORY BLVD
1205 EASTERN AVE
841 EAST GANNON AVE
2710 NORTH MAIN STREET
4001 GATEWAY DR
3850 N 124TH ST
1001 SHILOH GLENN DR
4 S TUNNEL RD
720 SUTTERS CREEK BLVD
4500 WESTERN BLVD
4300 FAYETTEVILLE ROAD
1101 SHILOH GLENN DR
25 NORTH BRIDGE COMMONS PKWY
731 1/2 N LA BREA AVE
6552 BOLSA AVE
3300 BROADWAY BASHORE MALL
1550 LEUCADIA BLVD
4229 BIRCH ST STE 100
706 E DIXON BLVD
1001 PATTON AVE
1876 W MAIN ST
703 E GREENVILLE BLVD
5825 THUNDER RD
1302 BRIDFORD PARKWAY
815 S COLLEGE RD
529 HUFFMAN MILL ROAD
815 E INNES ST
5141 NC HWY 42
2701 FREEDOM DR
2690 PETERS CREEK PARKWAY
2515 HORNER BLVD
3151 APEX
City
HAVELOCK
DENVER
GRANITE FALLS
NASHVILLE
ZEBULON
HIGHT POINT
EAU CLAIRE
WAUWATOSA
MORRISVILLE
ASHEVILLE
ROCKY MOUNT
RALEIGH
RALEIGH
MORRISVILLE
WEAVERVILLE
LOS ANGELES
BEACH
EUREKA
ENCINITAS
NEWPORT BEACH
SHELBY
ASHEVILLE
LOCUST
GREENVILLE
CONCORD
GREENSBORO
WILMINGTON
BURLINGTON
SALISBURY
GARNER
CHARLOTTE
WINSTONSALEM
SANFORD
APEX
State
NC
NC
NC
NC
NC
NC
WI
WI
NC
NC
NC
NC
NC
NC
NC
CA
CA
CA
CA
CA
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2853228037286012785627597272655470153222-2104
2756028805278042760627603275602878790038-3338
92647-2660
9550192024-2371
92660-1959
2815028806280972785828027274072840127215281442752928208271272733027502Last Updated 12/21/2012
172
NABP #
3417359
3417361
3417474
3418135
3418298
3418301
3418692
3419783
3419896
3419959
3420510
3420976
3423023
3423592
3423972
3423996
3424051
3424087
3424099
3424227
3424277
3424467
3424479
3424669
3424695
3424912
3424948
3424998
3425065
3425091
3425178
3425180
3425281
3425293
Pharmacy Name
KMART PHARMACY7276
KMART PHARMACY7278
KMART PHARMACY3442
KMART PHARMACY7361
KMART PHARMACY7407
KMART PHARMACY9619
SAMS PHARMACY
KMART PHARMACY4777
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7382
KMART PHARMACY7340
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3632
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3667
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1830 HENDERSONVILLE RD
2850 S MAIN ST
6200 CAPITAL BLVD
1628 N QUEEN ST
2120 W ROOSEVELT BLVD
4915A ARENDELL ST
1170 WESTERN BLVD
10500 CENTRUM PARKWAY
1636 HENDERSONVILLE RD
4545 FAYETTVILLE RD
1800 FOUR SEASONS BLVD
4215 UNIVERSITY DR STE A 2
2406 W ROOSEVELT BLV
720 E HIGHWAY 74 BUSINESS
197 PLAZA DRIVE
2525 HWY 70 SE
2241 ROCKFORD ST
150 CONCORD COMMONS
705 EAST DIXON BLVD.
935 BLOWING ROCK BLVD
250 TURNER STREET
1227 BURKEMONT AVENUE
261 COOPER CREEK DRIVE
508K 10TH STREET NW
2330 HIGHWAY 19
901 NC HIGHWAY 16 SOUTH
781 LEONARD AVENUE
60 AIRPORT RD
8701 SIX FORKS ROAD
1347 WEST BROAD
1226 EAST DIXIE DRIVE
5070 FAYETTEVILLE
1002 N SPENCE AVE.
169 NORMAN STATION BLVD
City
ASHEVILLE
HIGH POINT
RALEIGH
KINSTON
MONROE
MOREHEAD CITY
JACKSONVILLE
PINEVILLE
ASHEVILLE
RAEFORD
HENDERSONVILLE
DURHAM
MONROE
ROCKINGHAM
FOREST CITY
HICKORY
MOUNT AIRY
CONCORD
SHELBY
LENOIR
ABERDEEN
MORGANTON
MOCKSVILLE
CONOVER
MURPHY
TAYLORSVILLE
ALBEMARLE
ARDEN
RALEIGH
ELIZABETHTOWN
ASHEBORO
LUMBERTON
GOLDSBORO
MOORESVILLE
State
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
288032726327616-2997
285012811028557-2792
285462813428803-3120
28376287922770728110283792804328602270302802728150286452831528655270282861328906286812800128704-9405
276152833727203283582753428117Last Updated 12/21/2012
173
NABP #
3425306
3425421
3425558
3425560
3425596
3425736
3425748
3425750
3425774
3425914
3425938
3425988
3425990
3426005
3426081
3426093
3426144
3426156
3426257
3426269
3426308
3426346
3426411
3426574
3426586
3426651
3426675
3426687
3426699
3426702
3426714
3426889
3426916
3426980
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7626
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3815
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3808
WAL-MART PHARMACY
Address Line 1
590 JACKSON BLVD
1511 BENVENUE RD.
305 HOLLY SPRINGS PLAZA
250 HIGHLANDS SQUARE
2004 HWY 74 W
4601 RAMSEY STREET
200 COLUMBUS CORNERS DRIVE
306 N GENERALS BLVD
3105 MLK JR BLVD
1550 SKIBO ROAD
6300 150 CREEDMOOR RD
1049 DURHAM ROAD, SUITE A
2099 N BRIDGE STREET
3141 GARDEN ROAD
901 US HWY 401 BYPASS
1801 US HWY
501 HAMPTON POINTE BLVD
670 LILLINGTON HWY
2025 N MARINE ROAD
5226 SIGMON ROAD
1299 NORTH BRIGHTLEAF
300 HIGHWAY 24
1209 RUSS AVENUE
715 NORTH NORWOOD
570 PAMLICO PLAZA
160 LOWES BLVD
175 FREEDOM WAY SUITE 24
1527 GARNER STATION BLVD
210 GREENVILLE BLVD
3000 EAST FRANKLIN BLVD
3209 PINEVILLE MATTHEWS RD
5135 CAROLINA BEACH ROAD
1530 EAST BROAD ST
101 TANGLEWOOD PKWY
City
ERWIN
ROCKY MOUNT
FRANKLIN
HENDERSONVILLE
WADESBORO
FAYETTEVILLE
WHITEVILLE
LINCOLNTON
NEW BERN
FAYETTEVILLE
RALEIGH
ROXBORO
ELKIN
BURLINGTON
LAURINBURG
WILKESBORO
HILLSBOROUGH
SPRING LAKE
JACKSONVILLE
WILMINGTON
SMITHFIELD
MOREHEAD CITY
WAYNESVILLE
WALLACE
WASHINGTON
LEXINGTON
MIDWAY PARK
RALEIGH
GREENVILLE
GASTONIA
CHARLOTTE
WILMINGTON
STATESVILLE
ELIZABETH CITY
State
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
28339278042873428792281702831128472280922856228303276122757328621272152835228697272782839028546284032757728557287862846627889272922854427603278342805628226284122867727909Last Updated 12/21/2012
174
NABP #
3427069
3427158
3427160
3427211
3427348
3427350
3427401
3427413
3427475
3427487
3427665
3427778
3427780
3427805
3427994
3428061
3428112
3428124
3428201
3428249
3428403
3428477
3428491
3428530
3428605
3428617
3428667
3428794
3428807
3428910
3428922
3428934
3429037
3429152
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9549
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3925
KMART PHARMACY3886
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7622
KMART PHARMACY4872
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7420
WAL-MART PHARMACY
KMART PHARMACY4757
KMART PHARMACY4826
KMART PHARMACY3744
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
8180 SOUTH TRYON STREET
323 SO. ARLINGTON ST.
125 BLEACHERY BLVD
251 PREMIER BLVD
304 E ARBOR LANE
3500 ROXBORO STREET
1529 WASHINGTON ST.
714 GRANVILLE CORNERS
4101 W VERNON AVENUE
157 PARAGON PARKWAY
3850 E INDEPENDENCE BLVD
3738 N BATTLEGROUND AVE
1116 CROSSROADS DRIVE
110 112 BOST RD
2628 SOUTH MAIN STREET
2875 SUGAR HILL RD
6600 GLENWOOD AVENUE
1122 RANDOLPH ST
980 BREVARD ROAD
3310 NC 87 SO
4540 MAIN ST. B 3079
7106 KNIGHTDALE BLVD
300 WESTGATE PLZ
804 N BROAD STREET
177 FOREST GATE DRIVE
9101 ALBEMARLE ROAD
320 EAST HANES MILL ROAD
2750 ROBERTS AVENUE
4424 WEST WENDOVER AVE.
102 NEW MARKET PLAZA
1931 SKIBO ROAD
1901 N CROATAN HIGHWAY
1532 1556 E MEMORIAL DR
705 RETAIL WAY
City
CHARLOTTE
SALISBURY
ASHEVILLE
ROANOKE RAPIDS
EDEN
DURHAM
WILLIAMSTON
OXFORD
KINSTON
CLYDE
CHARLOTTE
GREENSBORO
STATESVILLE
MORGANTON
HIGH POINT
MARION
RALEIGH
THOMASVILLE
ASHVILLE
SANFORD
SHALLOTTE
KNIGHTDALE
FRANKLIN
BREVARD
PISGAH FOREST
CHARLOTTE
WINSTON-SALEM
LUMBERTON
GREENSBORO
MADISON
FAYETTEVILLE
KILL DEVIL HILLS
AHOSKIE
LOUISBURG
State
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2827328144288052787027288277042789227565285042872128205274102862528655272632875227612273602880627330284592754528734-9012
2871228768282272710528358274072702528314279482791027549Last Updated 12/21/2012
175
NABP #
3429291
3429392
3429568
3429708
3429710
3429772
3429823
3430206
3430662
3430698
3430941
3431020
3431032
3431385
3431727
3431739
3432224
3432414
3432426
3432553
3432630
3432818
3432945
3434711
3435573
3435585
3436258
3436373
3436501
3437262
3437274
3437286
3437298
3437868
Pharmacy Name
KMART PHARMACY7208
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4866
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY4758
KMART PHARMACY9547
KMART PHARMACY9563
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
2455 LEWISVILLECLEMMONS RD POB
5400 N CROATAN HWY/SUITE 100
2500 FORREST HILLS
3580 EAST FRANKLIN
1725 NEW HOPE CHURCH ROAD
2420 SUPERCENTER DRIVE N.E.
4111 101 NEW BERN AVE
7905 FALLS OF THE NEUSE RD
545 CONCORD PARKWAY NORTH
1620 BLOWING ROCK ROAD
1623 WAY
5116 NORTH ROXBORO ROAD
8709 J W CLAY BLVD
200 NORTH COOPER ROAD
5450 NEW HOPE COMMONS DRIVE
2010 KILDAIRE FARM ROAD
210 WAL-MART PLAZA
350 SIX FORKS ROAD
1273 NW MAYNARD ROAD
8345 CREEDMOOR ROAD
940 U.S. 64 HIGHWAY
200 WATAUGA VILLAGE DRIVE
2680 TIMBER DRIVE
4550 KESTER MILL ROAD
1802 NORTH POINTE DRIVE
202 NC HWY 54
1415 SUNSET AVENUE
1021 HIGH POINT ROAD
3457 HILLSBOROUGH ROAD
110 RIVER OAKS DRIVE
2514 HALLTOWN ROAD
1675 NORTH HOWE STREET
1130 SOUTH MAIN STREET
11425 CAROLINA PLACE PARKWAY
City
CLEMMONS
KITTY HAWK
WILSON
GASTONIA
RALEIGH
KANNAPOLIS
RALEIGH
RALEIGH
CONCORD
BOONE
REIDSVILLE
DURHAM
CHARLOTTE
HENDERSON
DURHAM
CARY
SYLVA
RALEIGH
CARY
RALEIGH
APEX
BOONE
GARNER
WINSTONSALEM
DURHAM
DURHAM
CLINTON
RANDLEMAN
DURHAM
TARBORO
SPRUCE PINE
SOUTHPORT
KERNERSVILLE
PINEVILLE
State
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
270122794927893280542760928083276102761528027286072732027704-1420
2826227536277072751128779276092751327613-1385
27523-7184
28607275292710327705277132832827317277052788628777284612728428134Last Updated 12/21/2012
176
NABP #
3437882
3437995
3438175
3438240
3438529
3439115
3439139
3439191
3439204
3439228
3439444
3439610
3439759
3439761
3439836
3439913
3440207
3440310
3440358
3440550
3440738
3440803
3441083
3441691
3441817
3441944
3441956
3442061
3442073
3458115
3458189
3458646
3459181
3459206
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
CLINIC PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
14215 U.S. HWY 64 WEST
201 MONTGOMERY CROSSING
645 PATTON AVENUE
3001 CALVARY DRIVE
3030 NORTH MAIN
930 HANES MALL BLVD
1489 MOUNT JEFFERSON ROAD
412 S COLLEGE ROAD
2435 HWY 70 SE
3540 EAST FRANKLIN BLVD
1051 EAST BROAD STREET
8909 JW CLAY BLVD
1585 LIBERTY DRIVE SUITE 1
7701 SOUTH RAEFORD ROAD
1801 WINDSOR SQUARE DR
1371 E BROAD ST
1610 MARTIN LUTHER KING JR BLVD
284 SUMMIT SQUARE BLVD
3825 S ROXBORO ST STE101
4418 W WENDOVER AVE
12873 US 70 BUS HWY WEST
2421 SUPERCENTER DRIVE NE
10050 GLENWOOD AVENUE
223 NORTH MYRTLE SCHOOL ROAD
2114 SOUTH MAIN STREET
4005 CHAPEL HILL BLVD
4431 NEW BERN AVENUE
1830 GALLERIA BLVD
2537 SOUTH SAUNDERS STREET
8000 TOWN DR
15 REGIONAL DR
139 N HWY 49
1010 MARTIN LUTHER KING PKWY
905 SE 2ND ST
City
SILER CITY
BISCOE
ASHEVILLE
RALEIGH
HOPE MILLS
WINSTON-SALEM
WEST JEFFERSON
WILMINGTON
HICKORY
GASTONIA
FUQUAYVARINA
CHARLOTTE
THOMASVILLE
FAYETTEVILLE
MATTHEWS
FUQUAY VARINA
RALEIGH
WINSTONSALEM
DURHAM
GREENSBORO
CLAYTON
KANNAPOLIS
RALEIGH
GASTONIA
WAKE FOREST
DURHAM
RALEIGH
CHARLOTTE
RALEIGH
RALEIGH
PINEHURST
RICHFIELD
DURHAM
SNOW HILL
State
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
NC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
27344272092880627604283482710328694284032860228056275262826227360283042810527526276102710527713-4700
274072752028025276172805227587277072761028270276032761628374-8850
2813727713-3139
28580-1634
Last Updated 12/21/2012
177
NABP #
3459307
3459369
3459371
2431221
3610309
3631769
3632266
3632545
3632557
3632569
3633028
3633307
3633319
3633345
3633511
3633559
3633561
3633636
3633650
3633814
3633852
3633864
3634082
3634107
3634436
3634448
3634450
3634462
3634943
3634955
3635248
3635870
3636125
3636226
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY-VEE PHARMACY (1183)
NORTH OLMSTED
KMART PHARMACY4937
KROGER PHARMACY
KMART PHARMACY3407
KMART PHARMACY3410
KMART PHARMACY4175
KROGER PHARMACY
KMART PHARMACY3033
KMART PHARMACY3111
KMART PHARMACY4179
KMART PHARMACY3302
KMART PHARMACY4168
KMART PHARMACY4169
KMART PHARMACY4910
KROGER PHARMACY
KMART PHARMACY3420
KMART PHARMACY4229
KMART PHARMACY7131
KROGER PHARMACY
KMART PHARMACY4966
KMART PHARMACY3278
KMART PHARMACY7723
KMART PHARMACY4233
KMART PHARMACY4257
KMART PHARMACY3170
KMART PHARMACY4939
KMART PHARMACY9611
KROGER PHARMACY
KMART PHARMACY7209
KROGER PHARMACY
Address Line 1
189 HICKORY TREE RD
1593 NC HWY 86 N
182 N CAROLINA 102 E
907 S STATE ST
25300 LORAIN RD
1470 N BRIDGE STREET
55 WEST SCHROCK ROAD
4480 INDIAN RIPPLE RD
1284 BRICE RD
3801 HARMONT AVE NE
2917 ALEXBELL ROAD
224E DAYTONYELLOW SPR RD
360 W NATIONAL RD
601 WOODMAN DR
1801 W ALEXIS RD
2830 NAVARRE RD
2600 LINCOLN WAY E
9200 MENTOR AVENUE
560 WESSEL DRIVE
225 WEST AVENUE
4475 MAHONING AVE
1627 MEMORIAL DRIVE
1735 NORTH MEMORIAL DRIVE
7700 BROOKPARK ROAD
12501 ROCKSIDE
5353 SALEM AVENUE
1209 BOARDMAN POLAND RD
17840 BAGLEY RD
3515 N MAPLE AVE
2100 NILES CORTLAND ROAD SE
200 W MAIN ST
245 DEO DRIVE
15891 STATE RT 170
1024 S SMITHVILLE RD
City
MIDWAY
YANCEYVILLE
AYDEN
FAIRMONT
NORTH OLMSTED
CHILLICOTHE
WESTERVILLE
DAYTON
REYNOLDSBURG
CANTON
DAYTON
FAIRBORN
ENGLEWOOD
DAYTON
TOLEDO
OREGON
MASSILLON
MENTOR
FAIRFIELD
NEW BOSTON
AUSTINTOWN
LANCASTER
LANCASTER
BROOKLYN
GARFIELD HGTS
TROTWOOD
YOUNGSTOWN
MIDDLEBURG HGTS
ZANESVILLE
WARREN
XENIA
NEWARK
EAST LIVERPOOL
DAYTON
State
NC
NC
NC
MN
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2732027379-8650
2851356031-4441
44070-2059
4560143081454404306844705454594532445322454314361343616446464406045014456624451543130431304412944125454264451444130437014448445385430554392045403Last Updated 12/21/2012
178
NABP #
3636579
3636808
3636935
3636961
3637002
3637103
3637381
3637747
3637949
3637963
3639323
3639513
3640251
3640340
3640390
3640528
3640580
3640592
3640782
3640794
3640807
3641330
3641520
3641986
3642003
3642243
3642255
3642320
3642914
3642926
3643574
3643714
3643891
3644350
Pharmacy Name
KMART PHARMACY4745
KROGER PHARMACY
KMART PHARMACY3507
KMART PHARMACY7397
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7477
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7532
KMART PHARMACY3325
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY9676
KROGER PHARMACY
Address Line 1
3315 NORTH RIDGE EAST UNIT 100
1510 COVINGTON AVE
4150 HUNT ROAD
2400 STRINGTOWN RD
3353 CLEVELAND AVENUE
855 UNION RD
4100 HUNT RD
2000 EAST MAIN STREET
1450 N ERIE BLVD
502 PIKE STREET
8241 VINE ST
3301 NAVARRE AVENUE
6235 MONROE STREET
3609 WARSAW AVE
508 W PERKINS AVENUE
910 HEBRON ROAD
2120 BEECHMONT AVE
450 OHIO PIKE
5109 GLENDALE AVENUE
4656 CEMETERY ROAD
27386 CARRONADE DRIVE
2250 HARDING HWY
67800 MALL RD UNIT 800
1375 CHAMBERS ROAD
4533 MONROE STREET
6950 MIAMI AVE
1934 NEEDMORE ROAD
40 ACME STREET
6962 EAST MAIN STREET
5991 SUNBURY ROAD
4925 JACKMAN ROAD
3417 NORTH HIGH STREET
9059 STATE RT 14
2474 STRINGTOWN ROAD
City
ASHTABULA
PIQUA
CINCINNATI
GROVE CITY
COLUMBUS
ENGLEWOOD
CINCINNATI
COLUMBUS
HAMILTON
MARIETTA
CINCINNATI
OREGON
SYLVANIA
CINCINNATI
SANDUSKY
HEATH
CINCINNATI
CINCINNATI
TOLEDO
HILLIARD
PERRYSBURG
LIMA
ST CLAIRSVILLE
COLUMBUS
TOLEDO
MADEIRA
DAYTON
MARIETTA
REYNOLDSBURG
WESTERVILLE
TOLEDO
COLUMBUS
STREETSBORO
GROVE CITY
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
44004453564523643123432244532245236432054501145750452164361643560452054487043055452304525543614430264355145804439504321243613452434541445750430684308143613432144424043123Last Updated 12/21/2012
179
NABP #
3644538
3645009
3645047
3645100
3645136
3645554
3645631
3645895
3648512
3648524
3648536
3648548
3648726
3648740
3648827
3649033
3649095
3649312
3649881
3649893
3650101
3650341
3650555
3650618
3650822
3650935
3650947
3650959
3651052
3651090
3652434
3652561
3652597
3652840
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
BROSSART PHARMACY
KMART PHARMACY3767
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9538
Address Line 1
5830 HARRISON PIKE
1141 EAST MAIN STREET
1880 E 2ND ST
3420 TOWNE BLVD
MAIN ST AND EAST END BRIDGE
1350 NORTH HIGH STREET
8421 WINTON ROAD
7747 OLD TROY PIKE
2161 EAKIN ROAD
4485 REFUGEE ROAD
11390 MONTGOMERY RD
5080 DELHI PIKE
6165 GLENWAY AVENUE
7855 TYLERSVILLE RD
1414 SPRING MEADOWS DRIVE
1920 WOODVILLE ROAD
800 LOVELAND MADIERA RD
1212 W KEMPER RD
7580 BEECHMONT AVE
2100 WHIPP RD
555 MARION ROAD
2281 SOUTH MAIN ST.
1840 EAST US ROUTE 36
2825 SOUTH STATE ROUTE 73
45 S MIAMI AVE
1476 UPPER VALLEY PIKE
2450 ALLENTOWN ROAD
2400 W MICHIGAN ST
858 MAIN STREET
1474 MAIN STREET
301 TOWN CENTER BLVD
11217 STATE ROUTE 41
1470 SO. COURT ST.
185 UPPER RIVER ROAD
City
CINCINNATI
LANCASTER
DEFIANCE
MIDDLETON
PROCTORVILLE
COLUMBUS
CINCINNATI
HUBER HEIGHTS
COLUMBUS
COLUMBUS
CINCINNATI
CINCINNATI
CINCINNATI
WEST CHESTER
HOLLAND
OREGON
LOVELAND
CINCINNATI
CINCINNATI
KETTERING
MT GILEAD
BELLEFONTAINE
URBANA
WILMINGTON
CLEVES
SPRINGFIELD
LIMA
SIDNEY
WINTERSVILLE
HAMILTON
VAN WERT
WEST UNION
CIRCLEVILLE
GALLIPOLIS
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
45248431304351245005456694320145231454244322343227452494523845211450694352843616451404524045255454404333843311430784517745002-0156
455044580545365439534501345891456934311345631Last Updated 12/21/2012
180
NABP #
3652864
3652876
3652991
3653006
3653018
3653044
3653258
3653272
3653311
3653323
3653335
3653347
3653359
3653513
3653551
3653652
3653753
3653765
3653777
3653789
3653905
3653967
3654173
3654200
3654325
3654337
3654349
3654589
3654591
3654957
3655050
3655098
3655101
3655151
Pharmacy Name
KMART PHARMACY4964
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY3557
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3951
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
1249 NORTH HIGH STREET
1530 WAL-MART DRIVE
1815 SCOTT ST.
2052 STATE ROUTE 53
1950 HAVEMANN ROAD
1637 US RTE 36E UNIT 14
10477 HARRISON AVE
299 WEST BRIDGE STREET
1801 WEST MAIN ST
5303 BOWEN DRIVE
4370 EASTGATE SQUARE DRIVE
6244 WILMINGTON PIKE
8480 SPRINGBORO PIKE
2129 S MAIN ST
1996 EAST MAIN ST
2826 E. HARBOR ROAD
70 HOSPITALITY DRIVE
7680 BRANDT PIKE
100 WAL-MART DRIVE
4490 GALLIA ST
6401 COLERAIN AVE
1783 OHIO PIKE SR 125
1292 INDIANA AVE
555 COLEMANS CROSSING BLVD
8451 COLERAIN AVENUE
359 N. LEXINGTON SPRINGMILL RD
1955 W HENDERSON ROAD
911 HEBRON ROAD
5500 MILAN ROAD, SUITE 200
4165 MALL DRIVE
3760 PAXTON AVENUE
2801 WEST STATE ROUTE 18
16280 DRESDEN AVE
4530 500 EASTGATE BLVD
City
HILLSBORO
LEBANON
NAPOLEON
FREMONT
CELINA
URBANA
HARRISON
DUBLIN
TROY
CINCINNATI
CINCINNATI
CENTERVILLE
DAYTON
BELLEFONTAINE
ASHLAND
PORT CLINTON
XENIA
HUBER HEIGHTS
JACKSON
NEW BOSTON
CINCINNATI
AMELIA
ST MARYS
MARYSVILLE
CINCINNATI
MANSFIELD
UPPER ARLINGTN
HEATH
SANDUSKY
STEUBENVILLE
CINCINNATI
TIFFIN
EAST LIVERPOOL
CINCINNATI
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
45133450364354543420458224307845030430174537345040452454545945342433114480543452453854542445640456624523945102458854304045239449064322043056448704395245209448834392045245Last Updated 12/21/2012
181
NABP #
3655163
3655252
3655505
3655555
3655606
3655620
3655656
3655771
3655822
3656432
3656519
3656557
3656660
3656785
3656824
3657131
3657232
3657244
3657282
3657294
3657434
3657585
3657686
3657698
3657941
3657953
3658373
3658424
3658436
3658450
3658587
3658599
3658602
3658652
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9005
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7644
KROGER PHARMACY
KMART PHARMACY4747
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4875
KMART PHARMACY7499
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7547
KROGER PHARMACY
KMART PHARMACY3784
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
8238 PRINCETON GLENDALE RD
2500 TIFFIN AVENUE
695 WAGNER AVE
354 PRIVATE DRIVE 288
1630 MORSE ROAD
1546 MARION-MT. GILEAD ROAD
751 W MARKET STREET
1640 SOUTH WASHINGTON STREET
1425 WORTHINGTON CENTRE DR
10560 HARRISON AVE
725 W CENTRAL AVE
625 WEST CENTRAL AVENUE
3883 BURBANK ROAD
230 LAFAYETTE STREET
4380 LEAVITT RD
9303 MENTOR AVENUE
4141 PEARL ROAD
23605 AIRPORT ROAD
1799 PORTAGE ROAD
1500 COSHOCTON
3750 I WEST MARKET ST
34440 VINE STREET
2887 SOUTH ARLINGTON ST
131 WEST GYPSY LANE
238 LAFAYETTE STREET
7000 E BROAD STREET
1825 N STATE ROUTE 19
1093 STATE RT 28 BYPASS
8160 MACEDONIA COMMONS BLVD
1760 COLUMBUS PIKE
340 WEST WIND DRIVE
3637 S HIGH ST
1840 COLUMBUS PIKE
7385 WOOSTER PIKE
City
WEST CHESTER
FINDLAY
GREENVILLE
SOUTH POINT
COLUMBUS
MARION
TROY
MILLERSBURG
WORTHINGTON
HARRISON
SPRINGBORO
SPRINGBORO
WOOSTER
LONDON
LORAIN
MENTOR
MEDINA
COSHOCTON
WOOSTER
MT VERNON
FAIRLAWN
EASTLAKE
AKRON
BOWLING GREEN
LONDON
COLUMBUS
FREMONT
MILFORD
MACEDONIA
DELAWARE
NORWALK
COLUMBUS
DELAWARE
MARIEMONT
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
450694584045331456804322943302453734465443085450304506645066446914314044053-2370
44060442564381244691430504433344095443124340243140432134342045150440564301544857432074301545227Last Updated 12/21/2012
182
NABP #
3658664
3658727
3658753
3658955
3659197
3659200
3659298
3659337
3659464
3659717
3659729
3659793
3659969
3659971
3659983
3660001
3660013
3660051
3660215
3660277
3660378
3660380
3660443
3660455
3660518
3660695
3660760
3660847
3660948
3660950
3661089
3661255
3661267
3661457
Pharmacy Name
WAL-MART PHARMACY
KMART PHARMACY3910
KMART PHARMACY4815
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
DUSINI DRUG
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3535
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7736
KROGER PHARMACY
KMART PHARMACY7383
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1501 WAGONER AVENUE
5350 LEAVITT ROAD
1705 NORTH BARRON STREET
6001 MAHONING AVENUE
10000 BROOKPARK ROAD
3360 NEW GERMANY TREBEIN ROAD
850 S HAMILTON ROAD
804 PIKE STREET
1230 ROMBACH AVE
315 E HIGH AVE
6480 WILMINGTON PIKE
1215 SOUTH MAIN
231 BLUEBELL DR N.W.
1575 COSHOCTON AVENUE
2850 MAPLE AVENUE
2525 HILLIARD ROM ROAD
1094 MAIN STREET
2016 MILLENIUM BLVD
780 NORTHWOODS BLVD
3900 MORSE ROAD
2485 PARKMAN ROAD NW
1428 MARION WALDO RD
4000 RED BANK RD
5720 COLLEGE CORNER PIKE
1700 WEST PARK SQUARE
1005 E COLUMBUS STREET
1500 LEXINGTON AVE
241 WOOSTER ROAD NORTH
2900 W ST RT 22 AND 3 LANDE
1425 COLUMBUS AVE
8288 CINCINNATI DAYTON ROAD
905 SINGLETARY DR
485 EAST AIRPORT HWY
8585 PEARL ROAD
City
GREENVILLE
LORAIN
EATON
AUSTINTOWN
BROOKLYN
BEAVERCREEK
WHITEHALL
MARIETTA
WILMINGTON
NEW PHILADELPHIA
CENTERVILLE
BRYAN
NEW PHILADELPHIA
MT VERNON
ZANESVILLE
HILLIARD
BOWLING GREEN
CORTLAND
VANDALIA
COLUMBUS
WARREN
MARION
FAIRFAX
OXFORD
XENIA
KENTON
MANSFIELD
BARBERTON
MAINVILLE
LEBANON
WEST CHESTER
STREETSBORO
WAUSEON
STRONGSVILLE
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
453314405345320-9276
44515441304543143213457504517744663-2566
454594350644663430504370143026434024441045377432194448543302452274505645385433264490744203450394503645069442414356744136Last Updated 12/21/2012
183
NABP #
3661611
3661623
3661635
3661736
3661837
3661849
3661887
3661899
3662120
3662156
3662245
3662308
3662310
3662322
3662409
3662598
3662663
3662764
3662841
3662865
3663019
3663033
3663110
3663247
3663259
3663261
3663401
3663451
3663475
3663576
3663588
3663639
3663665
3663754
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3555
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
2100 NORTH BECHTLE AVE
5200 WEST POINTE PLAZA
3551 NORTH RIDGE EAST
61690 SOUTHGATE PARKWAY
31550 CHIEFTAN DR
6095 GENDER RD
1505 MAIN STREET
24801 BROOKPARK ROAD
85 RIVER TRACE LANE
7345 STATE RT 3
5900 BRITTON PARKWAY
222 PIEDMONT AVE
155 NORTH HEINCKE RD
2100 WEST MICHIGAN ST
5210 STATE ROUTE 741
264 S HOLLYWOOD BLVD
887 N BRIDGE ST
50739 VALLEY PLAZA DRIVE
1045 HILL RD NORTH
4572 MEGA STREET NORTHWEST
4777 KENARD AVE
12164 LEBANON RD
981 E COLUMBUS ST
1300 DORAL DRIVE
2322 FERGUSON ROAD
2600 STATE ROUTE 59
2090 CROWN PLAZA DR
1095 S MAIN ST
1365 STONERIDGE DR
9939 MONTGOMERY ROAD
2310 FERGUSON ROAD
1720 NORTH PERRY STREET
1585 GEORGESVILLE SQUARE DR
3600 SOLDANO BLVD
City
SPRINGFIELD
COLUMBUS
ASHTABULA
CAMBRIDGE
LOGAN
WINCHESTER
HAMILTON
NORTH OLMSTED
CHILLICOTHE
WESTERVILLE
COLUMBUS
CINCINNATI
MIAMISBURG
SIDNEY
MASON
STEUBENVILLE
CHILLICOTHE
ST CLAIRSVILLE
PICKERINGTON
NORTH CANTON
CINCINNATI
CINCINNATI
KENTON
POLAND
CINCINNATI
RAVENNA
COLUMBUS
CENTERVILLE
GAHANNA
CINCINNATI
CINCINNATI
OTTAWA
COLUMBUS
COLUMBUS
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
45504432284400443725431384311045013440704560143082430164521945342453654504043952456014395043147447204523245241433264451445238442664322045459432134524245238458754322843228Last Updated 12/21/2012
184
NABP #
3663879
3664009
3664059
3664136
3664174
3664201
3664275
3664364
3664477
3664489
3664845
3664857
3665152
3665190
3665203
3665227
3665291
3665532
3665998
3666003
3666041
3666091
3666130
3666180
3666231
3666243
3666457
3666483
3666584
3666736
3667093
3667295
3667322
3667360
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7645
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
50789 VALLEY PLAZA DR
400 28TH STREET
1008 WASHINGTON BLVD
7100 PERIMETER LOOP ROAD
2913 OLENTANGY RIVER ROAD
2700 WEST STATE STREET
2989 DERR ROAD
3675 E BROAD STREET
990 WEST EMMITT AVENUE
1875 EAST MANSFIELD
300 SOUTH LOCUST STREET
2115 EAST DOROTHY LANE
5420 LIBERTY FAIRFIELD ROAD
2145 EASTERN AVENUE
1441 PARSONS AVE
9690 COLERAIN AVENUE
175 LANCASTER PIKE
965 POPLAR STREET
2555 GLENDALE AVENUE
1608 MARION AND MT GILEAD
3387 MAPLE AVENUE
965 BECHTLE AVENUE
811 GAY STREET
3165 DAYTON XENIA RD
3606 MAYFIELD ROAD
1177 POLARIS PARKWAY
3579 S HIGH ST US 23
2257 N HOLLAND SYLVANIA
1095 W 5TH STREET
1161 EAST DAYTONYELLOWSPRINGS RD
5965 HOOVER ROAD
2770 MAYSVILLE PIKE
220 WAVERLY PLAZA
5161 HAMPSTED VILLAGE WAY
City
ST CLAIRSVILLE
BELLAIRE
BELPRE
DUBLIN
COLUMBUS
ALLIANCE
SPRINGFIELD
WHITEHALL
WAVERLY
BUCYRUS
OXFORD
KETTERING
HAMILTON
GALLIPOLIS
COLUMBUS
CINCINNATI
CIRCLEVILLE
NELSONVILLE
TOLEDO
MARION
ZANESVILLE
SPRINGFIELD
PORTSMOUTH
BEAVERCREEK
HEIGHTS
COLUMBUS
COLUMBUS
TOLEDO
MARYSVILLE
FAIRBORN
GROVE CITY
ZANESVILLE
WAVERLY
NEW ALBANY
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
43950439064571443016432024460145503432134569044820450564542045011456314320745251431134576443614433024370145504456624543444118432404320743615430404532443123437014569043054Last Updated 12/21/2012
185
NABP #
3667548
3667550
3667562
3667815
3668083
3668223
3668247
3668285
3668336
3668398
3668499
3668564
3668615
3668627
3668665
3668677
3668689
3668843
3668855
3668920
3668932
3668968
3669251
3669352
3669439
3669453
3669477
3669528
3669578
3669655
3669693
3669720
3669732
3669756
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
Address Line 1
8659 COLUMBUS PIKE
5870 SAWMILL ROAD
2793 TAYLOR ROAD SW
3520 HUDSON DRIVE
10595 SPRINGFIELD PIKE
1165 WESTERN AVENUE
10250 BROOKPARK ROAD
1 MASSILLON MARKET PLACE DR
2250 SPIEGEL DR
610 CARROL STREET
6955 MILLER ROAD
3446 NEW GREMANY TREBEIN RD
200 LEASE AVENUE
7300 YANKEE RD
3950 MORSE ROAD
824 MAIN STREET
210 STERLING RUN BLVD
7545 SYLVANIA AVE
1060 ASHLAND RD
9570 FIELDS ERTEL ROAD
350 EAST BROAD STREET
800 KEMPER COMMON CIRCLE
1996 EAST TIFFIN AVE
530 E MAIN STREET
801 NORTH HOUK ROAD
575 HARRY SAUNER ROAD
1397 LEESBURG AVENUE
548 CLINTON AVE
4001 SR 128
815 CLEPPER LANE
61205 SOUTHGATE PKWY
12910 STATE ROUTE 664
855 S COSHOCTON AVE
1300 EAST MALL DRIVE
City
LEWIS CENTER
DUBLIN
REYNOLDSBURG
STOW
CINCINNATI
CHILLICOTHE
CLEVELAND
MASSILLON
GROVEPORT
NEW LEXINGTON
DAYTON
BEAVERCREEK
GREENVILLE
MIDDLETOWN
COLUMBUS
MILFORD
MT ORAB
SYLVANIA
MANSFIELD
LOVELAND
PATASKALA
CINCINNATI
FINDLAY
JACKSON
DELAWARE
HILLSBORO
COURT H
WASHINGTON CH
CLEVES
CINCINNATI
CAMBRIDGE
LOGAN
MT VERNON
HOLLAND
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
43035430174306844224452154560144130446464312543764454144543145331450444321945150451544356044905451404306245246458404564043015451334316043160450024524543725431384305043528Last Updated 12/21/2012
186
NABP #
3669819
3669845
3669869
3669946
3669960
3670002
3670254
3670280
3670292
3670305
3670343
3670418
3670444
3670533
3670569
3670672
3670684
3670696
3670709
3670711
3670759
3670850
3670901
3670925
3670937
3671129
3671131
3671244
3671256
3671268
3671585
3671597
3671600
3671612
Pharmacy Name
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
432 PRIVATE DRIVE 288
3520 WEST SIEBENTHALER AVE
428 OXFORD STATE RD
4506 BRANDT PIKE
5705 SOUTH STATE RT 48
3975 W POWELL RD
5800 W BROAD ST
3201 PRINCETON ROAD
2675 TAYLOR ROAD SW
1189 BUCHHOLZER BLVD
6011 GROVEPORT RD
833 W ALEXIS RD
5225 COBBLESTONE ROAD
7132 HAMILTON AVE
4825 C MARBURG AVENUE
4790 PORTAGE STREET
2400 HARDING HIGHWAY
100 MALL DRIVE
929 EAST STATE STREET
790 W MARKET ST
5375 NORTH BEND ROAD
540 HARRY SAUNER ROAD
600 E MAIN ST
2728 EAST MAIN ST
2028 E HARBOR RD
7235 MARKET PLACE DRIVE
1315 NORTH 21ST STREET
2875 EAST STATE STREET
2900 TOWNE BLVD
3721 NAVARRE AVENUE
19471 LAKE DR
1415 BYRNE RD
850 S MCCORD RD
1316 OAK HARBOR RD
City
SOUTH POINT
DAYTON
MIDDLETOWN
DAYTON
MAINEVILLE
POWELL
GALLOWAY
HAMILTON
REYNOLDSBURG
CUYAHOGA FALLS
GROVEPORT
TOLEDO
ELYRIA
CINCINNATI
CINCINNATI
NORTH CANTON
LIMA
STEUBENVILLE
ATHENS
TIFFIN
CINCINNATI
HILLSBORO
HEBRON
SPRINGFIELD
PORT CLINTON
TOWNSHI
NEWARK
SALEM
MIDDLETOWN
OREGON
TRIMBLE
TOLEDO
HOLLAND
FREMONT
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
45680454064504245424450394306543119450114306844221431254361244035452314520944720458044395245701448834524745133430254550343452440234305544460450444361645782436144352843420Last Updated 12/21/2012
187
NABP #
3671624
3671636
3671701
3671713
3671799
3671915
3671927
3671939
3672006
3672056
3672258
3672260
3672272
3672284
3672296
3672400
3672424
3672575
3672599
3672765
3672777
3672828
3672830
3672878
3672892
3672943
3672955
3672967
3672979
3673058
3673135
3673185
3673262
3673274
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
HALLMARK PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
210 E MARY ST
101 6TH ST
2850 MAYSVILLE PIKE
1701 WEST DOROTHY LANE
35901 CHESTER ROAD
3588 GENDER ROAD
1755 HILLIARD ROME RD EAST
5821 CENTRAL AVENUE WEST
9101 OHIO RIVER ROAD
5100 TERRA FIRMA DRIVE
375 LAFAYETTE STREET
2925 GLENDALE AVENUE
8303 WEST RIDGEWOOD DRIVE
6594 MAYFIELD ROAD
6361 SOUTH AVE
6674 WINCHESTER BLVD
2300 NORTH LIMESTONE STREET
1221 GEORGESVILLE ROAD
8036 OHIO RIVER RD
4500 MONTGOMERY RD
6725 DICK FLYNN BLVD
1040 NILES COURTLAND RD SE
3750 J WEST MARKET ST
7833 REFUGEE RD NW
1260 OHIO PIKE
5600 EMERALD COURT
222 SMOKERISE DRIVE
3200 ATLANTIC BLVD NE
1693 STRINGTOWN ROAD
550 OLD STATE ROUTE 74
1240 PARK AVENUE WEST
199 GRACELAND BLVD
100A E WASHINGTON JACKSON RD
7725 HOKE ROAD
City
BUCYRUS
FINDLAY
ZANESVILLE
MORAINE
AVON
COLUMBUS
COLUMBUS
TOLEDO
WHEELERSBURG
MASON
LONDON
TOLEDO
PARMA
MAYFIELD HEIGHTS
BOARDMAN
WINCHESTER
SPRINGFIELD
COLUMBUS
WHEELERSBURG
NORWOOD
GOSHEN
WARREN
FAIRLAWN
PICKERINGTON
AMELIA
MENTOR
WADSWORTH
CANTON
GROVE CITY
CINCINNATI
MANSFIELD
COLUMBUS
EATON
ENGLEWOOD
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
44820458404370145439440114311043026436154569445040431404361444129441244451243110455034322845694452124512244484443334313045102440604428144705431234524444906432144532045315Last Updated 12/21/2012
188
NABP #
3673351
3673375
3673387
3673402
3673414
3673717
3673729
3673818
3674024
3674050
3674062
3674074
3674086
3674175
3674226
3674252
3674466
3674478
3674480
3674555
3674579
3674593
3674606
3674707
3674719
3674721
3674858
3674860
3674872
3674884
3675026
3675076
3675141
3675165
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
MBR PHARMACY INC
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
3491 NORTHBEND ROAD
1257 BELLEFONTAINE STREET
4004 TUSCARAWAS STREET WEST
1241 EAST COLUMBUS STREET
15050 SOUTH SPRINGDALE AVE
8460 E MAIN STREET
401 N EWING STREET
4633 SUDER AVE
113 EAST AIRPORT HIGHWAY
1815 STATE ROUTE 125
6067 NORTH RIDGE ROAD
1300 EAST ASH STREET
2485 POSSUM RUN ROAD
150 WEST SYCAMORE ST
421 GEORGESVILLE RD
3033 HERITAGE GREEN DR
200 SOUTH TUTTLE ROAD
1143 SMILEY AVENUE
1855 EAST WYANDOT AVE.
475 FORTMAN DRIVE
7625 SAWMILL RD
223 MEADOWLANDS DRIVE
3465 YORK COMMONS BLVD
1355 SOUTH MCCORD ROAD
1161 TRENTON AVE
1111 MIAMISBURGH CENTERVILLE
614 CROSSINGS ROAD
1270 NORTH BRIDGE STREET
46440 US ROUTE 20
300 S HAMILTON RD
3724 NORTHPOINTE DRIVE
919 E STATE ST
250 TALLMADGE ROAD
126 W HIGH ST
City
CINCINNATI
WAPAKONETA
CANTON
KENTON
MIDDLEFIELD
REYNOLDSBURG
LANCASTER
TOLEDO
SWANTON
AMELIA
MADISON
PIQUA
MANSFIELD
COLUMBUS
COLUMBUS
MONROE
SPRINGFIELD
CINCINNATI
UPPER SANDUSKY
ST MARYS
DUBLIN
CHARDON
DAYTON
HOLLAND
FINDLAY
DAYTON
SANDUSKY
CHILLICOTHE
OBERLIN
GAHANNA
ZANESVILLE
ATHENS
KENT
FOSTORIA
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
45239458954470843326440624306843130436114355845102440574535644903432154322845050455034524043351458854301644024454144352845840454594487045601440744323043701457014424044830Last Updated 12/21/2012
189
NABP #
3675406
3675420
3675432
3675456
3675468
3675610
3675696
3675709
3675812
3675824
3676042
3676294
3676535
3676547
3676686
3676698
3676701
3676802
3677486
3677842
3678058
3678123
3678349
3678375
3678541
3678731
3678870
3679252
3679264
3679505
3703320
3703875
3711175
3711276
Pharmacy Name
RHINE
WAL-MART PHARMACY
WAL-MART PHARMACY
PARTNERSHIP I
PARTNERSHIP I
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
PHARMACY
SAM'S PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SCRIPTS
PHARMACY LLC
SAMS PHARMACY
PHARMACEUTICALS
KROGER PHARMACY #531
RX21, LLC
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3238
KMART PHARMACY4473
Address Line 1
5 E LIBERTY ST
3657 EAST MAIN
2700 BETHEL ROAD
1001 CHERRY ST
6388 BRANCH HILL GUINEA PK
201 CHAMBER DRIVE
1275 EAST 2ND STREET
1000 CHESTNUT COMMONS DRIVE
2801 CUNNINGHAM DRIVE
1804 NORTH CLINTON STREET
4421 ROOSEVELT BLVD
3400 STEELYARD DRIVE
60 WORTHINGTON MALL
210 SOUTH SECOND ST
2687 N MEMORIAL DR
22209 ROCKSIDE RD
10392 FREMONT PIKE
10240 COLERAIN AVE
131 STATE ROUTE 3
699-L HARRISBURG PIKE
50555 VALLEY PLAZA DR
200 GOLDIE RD
800 W COSHOCTON ST
6417 COLUMBUS PIKE
191 S MAIN ST
6000 CREEK RD
1150 GREELY CHAPEL RD
7801 FREEDOM AVE N.W.
8730 WATERVILLE SWANTON RD
20160 CENTER RIDGE RD STE 202
1419 N COUNTRY CLUB RD
4000 GREEN COUNTRY RD
3132 EAST 51ST ST
10131 E 21ST STREET S
City
CINCINNATI
WHITEHALL
COLUMBUS
BLANCHESTER
LOVELAND
MILFORD
FRANKLIN
ELYRIA
CINCINNATI
DEFIANCE
MIDDELTOWN
CLEVELAND
COLUMBUS
HAMILTON
LANCASTER
BEDFORD
PERRYSBURG
CINCINNATI
SUNBURY
COLUMBUS
ST. CLAIRSVILLE
YOUNGSTOWN
JOHNSTOWN
LEWIS CENTER
AKRON
CINCINNATI
LIMA
NORTH CANTON
WATERVILLE
ROCKY RIVER
ADA
BARTLESVILLE
TULSA
TULSA
State
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OH
OK
OK
OK
OK
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
4520243213432204510745140451504500544035452414351245044441094308545013431304414643551452514307443223439504450543031-9587
4303544308-1301
45242-4024
45804-4162
44720-6907
43566-9726
44116-3507
74820740067410574129Last Updated 12/21/2012
190
NABP #
3711531
3711694
3711707
3711719
3711721
3711733
3712482
3712545
3712583
3712709
3712711
3712723
3712735
3712747
3712759
3712761
3713129
3713319
3713345
3713573
3713674
3713725
3713927
3714056
3714210
3714222
3714309
3714311
3714323
3714448
3714777
3714979
3714981
3715224
Pharmacy Name
KMART PHARMACY3067
KMART PHARMACY7003
KMART PHARMACY3044
KMART PHARMACY3128
KMART PHARMACY7041
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1200 E CHARLES PAGE BLVD
4 EAST SHAWNEE ROAD
1050 NW 38TH ST
4010 W OWEN K GARRIOTT RD
501 SE WASHINGTON BLVD
RR 6
501 SW 19TH STREET
2115 S MAIN ST
3108 N BROADWAY
1500 LYNN RIGGS BLVD
4901 SO MILL ROAD
10938 S. MEMORIAL DR.
410 SOUTH DEWEY
1002 WEST TAFT
1800 SOUTH WOOD DRIVE
605 EAST MAIN
131 PAUL CARR DR
1500 E WRANGLER BLVD
2020 SOUTH MUSKOGEE
2400 SOUTH COUNTRY CLUB ROAD
1002 NW SHERIDAN RD
2001 SO 1ST ST
268 SO 7TH ST
432 SOUTH GEORGE NIGH EXWY
5401 TINKER DIAGONAL ST
5505 W OWEN K GARRIOTT RD
951 EAST STATE HWY 152
207 S MEMORIAL DRIVE
6100 WEST RENO AVE
196 SHAWNEE MALL DRIVE
100 EAST I-240 SERVICE ROAD
333 INTERSTATE DRIVE
7800 NW EXPRESSWAY
1000 WEST SHAWNEE ST
City
SAND SPRINGS
MUSKOGEE
LAWTON
ENID
BARTLESVILLE
STILWELL
MOORE
GROVE
POTEAU
CLAREMORE
PRYOR
TULSA
WAGONER
SAPULPA
OKMULGEE
HENRYETTA
CHECOTAH
SEMINOLE
TAHLEQUAH
EL RENO
LAWTON
CHICKASHA
VINITA
MCALESTER
DEL CITY
ENID
MUSTANG
TULSA
OKLAHOMA CITY
SHAWNEE
OKLAHOMA CITY
NORMAN
OKLAHOMA CITY
MUSKOGEE
State
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
740637440173505-3738
73703-4803
740037496073160743447495374017743617413374467740667444774437744267486874464730367350573018743017450173115737037306474112731277480473149730697313274403Last Updated 12/21/2012
191
NABP #
3715539
3715541
3715553
3715680
3715793
3715933
3715945
3716012
3716048
3716137
3716240
3716620
3717040
3717545
3717595
3718066
3718193
3718383
3718460
3718484
3718600
3718624
3718698
3718725
3718890
3718903
3718915
3718927
3719082
3719121
3719208
3719222
3719361
3719436
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9582
KMART PHARMACY4782
PYRAMID PHARMACY
PYRAMID PHARMACY
PYRAMID PHARMACY
PYRAMID PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PYRAMID PHARMACY
PYRAMID PHARMACY
WAL-MART PHARMACY
Address Line 1
2705 W BROADWAY
500 EAST HIGHWAY 270
1201 WEST PETREE RD
1101 EAST PROSPECT
220 SO. STATE HWY 97
1312 E MAIN
2301 WEST KENOSHA ST
401 LINWOOD PLAZA
6625 S MEMORIAL DRIVE
1004 NORTH BROADWAY
2019 EAST 81ST ST SOUTH
2008 WEST GRANT
903 SOUTH FIRST ROUTE 3
2600 NORTH HIGHWAY 64
1608 SOUTH DIVISION
20221 E 1110 COUNTY RD
2000 W MEMORIAL ROAD
111 NORTH PERKINS ROAD
2323 2327 NORTH HARRISON
2501 REDWHEAT DRIVE
3328 E 51ST ST
7990 E 51ST ST
4818 E 80TH ST S
2501 SE WASHINGTON
2415 NW MAIN ST
1219 WEST DOOLIN
1200 GARTH BROOKS BLVD
700 WEST ROGERS BLVD
200 WEST STARLITE DRIVE
923 WEST 11 STREET HWY 9
3300 NORTH TRI-CITY DRIVE
421 N MAIN
3915 S PEORIA
12101 E 96TH ST N
City
SULPHUR
HOLDENVILLE
ANADARKO
PONCA CITY
S SANDS SPRINGS
STIGLER
BROKEN ARROW
LINDSAY
TULSA
CLEVELAND
TULSA
PAULS VALLEY
MADILL
GUYMON
GUTHRIE
ELK CITY
OKLAHOMA CITY
STILLWATER
SHAWNEE
CLINTON
TULSA
TULSA
TULSA
BARTLESVILLE
MIAMI
BLACKWELL
YUKON
SKIATOOK
KINGFISHER
HOBART
NEWCASTLE
STILLWATER
TULSA
OWASSO
State
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
73086748487300574601740637446274012730527413374020741377307573446739427304473644731347407574804-3134
736017413574145741367400674354746317309974070737507365173065740757410574055Last Updated 12/21/2012
192
NABP #
3719513
3719652
3719830
5804958
5804960
3719979
3719993
3720073
3720097
3720186
3720528
3720732
3720770
3720958
3721037
3721126
3721138
3721164
3721277
3721289
3721342
3721366
3721378
3721429
3721481
3722041
3722231
3722243
3722433
3722445
3722483
3722508
3722510
3722584
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
A & B PHARMACY INC.
F & N PHARMACY INC.
WAL-MART PHARMACY
WAL-MART PHARMACY
PYRAMID PHARMACY
PYRAMID PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PYRAMID PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
501 SOUTH PARK DRIVE
914 E OKLAHOMA BLVD
2500 NORTH MAIN
1348 CONEY ISLAND AVE
2309 WESTCHESTER AVE
11207 S HWY 51
1107 SOUTH MAIN STREET
10122 MEMORIAL DR
11214 E 71ST ST S
1907 SE WASHINGTON ST
1506 FIR AVENUE
2005 N 14TH ST STE 110
3712 WEST MAIN
1911 E JACKSON ST
1845 NORTH 81 HWY
1349 E EAGLE AVE
1101 WEST RUTH AVE
1715 NORTH COMMERCE STREET
1901 SOUTH MISSISSIPPI
1225 W I 35 FRONTAGE ROAD
3100 E 1ST ST
3100 EAST MAIN STREET
105 WEST HWY 16
3215 WILLIAMS AVENUE
6922 S MINGO ROAD
601 12TH AVENUE N.E.
6000 NW 23RD STREET
11101 NORTH ROCKWELL AVE
2200 WEST DANFORTH ROAD
911 SW 104TH ST
4420 SOUTH SHERIDAN ROAD
6521 SE 29TH STREET
1801 BELLE ISLE BLVD
640 SE 4TH STREET
City
BROKEN BOW
ALVA
ALTUS
BROOKLYN
BRONX
COWETA
JAY
TULSA
TULSA
IDABEL
PERRY
PONCA CITY
DURANT
HUGO
DUNCAN
WEATHERFORD
SALLISAW
ARDMORE
ATOKA
EDMOND
CHANDLER
CUSHING
BRISTOW
WOODWARD
TULSA
NORMAN
OKLAHOMA CITY
OKLAHOMA CITY
EDMOND
OKLAHOMA CITY
TULSA
OKLAHOMA CITY
OKLAHOMA CITY
MOORE
State
OK
OK
OK
NY
NY
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
74728737177352111230-4120
10462-5073
7442974346741337413374745730777460174701747437353373096749557340174525730137483474023740107380174133730717312773162730037313974145731107311873160Last Updated 12/21/2012
193
NABP #
3722596
3722659
3722661
3722887
3722990
3723005
3723079
3723106
3723120
3723207
3723497
3723500
3723536
3723788
3723930
3724134
3724259
3724615
3724627
3724730
3724742
3725124
3725162
3725768
3725821
3726594
3726607
3801380
3803524
3803536
3803550
3803562
3803574
3803586
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ONCOLOGY RX
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
Address Line 1
1500 SW 59TH ST
1301 EAST 2ND ST
6606 EAST 81ST ST SOUTH
1101 NW 164TH STREET
9000 NW PASSAGE
1900 WEST MEMORIAL ROAD
3116 SOUTH GARNETT ROAD
9411 SO DELAWARE AVE
5510 SW FIFTH AVENUE
1770 S ELM PLACE
6310 SOUTH ELM PLACE
4404 SOUTH PEORIA AVENUE EAST
6301 NW QUANNAH PARKER TRWAY
9320 NORTH PENN AVENUE
4420 SOUTH WESTERN AVENUE
3400 WEST MAIN STREET
2217 NORTHWEST 23RD STREET
2015 S GREEN AVE
9011 NE 23RD STREET
4720 EAST 21ST STREET
4545 WEST 6TH AVE
11212 E. 48TH ST
12200 S. WACO
12912 E 86TH ST NORTH
3900 E HILLSIDE DR
7520 E RENO AVE
7757 S OLYMPIA AVE
777 KING BLVD
5253 SE 82ND AVENUE
7700 SW BEAVERTON HILLSDALE
100 NW 20TH PLACE
6615 NE GLISAN STREET
7404 N INTERSTATE
7555 SW BARBER BLVD
City
OKLAHOMA CITY
EDMOND
TULSA
OKLAHOMA CITY
OK CITY
OKLAHOMA CITY
TULSA
TULSA
OKLAHOMA CITY
BROKEN ARROW
BROKEN ARROW
TULSA
LAWTON
THE VILLAGE
OKLAHOMA CITY
NORMAN
OKLAHOMA CITY
PURCELL
MIDWEST CITY
TULSA
STILLWATER
TULSA
GLENPOOL
OWASSO
BROKEN ARROW
MIDWEST CITY
TULSA
CORVALLIS
PORTLAND
PORTLAND
PORTLAND
PORTLAND
PORTLAND
PORTLAND
State
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OR
OR
OR
OR
OR
OR
OR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7311973034741337301373132731347414674137731287401274011741057350573120731097307273107730807314174114740747414674033740557401173110-4312
74132-1862
97330972669722597209972139721797219Last Updated 12/21/2012
194
NABP #
3803601
3803613
3803637
3803663
3804538
3804540
3805174
3805441
3805667
3805782
3805833
3806253
3806289
5905700
3807091
3807407
3807700
3807774
3807952
3808079
3808081
3808295
3808308
3808497
3808550
3808613
3809057
3809312
3809425
3809487
3809653
3809906
3810048
3810125
Pharmacy Name
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
KK'S PHARMACY #151
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
Address Line 1
14700 SE DIVISION
3805 SE HAWTHORNE BLVD
6850 N LOMBARD
1111 NE 102ND
2855 BROADWAY NE
3450 COMMERCIAL ST SE
11565 SW PACIFIC HWY
60 DIVISION AVENUE
3740 MARKET NE
2500 SANTIAM HWY SE
11425 SW BEAVERTON HILLSDALE HWY
14700 SE MCLOUGHLIN BLVD
2497 SE BURNSIDE ROAD
2201 LONG PRAIRIE RD STE # 101
650 Q STREET
16301 SE 82ND DRIVE
19200 SW MARTINAZZI AVENUE
1215 W 6TH STREET
1839 MOLALLA AVENUE
2200 BASELINE ROAD
2424 CRATER LAKE HWY
8155 SW HALL
3333 WEST 11TH AVENUE
1020 S FIRST AVENUE
55 DIVISION AVE
929 NW GARDEN VALLEY BLVD
150 NE 20TH
451 NE 181ST AVE
2655 SHASTA WAY
1675 W 18TH AVE
1101 GRANTS PASS PARKWAY
695 S HIGHWAY 101
3030 NE WEIDLER STREET
3075 HILYARD ST
City
PORTLAND
PORTLAND
PORTLAND
PORTLAND
SALEM
SALEM
TIGARD
EUGENE
SALEM
ALBANY
BEAVERTON
MILWAUKIE
GRESHAM
FLOWER MOUND
SPRINGFIELD
CLACKAMAS
TUALATIN
THE DALLES
OREGON CITY
CORNELIUS
MEDFORD
BEAVERTON
EUGENE
COOS BAY
EUGENE
ROSEBURG
NEWPORT
PORTLAND
KLAMATH FALLS
EUGENE
GRANTS PASS
WARRENTON
PORTLAND
EUGENE
State
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
TX
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9723697214972039722097303973029722397404973019732197005972679708075022-4832
9747797015970629705897045971139750497005974029742097404974709736597230976039740297526971469723297405Last Updated 12/21/2012
195
NABP #
3810137
3810226
3810288
3810391
3810404
3810478
3810668
3810682
3810694
3810783
3810808
3810860
3810884
3810911
3810923
3810935
3810947
3811002
3811014
3811040
3811090
5905736
3811266
3811292
3811317
3811406
3811432
3811519
3811696
3811709
3811999
3812167
3812232
3812282
Pharmacy Name
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
Address Line 1
2000 MARCOLA RD
19007 S BEAVERCREEK RD
15995 SW WALKER ROAD
61535 S HWY 97
311 COBURG RD
8955 SE 82ND AVENUE
5755 MAIN ST
3600 WASHBURN WAY
3290 SOUTH SANTIAM HWY
3025 LANCASTER DRIVE NE
1350 NORTH FIRST ST.
135 N.E. TERRY LANE
3300 PORTLAND BLVD SUITE 100
11619 ISLAND AVENUE
3002 STACY ALLISON WAY
2375 NORTH 99 WEST
2700 WASCO AVE
2051 NEWMARK AVENUE
160 NW 25TH STREET
5250 COMMERCIAL ST SE
1775 EAST IDAHO AVE.
2414 BABCOCK RD STE 111
3615 CRATER LAKE HWY
5850 NE PRESCOTT
1360 CENTER DR
5500 S 6TH ST
1301 CENTER DRIVE
325 FIFTH STREET
20120 PINEBROOK BLVD
300 NW OAK TREE LANE
321 NE KINGS VALLEY HWY
16030 SW TUALATIN SHERWOOD
2500 N MAIN STREET
901 ROW RIVER RD
City
SPRINGFIELD
OREGON CITY
BEAVERTON
BEND
EUGENE
PORTLAND
SPRINGFIELD
KLAMATH FALLS
LEBANON
SALEM
HERMISTON
GRANTS PASS
NEWBERG
ISLAND CITY
WOODBURN
MCMINNVILLE
HOOD RIVER
COOS BAY
NEWPORT
SALEM
ONTARIO
SAN ANTONIO
MEDFORD
PORTLAND
MEDFORD
KLAMATH FALLS
MEDFORD
BROOKINGS
BEND
REDMOND
DALLAS
SHERWOOD
TILLAMOOK
COTTAGE GROVE
State
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
TX
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
97477970459700697702974019726697478976039735597305978389752697132978509707197128970319742097365973069791478229-4870
975049721897501-7941
976039750197415977029775697338971409714197424Last Updated 12/21/2012
196
NABP #
3812307
3812408
3812410
3812422
3812460
3812650
3812674
3812701
3812799
3812876
3812953
3813133
3813145
3813210
3813222
3813234
3813258
3813260
3813474
3813688
3813739
3813741
3813753
3813765
3813789
3813791
3813931
3814109
3814135
3814159
3814248
3814337
3814351
3814438
Pharmacy Name
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SERVICES
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
KMART PHARMACY3025
KMART PHARMACY3839
KMART PHARMACY3209
KMART PHARMACY3214
KMART PHARMACY3888
KMART PHARMACY7580
KMART PHARMACY9515
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
Address Line 1
6495 SE TUALATIN VALLEY HWY
51501 S COLUMBIA RIVER HWY
2125 NW STEWART PARKWAY
2203 SW COURT PLACE
14800 SE SUNNYSIDE RD
1040 GREEN ACRES ROAD
3500 SE 26TH AVE
4200 SOUTHEAST 82ND AVENUE
7500 W BASELINE
14300 SW BARROW RD
1855 BLANKENSHIP RD
7655 S W NYBERG ROAD
400 N EAST CIRCLE BLVD
3100 PACIFIC BLVD S E
1776 AVALON ST
2640 WEST 6TH STREET
2757 NW STEWART PKWY
1648 EAST IDAHO AVENUE
910 N PHOENIX RD
113 ROSS LN
944 SW 9TH ST
2295 GABLE ROAD
5544 E BURNSIDE
1360 PLAZA BLVD
1401 SE FIRST
2005 CIRCLE DR
4701 HIGHWAY 101
11 S STATE ST
5415 SW BEAVERTON HILLSDALE HWY
23500 N E SANDY BLVD
25691 SE STARK
22075 NW IMBRIE DRIVE
22855 NE PARKLANE
888 NE 25TH AVE
City
HILLSBORO
SCAPPOOSE
ROSEBURG
PENDLETON
CLACKAMAS
EUGENE
PORTLAND
PORTLAND
HILLSBORO
TIGARD
WEST LINN
TUALATIN
CORVALLIS
ALBANY
KLAMATH FALLS
THE DALLES
ROSEBURG
ONTARIO
MEDFORD
MEDFORD
REDMOND
ST HELENS
PORTLAND
MEDFORD
CANBY
CORVALLIS
FLORENCE
LAKE OSWEGO
PORTLAND
WOOD VILLAGE
TROUTDALE
HILLSBORO
WOODVILLAGE
HILLSBORO
State
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9712397056974709780197015974089720297266971239722397068970629733097321976039705897470-1251
9791497504975019775697051972159750297013973309743997034972219706097060971249706097124Last Updated 12/21/2012
197
NABP #
3814476
3814488
3814503
3814604
3814616
3814755
3814818
5905837
3815012
3815048
3815226
3815276
3815303
3841978
3842007
3842021
3842590
3842829
3842906
3843833
3844013
3844138
3921497
3921776
3925510
3996862
3951248
3954143
3956666
3956680
3956692
3958305
3958595
3958759
Pharmacy Name
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
#034562
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
GRESHAM
SAVON PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
BELL EDGE PHARMACY
APOTHECARY INC
PENN PHARMACY
WAL-MART PHARMACY
LACON'S PHARMACY
KMART PHARMACY 4479
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WEST END PHARMACY
SAVON PHARMACY
KMART PHARMACY 4275
Address Line 1
3013 NW STEWART PKWY
4740 ROYAL AVE
2659 OLYMPIC STREET
4550 WEST 11TH AVENUE
1120 CAMPBELL ST
10830 SE OAK ST
1690 ALLEN CREEK RD
12600 N BEACH ST
16199 BOONES FERRY RD
1177 WAVERLY DR SE
16625 362ND AVE
615 SW KECK DR
30299 SW BOONES FERRY RD
7525 SW BARNES RD
10000 SOUTHEAST 82ND AVE
1940 TURNER ROAD SE
831 NW COUNSIL DR
61155 S HWY 97
11500 HANNON ROAD
220 N. ADAIR ST.
30300 SW BOONES FERRY RD
1330 GOLDFISH FARM RD SE
5401 CHESTER AVE
230 N BROAD ST
900 PENN ST
2200 WHEATSHEAF LN
1336 POWELL ST
5050 JONESTOWN ROAD
422 N MAIN ST
785 STARR ST
6601 ROOSEVELT BLVD
133 S 17TH ST
1161 WILMINGTON PIKE
5600 CARLISLE PIKE
City
ROSEBURG
EUGENE
SPRINGFIELD
EUGENE
BAKER CITY
MILWAUKIE
GRANTS PASS
FORT WORTH
LAKE OSWEGO
ALBANY
SANDY
MCMINNVILLE
WILSONVILLE
PORTLAND
PORTLAND
SALEM
GRESHAM
BEND
EAGLE POINT
CORNELIUS
WILSONVILLE
ALBANY
PHILADELPHIA
PHILADELPHIA
READING
PHILADELPHIA
NORRISTOWN
HARRISBURG
DOYLESTOWN
PHOENIXVILLE
PHILADELPHIA
ALLENTOWN
WEST CHESTER
MECHANICSBURG
State
OR
OR
OR
OR
OR
OR
OR
TX
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9747197402974779740297814972229752776244-4200
9703597321970559712897070972259726697302970309770297524971139707097322-5154
1914319102-1192
19602-1796
19137-1013
19401-3324
1711218901194601914918104-6747
1938217050-2491
Last Updated 12/21/2012
198
NABP #
3959016
3959864
3960285
3960300
3960324
3960615
3960792
3960970
3961011
3961504
3961516
3961922
3962051
3962063
3962140
3962176
3962188
3962253
3962277
3962695
3962758
3962796
3962823
3962847
3962859
3962936
3962974
3962986
3963041
3963104
3963142
3963154
3963293
3963332
Pharmacy Name
KMART PHARMACY 9642
KMART PHARMACY 3593
KMART PHARMACY 3529
KMART PHARMACY 3710
KMART PHARMACY 4445
WAL-MART PHARMACY
THE APPLE PHARMACY
KMART PHARMACY 7083
KMART PHARMACY 3824
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 4113
KMART PHARMACY 3361
KMART PHARMACY 3136
KMART PHARMACY 3266
KMART PHARMACY 7257
KMART PHARMACY 3264
WAL-MART PHARMACY
KMART PHARMACY 3912
KMART PHARMACY 3454
WAL-MART PHARMACY
KMART PHARMACY 3810
KMART PHARMACY 7192
KMART PHARMACY 4064
KMART PHARMACY 4344
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 3268
KMART PHARMACY 3406
WAL-MART PHARMACY
KMART PHARMACY 4373
SAVON PHARMACY
KMART PHARMACY 4772
Address Line 1
CLARION MALL RTE 68 S
601 RTE 940
996 W VIEW PK DR
300 BRIGHTON AVE
825 BEAVER GRADE ROAD
2801 E MARKET BLDG B
ERIE AVE AT FRONT ST
2650 ELLWOOD RD
2235 EAST STATE STREET
1270 YORK ROAD
1665 NORTH ATHERTON PLACE
2873 W 26TH ST
1502 S 4TH ST
1 PARKSIDE AVE
18 MARK PLAZA
246 N WEST END BLVD
3382 BIRNEY PLAZA
10180 US HWY 522 SOUTH
1072 MOUNTAIN LAUREL PLAZA
900 ORTHODOX ST
1135 BERKSHIRE BLVD
2600 NORTH WILLOW STREET PIKE
320 SOUTH 25TH ST
1901 LINCOLN HWY
4701 W TILGHMAN ST
16086 CONNEAUT LAKE RD
1275 NO. HERMITAGE ROAD
6535 GRAYSON ROAD
910 WILKES BARRE TWP BLVD
300 LINCOLN AVENUE
72 BEDFORD SQUARE
1890 FRUITVILLE PIKE
3951 LINCOLN HWY
331 W FREEDOM AVE
City
CLARION
MT POCONO
PITTSBURGH
ROCHESTER
CORAOPOLIS
YORK
PHILADELPHIA
NEW CASTLE
HERMITAGE
GETTYSBURG
STATE COLLEGE
ERIE
ALLENTOWN
SHILLINGTON
KINGSTON
QUAKERTOWN
MOOSIC
LEWISTOWN
LATROBE
PHILADELPHIA
WYOMISSING
WILLOW STREET
EASTON
NORTH VERSAILLES
ALLENTOWN
MEADVILLE
HERMITAGE
HARRISBURG
WILKES BARRE
STROUDSBURG
EVERETT
LANCASTER
DOWNINGTON
BURNHAM
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
1621418344-1325
15229-1769
1507415108174021913416101-6218
1614817325168031650618103-4949
19607-1124
18704-3199
1895118507-1560
170441565019124-3128
19610175841804215137-2736
181041633516148171111870218301-2815
15537176011933517009-1833
Last Updated 12/21/2012
199
NABP #
3963344
3963407
3963457
3963495
3963508
3963522
3963534
3963546
3963572
3963673
3963988
3963990
3964005
3964182
3964219
3964283
3964384
3964411
3964461
3964548
3964601
3964702
3964714
3964726
3964738
3964916
3965033
3965057
3965146
3965261
3965273
3965564
3965665
3965677
Pharmacy Name
KMART PHARMACY 3911
KMART PHARMACY 3051
KMART PHARMACY 4446
KMART PHARMACY 9733
KMART PHARMACY 9770
KMART PHARMACY 3047
KMART PHARMACY 7075
KMART PHARMACY 3895
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 3028
KMART PHARMACY 3141
KMART PHARMACY 3196
MED FAST PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 4150
WAL-MART PHARMACY
KMART PHARMACY 7372
KMART PHARMACY 4825
KMART PHARMACY 4334
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 7217
WAL-MART PHARMACY
KMART PHARMACY 9529
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3975 COLUMBIA AVE
1133 YORK ROAD
3843 LINDEN ST
ROAD 3 AND STATE RTE 255N
100 CROSS ROADS PLZ
1011 SCRANTON CARBONDALE HWY
NORTH SUSQUEHANNA TRAIL
7900 MC KNIGHT ROAD
120 AJK BLVD
2150 WILKES BARRE TWNSP MKTPL
2028 NORTH CENTER AVE
176 W STREET RD
1025 WASHINGTON PIKE
2200 EAST HIGH STREET
1647 STATE STREET WEST
20245 ROUTE 19
528 W PLANK RD
5900 PERKIOMEN AVENUE
451 HYDE PARK DRIVE
1 MILLBROOK PLAZA
4401 BUFFALO ROAD
30 TRINITY POINT DR
100 LUNGER DRIVE
495 EISENHOWER DRIVE
1 HILLTOP PLAZA
1102 MILLION DOLLAR HWY
2334 OAKLAND AVENUE STE 6
400 BUTLER COMMONS
1666 MARKET STREET EXTENTION
1730 LINCON WAY E
6520 CARLISLE PIKE/SUITE 550
1015 N LOYALSOCK AVE
20 INDUSTRIAL DRIVE
900 COMMERCE BLVD
City
COLUMBIA
WARMINSTER
BETHLEHEM
DUBOIS
MT PLEASANT
SCRANTON
SHAMOKIN DAM
PITTSBURGH
LEWISBURG
WILKESBARRE
SOMERSET
FEASTERVILLE
BRIDGEVILLE
POTTSTOWN
BADEN
TNSHIP/E
ALTOONA
READING
LEECHBURG
MILL HALL
ERIE
WASHINGTON
BLOOMSBURG
HANOVER
KITTANNING
ST MARYS
INDIANA
BUTLER
WARREN
CHAMBERSBURG
MECHANICSBURG
MONTOURSVILLE
DU BOIS
DICKSON CITY
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
1751218974-2048
18020158011566618508-1127
178761523717837187021550119053-7817
15017-2702
19464-3216
15005160661660119606156561775116510153011781517331162011585715701-3348
16001163651720117050177541580118519Last Updated 12/21/2012
200
NABP #
3965778
3965881
3965956
3966035
3966174
3966314
3966655
3966922
3966934
3967051
3967138
3967140
3967203
3967330
3967520
3967532
3967544
3967811
3967823
3968522
3968572
3968700
3968712
3968724
3968851
3968875
3968914
3968926
3968938
3969029
3969168
3969221
3969233
3969245
Pharmacy Name
WAL-MART PHARMACY
KMART PHARMACY 7325
KMART PHARMACY 9662
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 3884
WAL-MART PHARMACY
KMART PHARMACY 4770
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 3963
KMART PHARMACY 4771
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 7470
KMART PHARMACY 4713
WAL-MART PHARMACY
KMART PHARMACY 7708
WAL-MART PHARMACY
WALMART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY 3418
KMART PHARMACY 4935
KMART PHARMACY 4936
KMART PHARMACY 3643
WAL-MART PHARMACY
KMART PHARMACY 3949
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
150 TOWN CENTRE DRIVE
2660 CONSTITUTION BLVD
1127 S STATE STREET
1169 SOUTH MAIN STREET
355 WAL-MART DRIVE
320 W DEKALB PIKE
1566 W MAIN ST EXTENSION
722 ROUTE 6 AND 209
2600 PLANK ROAD COMMONS
4041 WASHINGTON ROAD
2200 GREENGATE CENTRE BLVD
180 LEVITTON PKWY
1605 SOUTH MARKET STREET
601 HANSEN AVENUE
808 HUNTER HWY
1355 EAST LEHMAN STREET
220 ROUTE 6 209
1170 MAE STREET
BRADFORD TOWN CENTER RR STE 6
PA. RT.18/WAL-MART PLAZA SHPG.
5 LAUREL MALL
1731 BLAKESLEE BOULEVARD DR E
1800 LOUKS RD
1887 ELMIRA ST
907 PAOLI PIKE
704 WEST LANCASTER AVENUE
2000 MARKET PLACE BLVD
99 MATTHEWS DRIVE
2520 MAC ARTHUR ROAD
1601 SOUTH COLUMBUS BLVD
803 MALE ROAD
100 SUPERCENTER DRIVE
2351 CENTURY DRIVE
980 N SUSQUEHANNA TRL
City
JOHNSTOWN
BEAVER FALLS
EPHRATA
MANSFIELD
UNIONTOWN
KING OF PRUSSIA
GROVE CITY
METAMORAS
ALTOONA
MCMURRAY
GREENSBURG
LEVITTOWN
ELIZABETHTOWN
BUTLER
TUNKHANNOCK
LEBANON
MILFORD
HUMMELSTOWN
TOWANDA
MONACA
HAZLE TOWNSHIP
LEHIGHTON
YORK
SAYRE
WEST CHESTER
WAYNE
MOON TOWNSHIP
UNIONTOWN
WHITEHALL
PHILADELPHIA
WIND GAP
CLEARFIELD
WEST MIFFLIN
SELINSGROVE
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
159041501017522169331540119406161271833616602153171560119055-2456
1702216001-5669
18657170461833717036188481506118202-1201
1823517408-4609
188401938019087-2515
15108-9737
15401180521914818091168301512217870Last Updated 12/21/2012
201
NABP #
3969257
3969497
3969500
3969550
3969562
3969776
3969904
3970058
3970248
3970414
3970490
3970604
3970616
3970743
3970820
3970844
3971276
3971327
3971543
3971923
3972040
3972052
3972494
3972886
3973143
3973307
3973319
3973383
3973395
3973408
3973446
3973523
3973686
3973698
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 3885
KMART PHARMACY 7699
KMART PHARMACY 4874
WAL-MART PHARMACY
KMART PHARMACY 3954
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY 7746
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
MED FAST PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 3953
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
2601 MACARTHUR ROAD
87 AIRPORT RD
1900 KEYSTONE DRIVE
650 OLD WILLOW AVENUE STE N
1745 QUENTIN
491 ALLEGHENY BLVD
3100 OAKLAND AVE
400 NORTH BEST AVENUE
233 SHOEMAKER RD
373 BENNER PIKE
3722 EASTON-NAZARETH ROAD
550 W TRENTON AVE
5300 BALTIMORE PIKE
6640 OXFORD AVE
2501 WEST STATE STREET
6800 NEW FALLS RD
1180 WALNUT BOTTOM ROAD
1515 BETHLEHEM PIKE
651 MAIN STREET
2034 LINCOLN HWY EAST
100 SARA WAY/ROSTRAVER SQUARE
250 SUMMIT PARK DR
355 LINCOLN AVE
323 OLD YORK RD
3589 BRODHEAD ROAD
698 SHREWSBURY COMMONS AVE
3300 ROUTE 61 SOUTH
105 E ST RD
920 RED LION RD
505 W BUTLER AVE
PERKINS RD RR 3
901 MARKET ST #99
1150 W MAIN ST
STATE RD AND LANSDOWNE AVE
City
WHITEHALL
HAZLETON
ERIE
HONESDALE
LEBANON
FRANKLIN
INDIANA
WALNUTPORT
POTTSTOWN
STATE COLLEGE
EASTON
MORRISVILLE
CLIFTON HEIGHTS
PHILADELPHIA
NEW CASTLE
LEVITTOWN
CARLISLE
HATFIELD
HARLEYSVILLE
LANCASTER
BELLE VERNON
PITTSBURGH
STROUDSBURG
JENKINTOWN
MONACA
SHREWSBURY
COAL TOWNSHIP
FEASTERVILLE
PHILADELPHIA
CHALFONT
CLARION
PHILADELPHIA
LANSDALE
UPPER DARBY
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
18052182011650918431-4219
1704216323-2975
1570118088194641680118045190671901819111161011905717015194401943817602150121527518301190461506117361178661905319115189141621419107-3111
1944619082Last Updated 12/21/2012
202
NABP #
3974018
3974246
3974424
3974436
3974703
3975123
3975135
3975147
3975250
3975262
3975363
3975476
3975539
3975680
3975692
3975806
3976327
3976339
3976353
3976391
3976579
3976668
3976670
3976757
3977127
3977305
3977343
3977393
3977571
3977735
3978004
3978371
3978383
3978559
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
KMART PHARMACY 3964
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 9382
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
MEDFAST PHARMACY LP
MED FAST PHARMACY
KMART PHARMACY 3527
SAMS PHARMACY
SAVON PHARMACY
KMART PHARMACY 9438
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1 FRANKLIN MILLS BLVD
777 OLD WILLOW AVE
195 NW END BLVD
390 ROUTE 315 HWY
167 HOGAN BLVD.
4950 WEST 23RD STREET
100 WAL-MART DRIVE
300 WALMART DRIVE
39 LEOPARD RD
124 MORTON AVE
3000 ISLAND AVENUE
2301 BRISTOL RD
1640 BETHLEHEM PIKE
10 KIMBERLY LANE
890 EAST MAIN STREET
8800 FRANKFORD AVE
45 WILLIAMSON ROAD
5370 ALLENTOWN PIKE
100 WOODHAVEN MALL
2100 SUMMIT RIDGE PLAZA
5927 RIDGE AVE
300 WALMART DRIVE
500 ROUTE 940
1067 W BALTIMORE PIKE
3335 WILLIAM PENN HWY
2016 WEST STATE STREET
7101 ROOSEVELT BLVD
80 TRINITY POINT DRIVE
1400 W PASSYUNK AVE
720 CLAIRTON BLVD
121 E CITYLINE AVE
605 CONCHESTER HWY
1570 CHESTER PIKE
100 NO LONDONDERRY SQUARE
City
PHILADELPHIA
HONESDALE
QUAKERTOWN
PITTSTON
MILL HALL
ERIE
NORTH VERSAILLES
EBENSBURG
PAOLI
FOLSOM
PHILADELPHIA
HEIGHTS
FLOURTOWN
CRANBERRY
EPHRATA
PHILADELPHIA
GREENVILLE
TEMPLE
HEIGHTS
MT PLEASANT
PHILADELPHIA
GIBSONIA
MOUNT POCONO
MEDIA
PITTSBURGH
NEW CASTLE
PHILADELPHIA
WASHINGTON
PHILADELPHIA
PLEASANT HILLS
BALA CYNWYD
BOOTHWYN
EDDYSTONE
PALMYRA
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
19154184311895118640177511650615137159311930119033191531902019031163191752219136-1313
1612519560190201566619128150441834419063152351610119149-1431
1530119145-2312
1523619004190611902217078Last Updated 12/21/2012
203
NABP #
3978612
3978648
3978737
3979032
3979107
3979169
3979195
3979448
3979551
3979563
3979626
3979765
3979866
3980073
3980186
3980213
3980338
3980340
3980453
3980566
3980578
3980681
3980706
3980718
3980908
3981164
3981188
3981481
3981520
3981544
3981683
3981784
3981811
3981823
Pharmacy Name
KMART PHARMACY 9409
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
MED FAST PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAVON PHARMACY
MED FAST PHARMACY
MED FAST PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
1000 NUTT ROAD
500 TERRY RICH BLVD
249 SUMMIT PARK DRIVE
1091 MILLCREEK ROAD
48 WEST RD
808 E ST RD
108 WASHINGTON TOWNE BLVD
650 SOUTH TROOPER ROAD
6781 GRAYSON ROAD
441 WILKES BARRE TOWNSHIP BLVD
921 VIEWMONT DR
5314 ALLENTOWN PIKE
503 S MACDADE BLVD
50 FOSTER BROOK BLVD
22677 ROUTE 68
961 RT 6
3926 LINDEN STREET
100 COMMONS DRIVE
21920 ROUTE 119
100 CHIPPEWA TOWN CENTRE
53 WEST GERMANTOWN PIKE
270 INDIAN RUN STREET
60 NOBLE BLVD
280 INDIAN RUN STREET
2500 PLANK ROAD COMMONS
8200 ROOSEVELT BLVD
730 EAST PITTSBURGH STREET
5001 LIBRARY ROAD
567 SPROUL RD
400 SIMPSON DR
2775 W MAIN ST
4600 E ROOSEVELT BLVD BLDG G
700 W LANCASTER AVE
527 E BALTIMORE PIKE
City
PHOENIXVILLE
SAINT CLAIR
PITTSBURGH
ALLENTOWN
NEWTOWN
WARMINSTER
EDINBORO
NORRISTOWN
HARRISBURG
WILKES-BARRE
SCRANTON
READING
HOLMES
BRADFORD
CLARION
CORRY
BETHLEHEM
PARKESBURG
PUNXSUTAWNEY
BEAVER FALLS
EAST NORRISTOWN
EXTON
CARLISLE
EXTON
ALTOONA
PHILADELPHIA
GREENSBURG
BETHEL PARK
BROOMALL
CHESTER SPRINGS
NORRISTOWN
PHILADELPHIA
WAYNE
MEDIA
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
19460-2263
179701527518106189401897416412194031711118702185191956019043167011621416407180201936515767150101940119341170131934116602191521560115102190081942519403191241908719063Last Updated 12/21/2012
204
NABP #
3981885
3982091
3982166
3982178
3982192
3982217
3982281
3982560
3982572
3982584
3982596
3982750
3982798
3983067
3983194
3983346
3983358
3983360
3983372
3983384
3984021
3984108
3984184
3984297
3984300
3984401
3984689
3984843
3212367
3984982
3985073
3985112
3985124
3985136
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAMS PHARMACY
BELLS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
THE RX SHOPPE INC
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
MED FAST PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
NEW CARE PHARMACY
WAL-MART PHARMACY
EVERGREEN PHARMACY
MED FAST PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
100 COMMERCE CIRCLE
2030 FRUITVILLE PIKE
6700 HOLLYWOOD BLVD
516 SCHOOL HOUSE ROAD
1901 JOHNSTON ST
2801 EAST MARKET STREET
8508 BUSTLETON AVE
100 COLONY LANE
5741 BUFFALO ROAD
300 RESORT PLAZA DRIVE
1000 EASTON ROAD SUITE 200
7010 GERMANTOWN AVE
672 MAIN ST
2251 CENTURY DRIVE
2711 ELM STREET
200 MORAINE POINTE PLAZA
100 CROSSINGS BLVD
2200 WASHINGTON PIKE
9745 ROOSEVELT BLVD A
100 SOUTH CONESTOGA DRIVE
50 NORTH MACDADE BLVD
2007 SHEFFIELD ROAD
3925 WELSH ROAD
11415 HYDETOWN ROAD
1450 MORRELL AVENUE
3621 WILLIAM PENN HWY
567 ROUTE 100 NORTH
711 BUSTLETON PK
11001 MENAUL BLVD NE
1222 WELSH RD
1886 HOMEVILLE ROAD
3461 HORIZON BLVD
2010 VILLAGE CENTER DRIVE
6211 ROUTE 30
City
BRISTOL
LANCASTER
DELMONT
KENNETT SQUARE
PHILADELPHIA
YORK
PHILADELPHIA
LATROBE
HARBORCREEK
BLAIRSVILLE
WYNCOTE
PHILADELPHIA
LYKENS
WEST MIFFLIN
ERIE
BUTLER
ELVERSON
CARNEGIE
PHILADELPHIA
SHIPPENSBURG
GLENOLDEN
ALIQUIPPA
W GROVE
TITUSVILLE
CONNELLSVILLE
MONROEVILLE
BECHTELSVILLE
FEASTERVILLE
ALBUQUERQUE
NORTH WALES
WEST MIFFLIN
BENSALEM
TARENTUM
GREENSBURG
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
NM
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
1900717601156261934819145174021915215650164211571719095191191704815122165041600119520151061911417257190361500119090163541542515146195051905387112-2432
1945415122190201508415601Last Updated 12/21/2012
205
NABP #
3985148
3985150
3985554
3985857
3986051
3986291
3986823
3987609
3987712
3987736
3987798
3987914
3987926
3988029
3988788
3988916
3989057
3989071
3989463
3989603
3989831
3989920
3989932
3990098
3990264
3990389
3991026
5642877
3991468
3991470
3991672
3991901
3992686
3992725
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
SOLUTIONS
WAL-MART PHARMACY
SAMS PHARMACY
STORE LLC
WAL-MART PHARMACY
MED FAST PHARMACY
BLUEGRASS PHARMACY
WAL-MART PHARMACY
MED FAST PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DIERKENS PHARMACY
SAMS PHARMACY
MED FAST PHARMACY
SAVON PHARMACY
SAMS PHARMACY
TRANSITION PHARMACY
LANGHORNE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAV ON PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
BENSALEM PHARMACY
FAMILY 1 PHARMACY
WAL-MART PHARMACY
SAM'S PHARMACY
PHARMACY, INC
WAL-MART PHARMACY
Address Line 1
2000 VILLAGE CENTER DRIVE
6716 TOWN CENTER BLVD
107 GEORGE RD
12751 WASHINGTON TOWNSHIP BLVD
289 MT NEBO POINT DRIVE
520 CIRCLE DR
620 GRAVEL PIKE
917 BUTLER ST
2417 WELSH RD
1881 BALTIMORE PIKE
4935 TUSCARAWAS RD
200 KOCHER LANE
2901 MARKET STREET
35 PLAZA DRIVE, ROUTE 309 N.
100 E MAIN ST
7200 PEACH STREET
RT 136 AND JANYCE DR
851 GAP NEWPORT PIKE
1000 FRANKLIN MILLS CIRCLE
4 NESHAMINY INTERPLEX
172 N PINE STREET
4015 FREEPORT RD
200 COMMERCE DRIVE
101 BYERS DRIVE
2101 BLAIR MILL RD
240 MIDDLETOWN BLVD
275 N GULPH RD
13515 VAN NUYS BLVD
2090-2092 STREET ROAD
4005 VETERANS HIGHWAY
RT 21/INTERSTATE 79
611 LYCOMING MALL CIRCLE
1592 ROUTE 739
100 E STREET RD
City
TARENTUM
HUNTINGDON
EVANS CITY
WAYNESBORO
PITTSBURGH
BELLE VERNON
EAST GREENVILLE
PITTSBURGH
PHILADELPHIA
HANOVER
BEAVER
ELIZABETHVILLE
WARREN
TAMAQUA
MONONGAHELA
ERIE
GREENSBURG
AVONDALE
PHILADELPHIA
TREVOSE
LANGHORNE
NATRONA HEIGHTS
ROARING SPRING
GLEN MILLS
WILLIOW GROVE
LANGHORNE
KING OF PRUSSIA
PACOIMA
BENSALEM
LEVITTOWN
WAYNESBURG
MUNCY
DINGMANS FERRY
WARMINSTER
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA
PA
PA
PA
PA
PA
PA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
150841665216033172681523715012180411522319114173311500917023163651825215063-2308
16509156011931119154190531904715065166351934219090190581940691331-3029
1902019056153701775618328-3477
18974-3400
Last Updated 12/21/2012
206
NABP #
3992991
3993006
3993234
3993866
3994616
3994755
3994767
3994793
3994870
3995036
3995238
3995581
3995618
3995884
3995911
3995947
3996189
3996456
5642904
5643007
4019041
4019217
4019750
4019976
4019988
4019990
4020068
4020359
4020878
4021212
4021755
4021919
4022113
4022214
Pharmacy Name
WINDSOR PHARMACY
PHARMACY SERVICES
SAMS PHARMACY
WAL-MART PHARMACY
COMPOUNDING
PHARMACY
VIP PHARMACY
PHARMACY
WAL-MART PHARMACY
MED-FAST PHARMACY
WAL-MART PHARMACY
INC
LEHIGH DRUG STORE
WAL-MART PHARMACY
WAL-MART PHARMACY
PELHAM PHARMACY
PHARMACY INC.
INC
MEDICAL SUPPLY DEPOT
WAL-MART PHARMACY
KMART PHARMACY7419
KMART PHARMACY7566
KMART PHARMACY9394
KMART PHARMACY4490
KMART PHARMACY4844
KMART PHARMACY7570
WAL-MART PHARMACY
KMART PHARMACY7446
KMART PHARMACY3882
KMART PHARMACY7788
KMART PHARMACY4494
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1508 HAINES RD
27 HECKEL RD STE 110
901 AIRPORT CENTER DR.
1325 MAIN ST
2003 SHEFFIELD RD STE C
1020 BRISTOL PIKE, UNIT 2
516 S OXFORD VALLEY RD
2621 W GIRARD AVE
1800 TILDEN RIDGE DR
600 MARKET PLACE DR
50 NEWBERRY COMMONS
1337 S 49TH ST
540 N. 7TH ST.
400 S STATE RD
915 MILLS DR
6555 GREENE ST STE # 3
965 BRISTOL PK
416 W TILGHMAN ST
4846 FLORENCE AVE., SUITE B-104
5095 ALMADEN EXPY
RAFAEL CORDERO HWY 30
STATE ROAD 2 KM 802
STATE RD 3
SAN PATRICAIO PLAZA
9410 LOS ROMEROS AVENUE
PLAZA RIO HONDO
PLZ PAIMA REAL PR 3 KM 77 6
AVE JESUS T PINERO 4010
STATE ROAD 2 KM1495
CTR
200 CARR 181
150 CARR 940 STE 180
AVE LOS VETERANOS
PLZ DEL NORTE CARR 2 KM 819
City
LEVITTOWN
MC KEES ROCKS
ALLENTOWN
TAYLOR
ALIQUIPPA
BRISTOL
FAIRLESS HILLS
PHILADELPHIA
HAMBURG
OAKDALE
ETTERS
PHILADELPHIA
ALLENTOWN
SPRINGFIELD
HUNTINGTON
PHILADELPHIA
BENSALEM
ALLENTOWN
BELL
SAN JOSE
CAGUAS
ARECIBO
FAJARDO
SAN JUAN
RIO PIEDROS
BAYAMON
HUMACAO
CAYEY
MAYAQUEZ
BAYAMON
TRUJILLO ALTO
FAJARDO
GUAYAMA
HATILLO
State
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
CA
CA
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
19055-1899
15136-1616
18109-9384
1851715001-2758
19007-3202
19030-2615
19130-1333
19526-8181
15071-4008
1731919143-4442
18102190641564219119-4051
1902018102-2426
9020195118-2051
0072500612007380092000926009610079100736006800095700976-3699
007380078400659Last Updated 12/21/2012
207
NABP #
4022226
4022428
4022430
4022593
4022656
4022771
4023141
4023177
4023254
4023266
4023278
4023608
4023610
4023622
4023848
4024383
4024395
4024585
4024650
4024890
4024989
4025133
4025145
4025246
4025311
4025385
4025397
4025599
4025804
4025905
4025917
4025979
4026426
4026628
Pharmacy Name
KMART PHARMACY7783
KMART PHARMACY3993
KMART PHARMACY7665
KMART PHARMACY4732
WAL-MART PHARMACY
KMART PHARMACY7741
KMART PHARMACY9789
KMART PHARMACY7784
WAL-MART PHARMACY
KMART PHARMACY3896
KMART PHARMACY7752
WAL MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 7768
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY 4858
Address Line 1
CALLE KALAF 525
STATE 149 AND STATE 584
65TH INFANTRY AVENUE
ROAD 2 KM 1264 BO CAIMITAL ALTO
PARQUE ESCORIAL
CARR 2 INTER CALLE BARAMAYA
WINSTON CHURCHILL AVENUE
PLAZA CARIBE MALL CARR ESTATAL 2
ESQ PUERTO RICO #2
PR2 & CASTRO PEREZ AVENUE
601 YAUCO PLAZA
3535 AVE MILITAR
AVE MUNOZ MARIN
PLZ CALLE CENTL STATE 1 735
CARRETERA 167 CARRETERA 830
975 AVENUE HOSTOS STE 2100
PLAZA MONTE REAL
CARR 2 KM 84 2
333 CARR 14
CARR 3 KM 82 0
CARR 194 KM 2 0
RAFAEL CORDERO AVE 301
CARR ESTATAL 153 KM 7 2
PR20 AND ESMERALDA
1500 CAMERIO AVE
PR 3 PLAZA ESCORIAL
501 WEST MAIN AVE
CENTRO COM PASEO DEL PLATA
PR 3 KM 15 2
LOS DOMINICOS ESQ SABANA SECA
AVE LOS FILTROS
CALLE 2 URB BRISAS DEL MAR
WM SC PLAZA CANOVANAS 5802
CARR. PR-156 KM 54.00
City
HATO REY
JUANA DIAZ
CAROLINA
AGUADILLA
CAROLINA
PONCE
RIO PIEDRAS
VEGA ALTA
PONCE
SAN GERMAN
YAUCO
ISABELA
CAGUAS
CAYEY
BAYAMON SOUTH
MAYAGUEZ
MANATI
HATILLO
PONCE
HUMACAO
FAJARDO
CAGUAS
SANTA ISABEL
GUAYNABO
BAYAMON
CAROLINA
BAYAMON
DORADO
CAROLINA EAST
TOA BAJA
GUAYNABO
LUQUILLO
CANOVANAS
CAGUAS
State
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
009180079500985006050098700728009260069200731006830069800662-5909
00726007360095700680006740065900780007410073800725007570097000961009870096100646009790094900969007730072900725Last Updated 12/21/2012
208
NABP #
4026806
4027442
4027581
4027656
4028026
4101414
5643021
4104876
4104903
4105032
4105412
4105587
4105739
4105931
4106022
4106185
4106907
4202216
5643069
4203496
4204032
4204412
4204436
4205945
4207052
4207329
4207646
4207773
4207886
4209234
4209525
4209715
4210009
4212471
Pharmacy Name
SAM'S PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
INC
MARIA PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7754
ANAHEIM
KMART PHARMACY4319
KMART PHARMACY4317
KMART PHARMACY4202
KMART PHARMACY4016
KMART PHARMACY3621
KMART PHARMACY4141
KMART PHARMACY3080
KMART PHARMACY7058
KMART PHARMACY3240
KMART PHARMACY4865
KMART PHARMACY7160
KMART PHARMACY7043
KMART PHARMACY7239
KMART PHARMACY7274
KMART PHARMACY4953
Address Line 1
CARRETERA ESTATAL #2 AVE
CARR 2 KM56.80
AVENIDA FD ROOSEVELT
CARR 14 KM 32.5
BECHARA INDUSTRIAL PARK 1045
10 NEWPORT AVE
13872 HARBOR BLVD # 1A
258 POST ROAD
1776 PLAINFIELD PIKE
7 DOWLING VILLAGE BLVD
650 CENTRE OF NEW ENGLAND BLVD
840 POST ROAD
1031 TEN ROD ROAD
15 SMITHFIELD RD ADMIRAL PLZ
199 CONNELL HIGHWAY
650 BALD HILL ROAD
51 SILVER SPRING STREET
3801 B CLEMSON BLVD
1236 N MAGNOLIA AVE
7325 TWO NOTCH RD
2011 HOFFMEYER RD
2100 WADE HAMPTON BLVD
1 KMART PLAZA
1470 CHESTNUT NORTH EAST
1500 CHARLESTON HWY
1535 SAVANNAH HIGHWAY
254 HIGHWAY 72 BYPASS
640 SULPHUR SPRINGS RD
310 EAST MARTINTOWN ROAD
2127 BOUNDARY ST
2302 CHERRY RD
1551 JOHNNIE DODDS BLVD
129 WEST BUTLER AVENUE
8571 RIVERS AVENUE
City
PONCE
BARCELONETA
GUAYNABO
COAMO
SAN JUAN
PAWTUCKET
GARDEN GROVE
WESTERLY
CRANSTON
N SMITHFIELD
COVENTRY
WARWICK
NORTH KINGSTOWN
PROVIDENCE
NEWPORT
WARWICK
PROVIDENCE
ANDERSON
ANAHEIM
COLUMBIA
FLORENCE
GREENVILLE
GREENVILLE
ORANGEBURG
W COLUMBIA
CHARLESTON
GREENWOOD
GREENVILLE
SOUT
BEAUFORT
ROCK HILL
MT PLEASANT
MAULDIN
N CHARLESTON
State
PR
PR
PR
PR
PR
RI
CA
RI
RI
RI
RI
RI
RI
RI
RI
RI
RI
SC
CA
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
007300061700965007690092002861-4414
92843-4000
028910292102896-8266
028160288802852029040284002886029042962192801-2607
29223295012961529605-4491
2911529169294072964929617-1699
298412990229730294642966229406Last Updated 12/21/2012
209
NABP #
4212611
4213132
4213423
5709095
4214538
4214540
4214730
4215059
4215287
4215390
4215403
4215415
4215681
4215819
4215833
4215845
4215946
4216099
4216102
4216114
4216126
4216138
4216176
4216380
4216417
4216429
4216594
4216607
4216722
4216734
4216859
4216885
4216912
4216924
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3606
KMART PHARMACY7410
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7616
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3645
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9320
WAL-MART PHARMACY
Address Line 1
7467 ST ANDREWS RD
9600 NORTH KINGS HIGHWAY
3403 FOREST DRIVE
5810 RANCH LAKE BLVD
4570 LADSON RD
6169 ST ANDREWS
1451 WOODRUFF ROAD
6134 WHITE HORSE ROAD
748 WEST MAIN STREET
2010 PAXVILLE HIGHWAY
805 HWY 9 BYPASS WEST
1317 NORTH MAIN STREET
141 DORMAN CENTRE DRIVE
2812 MAIN ST
1636 SANDIFER BLVD
230 N BELTLINE DR
5155 CALHOUN MEMORIAL HIGHWAY
917 EAST MAIN STREET
1040 CHESTERFIELD HWY 10
1150 S 4TH STREET
970 EAST LIBERTY ST
2401 AUGUSTA ROAD
360 HARBISON BLVD
781 MAIN STREET
2709 A CHURCH STREET
511 N HWY 52
3027 WADE HAMPTON BLVD
1201 KNOX AVENUE
2151 EAST MAIN ST
7520 GARNERS FERRY ROAD
1310 NORTH FRASER
10820 N KINGS HWY
201 APPLEWOOD CENTER PLACE
10060 TWO NOTCH ROAD
City
IRMO
MYRTLE BEACH
FOREST ACRES
BRADENTON
SUMMERVILLE
COLUMBIA
GREENVILLE
GREENVILLE
LEXINGTON
MANNING
LANCASTER
SUMMERVILLE
SPARTANBURG
NEWBERRY
SENECA
FLORENCE
EASLEY
LAURENS
CHERAW
HARTSVILLE
YORK
WEST COLUMBIA
COLUMBIA
N MYRTLE BEACH
CONWAY
MONCKS CORNER
TAYLORS
NORTH AUGUSTA
SPARTANBURG
COLUMBIA
GEORGETOWN
MYRTLE BEACH
SENECA
COLUMBIA
State
SC
SC
SC
FL
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
29063295772920434202-3708
2948529212296072961129072291022972029483293012910829678295012964029360295202955029745291692921229582295262946129687298412930729209294402957229678-0917
29223Last Updated 12/21/2012
210
NABP #
4216936
4216974
4216986
4217003
4217053
4217065
4217077
4217142
4217267
4217368
4217419
4217596
4217623
4217774
4217786
4217798
4217863
4217988
4218017
4218029
4218093
4218106
4218118
4218461
4218726
4218738
4218928
4219071
4219196
4219297
4219413
4219639
4220670
4221278
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3817
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4873
KMART PHARMACY7351
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7555
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2110 BELLS HIGHWAY
2751 BEAVER RUN BLVD
7400 RIVERS AVE
508 BYPASS 72 NW
513 N DUNCAN BYP STE A
2240 WEST DEKALB ST
350 ROBERT SMALLS PKWY
651 HWY 28 BYPASS
1403 NORTH KINGS HWY
1283 BROAD ST
165 WALTON DRIVE
1841 SUITE A JA COCHRAN BYPASS
3812 LIBERTY HWY
2377 DAVE LYLE BLVD
3951 W ASHLEY CIRCLE
900 HWY 52
11391 DUNBARTON BLVD
305 COMMERCE DRIVE
115 ROLLING HILLS CIR
805 ENTERPRISE RD
2209 WEST DEKALB
960 N MAIN STREET
9880 DORCHESTER ROAD
25 PEMBROKE DRIVE
2035 WHISKEY ROAD
1481 US HWY 17 NORTH
2795 NORTH ROAD
3950 GRANDVIEW DR
1231 FOLLY ROAD
1610 U CHURCH ST
5420 FOREST DRIVE
2939 HIGHWAY 17 SOUTH
5556 SUNSET BLVD
721 US HWY 321 BYP S UNIT 1
City
WALTERBORO
SURFSIDE
CHARLESTON
GREENWOOD
UNION
CAMDEN
BEAUFORT
ANDERSON
MYRTLE BEACH
SUMTER
GAFFNEY
CHESTER
ANDERSON
ROCK HILL
CHARLESTON
LAKE CITY
BARNWELL
MARION
EASLEY
DILLON
CAMDEN
LANCASTER
CHARLESTON
HILTON HD ISLAND
AIKEN
MT PLEASANT
ORANGEBURG
SIMPSONVILLE
JAMES ISLAND
CONWAY
COLUMBIA
BEACH
LEXINGTON
WINNSBORO
State
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
29488295752940629649293792902029906296242957729150293412970629621297302941429560298122957129642295362902029720294182992629803294642911529681294122952629206295762907229180Last Updated 12/21/2012
211
NABP #
4221280
4221709
4222155
4222193
4222573
4222650
4222698
4222787
4222977
4223195
4224452
4224464
4224488
4224553
4224957
4225214
4225670
4225707
4225733
4226254
4226886
4226898
4227129
4227131
4227220
4227573
4227585
4228119
4228234
4228640
4228866
4228878
4229642
4229743
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
104664
WAL-MART PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
WALMART PHARMACY
Address Line 1
10136 TWO NOTCH ROAD
14055 EAST WADE HAMPTON BLVD
2014 SOUTH IRBY STREET
541 SEABOARD ST
4000 HWY 9
4900 CENTRE POINTE DRIVE
3735 RENEE DRIVE
4400 HIGHWAY 278
125 TOWNE DRIVE
605 ST JAMES AVENUE
1211 WOODRUFF ROAD
350 HARBISON BLVD
5426 FOREST DRIVE
1946 MR JOE WHITE AVE
550 HIGHWAY 17 NORTH
1286 EIGHTEEN MILE ROAD
200 PEACHWOOD CENTRE DR
4920 CENTRE POINTE DRIVE
1795 WHISKEY ROAD
9 BENTON ROAD
1326 BUSH RIVER ROAD
115 EAST CHURCH STREET
3000 PROPRIETORS PLACE
1780 SOUTH LAKE DRIVE
3581 RICHLAND AVE SW
KILLIAN RD I 77
HWY 160
3925 PELHAM ROAD
1284 KNOX AVENUE
151 MYRTLE RIDGE RD
4875 OLD YORK RD
1180 DUTCH FORK RD
175 HWY 274
10048 CHARLOTTE HWY
City
COLUMBIA
GREER
FLORENCE
MYRTLE BEACH
BOILING SPRINGS
CHARLESTON
MYRTLE BEACH
HARDEEVILLE
BLUFFTON
GOOSE CREEK
GREENVILLE
COLUMBIA
COLUMBIA
MYRTLE BEACH
BEACH
CENTRAL
SPARTANBURG
CHARLESTON
AIKEN
TRAVELERS REST
COLUMBIA
BATESBURG
MT PLEASANT
LEXINGTON
AIKEN
KILLIAN
TEGA CAY
GREENVILLE
NORTH AUGUSTA
CONWAY
ROCK HILL
IRMO
LAKE WYLIE
INDIAN LAND
State
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
SC
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
29229296502950529577293162941829579299272991029445296072921229206295772958229630293012941829803296902921029070294662907329803292032971529615298412952629732290632971029707-7135
Last Updated 12/21/2012
212
NABP #
4229870
5804390
4303044
4303133
4303323
4303335
4303739
4304173
4304185
4304197
4304200
4304224
4304236
4304248
4304250
4304274
4304298
4304301
4304325
4304349
4304387
4304402
4304767
4305000
4305036
4305048
4305050
4305149
4351742
4352542
4353683
4353809
4353948
4354267
Pharmacy Name
WAL-MART PHARMACY
KIRA'S PHARMACY
KMART PHARMACY4170
KMART PHARMACY7023
KMART PHARMACY7306
KMART PHARMACY7318
HY VEE PHARMACY 3
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY VEE PHARMACY 1
KMART PHARMACY3893
WAL-MART PHARMACY
HY VEE PHARMACY 2
KMART PHARMACY4735
KMART PHARMACY9184
WAL-MART PHARMACY
KMART PHARMACY4813
KMART PHARMACY9273
HY VEE PHARMACY
HY VEE PHARMACY 4
HY VEE PHARMACY
HY VEE PHARMACY 5
WAL-MART PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
HY VEE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
HY-VEE PHARMACY #6
Address Line 1
545 GARDEN CITY CONNECTOR
88 KINGS HWY
1111 E NORTH ST
18156TH AVE SE
3709 EAST 10TH STREET
3020 W 12TH ST
3000 S MINNESOTA AVENUE
3001 BROADWAY AVENUE
1201 29TH ST SE
3820 7TH AVENUE SE
2825 1ST AVENUE
3209 SOUTH LOUISE
2233 6TH ST
1601 S SYCAMORE ROAD
2323 COLORADO BOULEVARD
1200 LACROSSE
4101 SOUTH LOUISE AVENUE
1313 SOUTH BURR
1000 18TH STREET SW
1730 NO GARFIELD ROAD
2210 BROADWAY AVENUE
1615 N HARRISON AVENUE
1320 9TH AVENUE SE
1900 SOUTH MARION ROAD
2100 N 21ST STREET
3020 EAST 10TH STREET
1101 EAST SPRUCE ST
525 WEST CHERRY STREET
5521 E ARROWHEAD PARKWAY
3201 SOUTH LOUISE AVE
790 22ND AVENUE SOUTH
1207 PRINCETON STREET
2791 DAKOTA AVENUE SOUTH
1231 E 57TH ST
City
MURRELLS INLET
BROOKLYN
RAPID CITY
ABERDEEN
SIOUX FALLS
SIOUX FALLS
SIOUX FALLS
YANKTON
WATERTOWN
ABERDEEN
SPEARFISH
SIOUX FALLS
BROOKINGS
SIOUX FALLS
SPEARFISH
RAPID CITY
SIOUX FALLS
MITCHELL
HURON
PIERRE
YANKTON
PIERRE
WATERTOWN
SIOUX FALLS
YANKTON
SIOUX FALLS
MITCHELL
VERMILLION
SIOUX FALLS
SIOUX FALLS
BROOKINGS
VERMILLION
HURON
SIOUX FALLS
State
SC
NY
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
SD
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
29576-7847
112145770157401571035710457105570785720157401577835710657006571035778357701571065730157350575015707857501572015710657078571035730157069571105710657006570695735057108-5411
Last Updated 12/21/2012
213
NABP #
4354293
4354306
4403197
4403212
4403630
4404238
4404377
4405115
4405432
4405456
4406701
4406799
4407094
4407513
4408515
4410178
4412071
4412259
4412449
4412881
4413782
4414936
4415077
4415279
4415433
4415445
4417487
4417665
4418097
4418302
4418491
4418617
4418629
4418922
Pharmacy Name
HY-VEE PHARMACY #7
SAMS PHARMACY
DANNYS DRUGS
BELVOIR PHARMACY
KMART PHARMACY4970
PETTIGREW DRUGS
LLC
KMART PHARMACY7718
PHARMACY
COMPANY
ARNOLD DRUG COMPANY
HENDERSON TN INC
KMART PHARMACY3143
KMART PHARMACY3147
KMART PHARMACY4093
KMART PHARMACY4103
KMART PHARMACY3022
KROGER PHARMACY
SUPER DRUGS
KMART PHARMACY7063
KMART PHARMACY7353
KMART PHARMACY3084
KMART PHARMACY7069
KMART PHARMACY7076
KMART PHARMACY3408
KMART PHARMACY4717
KMART PHARMACY9633
KMART PHARMACY9621
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7460
KMART PHARMACY7358
KMART PHARMACY7461
KROGER PHARMACY
Address Line 1
2700 W 10TH ST
925 EGLIN ST
20029 ALBERTA AVE
4501 BRAINERD RD
3201 AUSTIN PEAY
139 W MAIN ST
226 MAIN STREET
5380 HIGHWAY 153
2401 N OCOEE ST
1805 KEITH ST NW
112 E MAIN ST
118 E MAIN ST
732 OLD HICKORY BLVD
1805 E STONE DR
1508 S GALLATIN RD
4095 NOLENSVILLE RD
2854 WEST STATE STREET
800 MONROE ST
855 WAYNE ROAD
305 W ECONOMY RD
3019 PEOPLES STREET
530 DONELSON PIKE
945 MCCAMMON ROAD
1266 NW BROAD STREET
4801 HIGHWAY 58
370 SOUTH ILLINOIS AVE
301 HENSLEE DRIVE
1443 W MAIN ST
380 SOUTH ILLINOIS AVENUE
2131 ABBOTT MARTIN ROAD
6909 MAYNARDVILLE PIKE NE
230 LONGHOLLOW PIKE
2300 MADISON STREET
2525 NICHOLS AVENUE
City
SIOUX FALLS
RAPID CITY
ONEIDA
CHATTANOOGA
MEMPHIS
ADAMSVILLE
BAXTER
HIXSON
CLEVELAND
CLEVELAND
HALLS
HENDERSON
JACKSON
KINGSPORT
MADISON
NASHVILLE
BRISTOL
NASHVILLE
SAVANNAH
MORRISTOWN
JOHNSON CITY
NASHVILLE
MARYVILLE
MURFREESBORO
CHATTANOOGA
OAK RIDGE
DICKSON
LEBANON
OAK RIDGE
NASHVILLE
KNOXVILLE
GOODLETTSVILLE
CLARKSVILLE
DYERSBURG
State
SD
SD
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
57104-2547
57701-6962
37841-4129
37411-5495
38128383103854437343373113731138040-1599
3834038305376603711537211-4590
376203720838372-1554
3781437604-1442
37214378013713037416378303705537087378303721537918370723704038024Last Updated 12/21/2012
214
NABP #
4418958
4419253
4419582
4419657
4420092
4420232
4420294
4420472
4420915
4420953
4420965
4421626
4421791
4421804
4421866
4421878
4421880
4421892
4422072
4422212
4422337
4422351
4422402
4422515
4422616
4422628
4422680
4422743
4422820
4422832
4422856
4422868
4422907
4422945
Pharmacy Name
KROGER PHARMACY
KMART PHARMACY9728
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
4400 LEBANON ROAD
333 N LOWRY ST
200 SOUTH GALLATIN ROAD
240 NEW BYHALIA ROAD
1840 DECHERD BLVD
170 EAST MAIN STREET
330 FRANKLIN ROAD
1622 MIDDLE TENNESSEE BLVD
1234 FINLEY
2217 BROADWAY
143 MCGAVOCK PIKE
2269 LAMAR AVENUE
244 SOUTH HALLS ROAD
445 S JEFFERSON AVE
7087 HIGHWAY 70 SOUTH
1776 W NORTHFIELD BLVD
4409 CHAPMAN HIGHWAY
4918 KINGSTON PIKE
5771 NOLENSVILLE ROAD
134 COURTRIGHT ROAD
5319 MT VIEW ROAD
8400 HIGHWAY 64
941 NORTH PARKWAY
143 HENSLEE DRIVE
1202 SJ CAMPBELL BLVD
3410 GALLATIN RD
804 RIDGEWAY AVENUE
4495 KEITH ST NW
1680 FT CAMPBELL BLVD
3050 WILMA RUDOLPH BLVD
2111 NORTH JACKSON STREET
3755 E ANDREW JOHNSON HWY
2600 MEMORIAL BOULEVARD
540 SO MENDENHALL
City
HERMITAGE
SMYRNA
MADISON
COLLIERVILLE
DECHERD
HENDERSONVILLE
BRENTWOOD
MURFREESBORO
MEMPHIS
KNOXVILLE
DONELSON
MEMPHIS
ALCOA
COOKEVILLE
NASHVILLE
MURFREESBORO
KNOXVILLE
KNOXVILLE
NASHVILLE
MARTIN
ANTIOCH
BARTLETT
JACKSON
DICKSON
COLUMBIA
NASHVILLE
SIGNAL MOUNTAIN
CLEVELAND
CLARKSVILLE
CLARKSVILLE
TULLAHOMA
GREENEVILLE
SPRINGFIELD
MEMPHIS
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
37076371673711538017373243707537027371303811637917372143811437701385013722137129379203791937211382373701338133383053705538401372163737737312370423704037388377453717238117Last Updated 12/21/2012
215
NABP #
4422957
4423125
4423137
4423149
4423226
4423238
4423240
4423252
4423315
4612277
4423377
4423389
4423428
4423430
4423442
4423454
4423478
4423505
4423543
4423567
4423719
4423783
4423822
4423860
4423884
4423947
4423959
3844378
4423985
4424052
4424076
4424254
4424266
4424292
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9629
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3715
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
525 KIMBALL CROSSING
3111 BROWNS MILL RD
612 EAST MAIN STREET
1806 N JACKSON ST
123 NORTHCREEK BLVD
1700 NORTH LOCUST STREET
1418 W MAIN ST STE A
1366 POPLAR AVENUE
1604 WEST MARKET ST
2705 E PARLEYS WAY
265 HIGHLAND SQUARE
9305 KINGSTON PIKE
1489 MADISON STREET
8445 HWY 51 NORTH
475 SO DAVY CROCKETT PKWY
2675 DECHERD BLVD
2130 EXETER ROAD
1001 OVER MOUNTAIN AVENUE
432 SOUTH BROAD STREET
4075 AMERICAN WAY
373 S ILLINOIS AVE
4770 RIVERDALE ROAD
951 HIGHWAY 51 NORTH
1113 MURFREESBORO RD
1977 SOUTH THIRD AVENUE
1601 W REELFOOT AVE
1626 ST ROUTE 12 S
3900 W POWELL BLVD
560 SOUTH JEFFERSON AVE
676 GERMANTOWN PARKWAY
2200 BROOKMEAD DRIVE
2000 OLD FORT PARKWAY
7525 WINCHESTER RD
547 WEST CHURCH ST
City
KIMBALL
JOHNSON CITY
HOHENWALD
TULLAHOMA
GOODLETTSVILLE
LAWRENCEBURG
LEBANON
MEMPHIS
BOLIVAR
SALT LAKE CITY
CROSSVILLE
KNOXVILLE
CLARKSVILLE
MILLINGTON
MORRISTOWN
WINCHESTER
GERMANTOWN
ELIZABETHTON
NEW TAZEWELL
MEMPHIS
OAK RIDGE
MEMPHIS
COVINGTON
FRANKLIN
MEMPHIS
UNION CITY
ASHLAND CITY
GRESHAM
COOKEVILLE
CORDOVA
COLUMBIA
MURFREESBORO
MEMPHIS
LEXINGTON
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
UT
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
OR
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
37347376043846237388370723846437087381043800884109-1619
385553792237042380533781337398381383764337825381113783038141380193706438109382613701597030-6048
385013801838401371293812538351Last Updated 12/21/2012
216
NABP #
4424355
4424470
4424521
4424533
4424545
4424608
4424646
4424709
4424862
4424925
4424937
4425042
4425066
4425092
4425333
4425799
4425802
4425864
4425876
4425941
4425977
4426068
4426070
4426157
4426284
4426424
4426436
4426448
4426599
4426652
4426688
4426739
4426878
4426929
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY9674
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3773
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3836
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3876
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCOTTS HILL PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3644
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
911 HWY 321 NORTH
3360 TOM AUSTIN HWY
570 ENON SPRINGS ROAD
6777 CLINTON HWY
7550 NORRIS FWY
5995 STAGE ROAD
61 E THOMPSON LANE
190 CUMBERLAND SQUARE SC
7420 CHAPMAN HIGHWAY
1210 MINERAL WELL AV
1102 NO GATEWAY AVE
1100 SOUTH DUPREE
1355 TUSCULUM BLVD
2200 HWY 641 NORTH
2020 GUNBARREL RD
200 PAUL HUFF PKWY UNIT 500
1224 HUNTSVILLE WAY
2824 APPALACHAIN HWY
539 E CENTRAL AVENUE
1802 DECATUR PIKE
5764 HWY 153
201 LANNY BRIDGES AVE
1334 N ELLINGTON PARKWAY
640 HWY 114 SOUTH
4264 SUMMER AVE
2716 NORTH CENTRAL AVENUE
630 EAST BROADWAY
220 CENTURY BLVD
3034 RHEA COUNTY HWY
1030 HUNTERS CROSSING DRIVE
2491 MURFREESBORO PIKE
3950 AUSTIN PEAY HIGHWAY
2500 W STONE DRIVE
9025 HIGHWAY 64
City
LENOIR CITY
SPRINGFIELD
SMYRNA
KNOXVILLE
KNOXVILLE
BARTLETT
NASHVILLE
CROSSVILLE
KNOXVILLE
PARIS
ROCKWOOD
BROWNSVILLE
GREENEVILLE
CAMDEN
CHATTANOOGA
CLEVELAND
FAYETTEVILLE
JACKSBORO
JAMESTOWN
ATHENS
HIXSON
COVINGTON
LEWISBURG
SCOTTS HILL
MEMPHIS
HUMBOLDT
JEFFERSON CITY
BRISTOL
DAYTON
ALCOA
NASHVILE
MEMPHIS
KINGSPORT
MEMPHIS
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
37771371723716737912379183813437211385553792038242378543801237745-4249
383203742137312373343775738556373033734338019370913837438122383433776037620373213770137217381283766038002Last Updated 12/21/2012
217
NABP #
4426943
4427046
4427072
4427147
4427248
4427286
4427527
4427729
4427820
4427894
4427907
4427919
4427945
4428187
4428214
4428240
4428670
4428707
4428884
4428911
4429002
4429014
4429228
4429230
4429266
4429456
4429468
4429482
4429533
4429545
4429610
4429622
4429660
4429672
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4739
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4898
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
41 STONEBROOK PLACE
1880 NORTH MAIN ST
2780 WILMA RUDOLPH BLVD
419 HWY 52 BYPASS W
15427 SO FIRST STREET
175 BEASLEY DRIVE
902 SOUTH MAIN STREET
1655 WEST COLLEGE STREET
3860 MINEER PEAY HWY
560 WEST POPLAR AVE
1815 DECATUR PIKE
2232 GALLATIN PIKE NORTH
275 WALTON DR
1664 E STONE DR
4560 HARDING RD
8445 WALBROOK DRIVE
301 SOUTH ELLINGTON PKWY
1 MYER STREET
628 HWY 51 BYPASS
2632 FRAYSER BLVD
4525 HWY 411
845 NASHVILLE PK
3200 FT HENRY DRIVE
180 VETERANS DRIVE N
2615 FRANKLIN ROAD
768 SOUTH JEFFERSON AVE
915 NO CHANCERY ST SUITE 100
577 GERMANTOWN PKWY
1075 COSBY HWY
3051 KINZEL WAY
204 N ANDERSON LANE
5824 NOLENSVILLE PIKE
1414 PARKWAY
1017 MULBERRY AVENUE
City
JACKSON
SHELBYVILLE
CLARKSVILLE
LAFAYETTE
MILAN
DICKSON
SWEETWATER
PULASKI
MEMPHIS
COLLIERVILLE
ATHENS
MADISON
WAVERLY
KINGSPORT
NASHVILLE
KNOXVILLE
LEWISBURG
CARTHAGE
RIPLEY
MEMPHIS
MADISONVILLE
GALLATIN
KINGSPORT
HUNTINGDON
NASHVILLE
COOKEVILLE
MCMINNVILLE
MEMPHIS
NEWPORT
KNOXVILLE
HENDERSONVILLE
NASHVILLE
SEVIERVILLE
SELMER
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
38305371603704037083383583705537874384783812838017373033711537185376603720537923370913703038063381273735437066376643834437204385013711038018378213792437075372113786238375Last Updated 12/21/2012
218
NABP #
4429696
4429963
4429975
4430207
4430269
4430271
4430310
4430322
4430447
4430473
4430485
4430574
4430625
4430637
4430891
4430904
4431019
4431021
4431259
4431297
4431348
4431350
4431425
4431437
4431677
4431792
4431982
4432403
4432415
4432768
4432895
4433063
4433227
4433316
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
220 WEARS VALLEY ROAD
2020 MALLORY LN
3930 CLARKSVILLE HWY
9501 NORTHSHORE DRIVE
2518 HILLSBORO BLVD
9334 DAYTON PIKE
2130 N LOCUST AVE
2542 NORTH MAIN STREET
5544 OLD HICKORY BLVD
3600 MALLORY LANE
2196 EMPORIUM DRIVE
5705 CHARLOTTE PIKE
2171 SOUTH HIGHLAND AVE
4120 N MT JULIET RD
4414 ASHEVILLE HWY
110 DOVER CROSSING
10721 CHAPMAN HWY
1112 NASHVILLE PIKE
126 STONEHENGE DRIVE
175 J I BELL LANE
2650 LAKE ROAD
4424 LEBANON PIKE
615 S CUMBERLAND ST
202 SAM WALTON DRIVE
9161 MIDDLEBROOK PIKE
1675 GERMANTOWN PKWY
2284 MURFREESBORO PIKE
3830 HICKORY HILL ROAD SOUTH
3444 PLAZA
2449 OLD FORT PKWY
7044 CHARLOTTE PIKE
112 SUNSET DRIVE
595 HILLSBORO RD., SUITE 305
7615 HIGHWAY 70
City
PIGEON FORGE
FRANKLIN
NASHVILLE
KNOXVILLE
MANCHESTER
SODDY DAISY
LAWRENCEBURG
CROSSVILLE
HERMITAGE
FRANKLIN
JACKSON
NASHVILLE
JACKSON
MT JULIET
KNOXVILLE
CLARKSVILLE
SEYMOUR
GALLATIN
FAIRFIELD GLADE
SAVANNAH
DYERSBURG
HERMITAGE
LEBANON
SPARTA
KNOXVILLE
CORDOVA
NASHVILLE
MEMPHIS
MEMPHIS
MURFREESBORO
NASHVILLE
JOHNSON CITY
FRANKLIN
BARTLETT
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3786337067372183792237355373793846438555370763706738305372093830137122379143704237865370663855838372380243707637087385833792338018372173811538111371303720937604-2503
3706438133Last Updated 12/21/2012
219
NABP #
4433328
4433342
4433506
4433518
4433582
4433671
4433746
4433885
4433897
4433900
4434053
4434128
4434320
4434344
4434368
4434370
4434394
4434419
4434495
4434572
4434596
4434736
4434902
4435031
4435245
4435308
4435384
4435411
4435485
4435497
4435601
4435613
4435827
4435865
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
7942 WINCHESTER ROAD
8039 HIGHWAY 51 N
8141 HIGHWAY 100
3070 MALLORY LANE
2325 MEMORIAL BLVD
19740 ALBERTA STREET
8480 HWY 64
2100 LOWES DRIVE
2150 COVINGTON PIKE
1805 GETWELL ROAD
5713 EDMONSON PIKE
35 WEST UNIVERSITY PARKWAY
4440 WESTERN AVENUE
301 INDIAN LAKE BLVD
1300 ANTIOCH PIKE
2920 KNOXVILLE CENTER DRIVE
8435 WALBROOK DRIVE
1805 WEST STATE OF FRANKLIN RD
207 WEST TOWNE PLAZA
1905 N JACKSON STE 500
463 SAM RIDLEY PARKWAY WEST
7475 WINCHESTER ROAD
10900 PARKSIDE DRIVE
3685 HOUSTON LEVEE RD
775 PICKWICK RD
4726 TRADERS WAY
6101 LEE HIGHWAY
1410 SPARTA STREET
702 WINFIELD DUNN PARKWAY
730 WATKINS ROAD
2315 MADISON STREET
4331 HIGHWAY 66
6702 CLINTON HWY
1230 N HOUSTON LEVEE RD
City
MEMPHIS
MILLINGTON
NASHVILLE
FRANKLIN
MURFREESBORO
ONEIDA
BARTLETT
CLARKSVILLE
MEMPHIS
MEMPHIS
NASHVILLE
JACKSON
KNOXVILLE
HENDERSONVILLE
NASHVILLE
KNOXVILLE
KNOXVILLE
JOHNSON CITY
SPARTA
TULLAHOMA
SMYRNA
MEMPHIS
KNOXVILLE
COLLIERVILLE
SAVANNAH
STATION
CHATTANOOGA
MCMINNVILLE
SEVIERVILLE
MARYVILLE
CLARKSVILLE
ROGERSVILLE
KNOXVILLE
CORDOVA
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3812538053372213706737130378413813337040381283811137211383053792137075-6218
3721137924379233760438583373883716738125379223801738372371793742137110378763780137043378573791238018Last Updated 12/21/2012
220
NABP #
4436083
4436095
4436160
4436184
4436223
4436362
4436386
4436425
4436716
4436766
4436778
4436780
4436893
4437009
4437011
4437287
4437340
4437439
4437554
4844090
4437718
4437807
4437819
4438013
4438075
4438138
4438253
4438330
4438366
4438455
4438467
4438645
4438796
4439128
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
OKIES PHARMACY II INC
PALMER DRUGS
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
CITY DRUG XPRESS
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
MAIN STREET DRUG LLC
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
6520 MEMPHIS ARLINGTON ROAD
6990 SHELBY DRIVE
2946 S CHURCH ST
510 HWY 76E
7265 US HIGHWAY 64
2900 SOUTH RUTHERFORD BLVD
2835 KIRBY PARKWAY
2856 HICKORY HILL EXT
1050 RUTLEDGE PIKE
571 MAIN ST
5531 EDMONDSON PIKE
3035 HAMILTON CHURCH ROAD
845 NASHVILLE HWY
589 WEST MAIN STREET
2300 TREASURY DRIVE SE
1010 N MAIN STREET
490 GREENWAY VIEW DRIVE
226 NORTH AVE
1010 GLENBROOK WAY
3912 WARDS RD
6660 POPLAR AVE
5255 ELVIS PRESLEY BLVD
3315 GUTHRIE HWY
211 W MAIN ST
615 OLD HICKORY BLVD
3054 COLUMBIA AVE
2120 EMPORIUM DRIVE
1820 ROANE STATE HIGHWAY
125 JOHN R RICE BLVD
1220 GALLATIN AVENUE
109 GALLATIN PIKE NORTH
11635 HIGHWAY 70
3550 CUMMINGS HIGHWAY
401 S MT JULIET ROAD
City
BARTLETT
MEMPHIS
MURFREESBORO
WHITE HOUSE
OAKLAND
MURFREESBORO
MEMPHIS
MEMPHIS
BLAINE
PALMER
NASHVILLE
NASHVILLE
COLUMBIA
ALGOOD
CLEVELAND
SHELBYVILLE
CHATTANOOGA
HENDERSON
HENDERSONVILLE
LYNCHBURG
MEMPHIS
MEMPHIS
CLARKSVILLE
WAVERLY
NASHVILLE
FRANKLIN
JACKSON
HARRIMAN
MURFREESBORO
NASHVILLE
MADISON
ARLINGTON
CHATTANOOGA
MT JULIET
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
VA
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
381353811537127371883806037127381193811537709373653721137013384013850137323371603741138340-1816
3707524502-2942
3813838116370403718537209370643830537748371293720637115380023741937122Last Updated 12/21/2012
221
NABP #
4439368
4439471
4439659
4439736
4439798
4439926
4439938
4439940
4439952
4439964
4440082
4440222
4440246
4440258
4440537
4441046
4441058
4441212
4441476
4441705
4441907
4442579
4442581
4442721
4442834
3997547
4444319
4444333
4444460
4444472
4444484
4444585
4444624
4500345
Pharmacy Name
WAL-MART PHARMACY
PEERLESS CROSSING
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
LLC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY #698
KROGER PHARMACY
WAL-MART PHARMACY
SHOP
PHARMACY,LLC
KROGER PHARMACY #489
KROGER PHARMACY
KROGER PHARMACY #419
VOLUNTEER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
110 ROCKY BOTTOM ROAD
1075 PEERLESS CROSSING RD
501 SIGNAL MOUNTAIN ROAD
6690 NOLENSVILLE PK
11630 HWY 51 S
515 WEST BROAD STREET
5588 LITTLE DEBBIE PARKWAY
2915 WEST MARKET STREET
16773 RANKIN AVENUE
4040 NOLENSVILLE PIKE
2410 US HWY 411 SOUTH
2050 LASCASSAS PIKE
3060 FRANKLIN TERRACE DR
711 GALLATIN RD
207 MCMURRY BLVD
222 WILKINSON LANE
105 CHICKSAW RIDGE DR
120 TANNER LANE
5145 MURFREESBORO ROAD
189 BROOKTOWN ST
4900 PORT ROYAL ROAD
300 PLEASANT GROVE RD
3458 DICKERSON PIKE
5201 N BROADWAY ST
2011 NASHVILLE PIKE
800 COMMONS DR
10033 US HIGHWAY 70 E
1022 EAST LAKE AVE
2942 KIRBY WITTEN
799 TRUSE PARKWAY
7735 FARMINGTON BLVD
10420 KINGSTON PIKE STE M
2421 POWELL AVE
3100 HWY 35
City
UNICOI
CLEVELAND
CHATTANOOGA
BRENTWOOD
ATOKA
SMITHVILLE
OOLTEWAH
JOHNSON CITY
DUNLAP
NASHVILLE
MARYVILLE
MURFREESBORO
JOHNSON CITY
NASHVILLE
HARTVILLE
WITE HOUSE
OAKLAND
CLINTON
LAVERGNE
FARRAGNT
SPRINGHILL
MT. JULIET
NASHVILLE
KNOXVILLE
GALLATIN
OXFORD
MC EWEN
CELINA
BARTLETT
MEMPHIS
GERMANTOWN
KNOXVILLE
NASHVILLE
ALVIN
State
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
TN
PA
TN
TN
TN
TN
TN
TN
TN
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
3769237312374053702738004371663736337604373273721137803371303760437206370743718838060377163708637934371743712237207-2511
37918-2345
3706619363-1247
37101-4442
3855138134381173813837922-3261
37204-4653
77511Last Updated 12/21/2012
222
NABP #
4500369
4500434
4501020
4501361
4501664
4501741
4501854
4501981
4502337
4502438
4502945
4502971
4503175
4503745
4504278
4504723
4504850
4505042
4505054
4505458
4505535
4506094
4506412
4507387
4508555
4509139
4509305
4509367
4509711
4509773
4510005
4510017
4510031
4510118
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WESLACO PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7347
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
Address Line 1
1025 WEST TRINITY MILLS
4825 SWEETWATER BLVD
1800 LAWRENCE ST
2121 HWY 16 SOUTH
1938 WEST GRAY
6801 SOUTH BROADWAY
7401 SAMUELL BLVD
1410 E MAIN ST
6859 N SHILOH ROAD
6200 HWY 6 SOUTH
1001 N BECKLEY STE 500
1212 E BETHANY DR
1102 S AIRPORT
1650 STATE HWY 351
12620 WOODFOREST 200
810 HURST STREET
4609 NW LOOP 436
5555 DE ZAVALA ROAD
930 N WALNUT CREEK SUITE 800
1850 NORTH ZARAGOZA RD
6055 FRY ROAD
1950 EL DORADO
6160 HWY 6 AT LITTLE YORK
5150 BUFFALO SPEEDWAY
1320 W MCDERMOTT DRIVE
411 N ZARAGOZA RD
18030 FM529
1107 SOUTH SHAVER STREET
7500 PRESTON STONEBROOK
2305 NORTH CENTRAL EXPRESSWAY
407 N E GEORGIA AVENUE
325 EAST RICHEY ROAD
12205 WEST ROAD
9555 SO POST OAK ROAD
City
CARROLTON
SUGAR LAND
GAINESVILLE
GRAHAM
HOUSTON
TYLER
DALLAS
EASTLAND
GARLAND
MISSOURI CITY
DESOTO
ALLEN
WESLACO
ABILENE
HOUSTON
CENTER
CARTHAGE
SAN ANTONIO
MANSFIELD
EL PASO
KATY
HOUSTON
HOUSTON
HOUSTON
ALLEN
EL PASO
CYPRESS
PASADENA
FRISCO
DALLAS
SWEETWATER
HOUSTON
HOUSTON
HOUSTON
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7500677479762407645077019757037522876448750447745975115750027859679601770157593575633782497606379936774497706277084770057501379907-4745
7743377506750347520479556770737706577096Last Updated 12/21/2012
223
NABP #
4510194
4510245
4510372
4510396
4510423
4511122
4511172
4511449
4511451
4511590
4511653
4511704
4511994
4512427
4513152
4513330
4513342
4513405
4513429
4513455
4513835
4513859
4513986
4514217
4514229
4514231
4514255
4514267
4514952
4514976
4515017
4515120
4515132
4515144
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KMART PHARMACY7795
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3305 N DALLAS PARKWAY
300 WEST 15TH STREET
9919 WESTHEIMER ELMSIDE
1025 HWY 6 NORTH
1615 S LOOP WEST
13600 EAST FREEWAY
11101 FUQUA STREET
8351 ANDERSON BLVD
1635 MARKET PLACE BLVD
1600 N 16TH STREET
1700 N ALEXANDER DR
2222 I 45 N
4565 S 1ST ST
2108 BEDFORD ROAD
1520 ELDRIDGE
7970 NORTH MESA
11360 PELLICANO DRIVE
6185 RETAIL RD
3150 SW MILITARY DRIVE
6760 WESTWORTH BLVD
2450 WEST LOOP 338
6703 EAST LESLIE ROAD
6375 NE LOOP 820
8801 OHIO DRIVE
751 WEST MAIN
9300 EMMETT F LOWRY EXPRSWY
5055 LOOP 410 NW
12349 N IH 35
150 WEST FM 544
8621 OHIO DRIVE
8323 BROADWAY
3535 LONGMIRE DR
735 WEST SUBLETT ROAD
7401 PARK VISTA BLVD
City
PLANO
HEREFORD
HOUSTON
KATY
HOUSTON
HOUSTON
HOUSTON
FORT WORTH
IRVING
ORANGE
BAYTOWN
CONROE
ABILENE
BEDFORD
HOUSTON
EL PASO
EL PASO
DALLAS
SAN ANTONIO
VILLAGE
ODESSA
SAN ANTONIO
N RICHLAND HILLS
PLANO
LEWISVILLE
TEXAS CITY
SAN ANTONIO
SAN ANTONIO
MURPHY
PLANO
PEARLAND
COLLEGE STATION
ARLINGTON
FORT WORTH
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
75093790457704277079770547701577089761207506377630775207730179605-1427
760217707779932799367523178224761147976378254761807502475067775917822978233750947502477584778457601776137Last Updated 12/21/2012
224
NABP #
4515170
4515310
4515334
4515891
4515904
4515916
4515928
4516057
4516071
4516108
4516146
4516502
4516615
4516653
4516665
4516716
4517035
4517097
4517136
4517148
4517150
4517441
4517617
4517631
4517655
4517922
4517934
4517946
4517958
4517960
4517972
4518215
4518253
4518265
Pharmacy Name
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
945 W LAMAR BLVD
2000 WESTVIEW BLVD
12919 SAN PEDRO AVE
4150 BELTLINE ROAD
6000 COIT RD
9700 N CAPITAL OF TX HWY
9665 FM 1960 BYPASS
2440 SOUTHEAST LOOP 820
12000 MCCREE ROAD
301 COIT ROAD
130 SUNDANCE PKWY SUITE 300
7505 N MACARTHUR BLVD
2900 WEST WHEATLAND ROAD
3959 BROADWAY BLVD
2951 MATLOCK RD
9461 WEBB CHAPEL RD
6700 WOODLANDS PKWY 600
1213 MARKET PLACE BLVD
3800 HWY 287 WEST
3040 COLLEGE PARK DRIVE
915 NORTH TOWN EAST BLVD
22150 WESTHEIMER PKWY
7451 MCCART AVENUE
345 HWY 6
555 WEST I 30
25108 MARKET PLACE DRIVE
2501 LAKEVIEW PKWY
18121 MARSH LANE
12300 S W FREEWAY
19091 INTERSTATE 45 SOUTH
3500 W ALTON GLOOR BLVD
16400 EL CAMINO REAL
2130 RUF SNOW DRIVE
5565 DEZAVALA RD
City
ARLINGTON
CONROE
S ANTONIO
ADDISON
PLANO
AUSTIN
HUMBLE
FORT WORTH
DALLAS
PLANO
ROUND ROCK
IRVING
DALLAS
GARLAND
MANSFIELD
DALLAS
THE WOODLANDS
IRVING
VERNON
THE WOODLANDS
MESQUITE
KATY
FORT WORTH
SUGAR LAND
GARLAND
KATY
ROWLETT
DALLAS
STAFFORD
SHENANDOAH
BROWNSVILLE
HOUSTON
KELLER
SAN ANTONIO
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
76012773047821675001750237875977338761407523875075786817506375237750437606375220753827506376384773847515077450761337747875043774947508975287774777738578520770627624878249Last Updated 12/21/2012
225
NABP #
4518809
4519116
4519128
4519192
4519217
4519407
4519419
4519801
4519813
4519988
4519990
4520082
4520094
4520195
4520436
4520448
4520450
4520462
4520537
4520880
4521010
4521060
4521072
4521109
4521111
4521135
4521250
4521678
4521731
4521919
4521921
4521945
4522036
4522567
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
DANIEL DRUG INC
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
Address Line 1
1515 FM 407
2740 GESSNER ROAD
155 WEST EL DORADO BLVD
7950 FM 1960
10488 OLD KATY ROAD
1501 EAST BUCKINGHAM ROAD
1200 EAST SPRING CREEK PKWY
4810 HWY 6 NORTH
12353 FM 1960 WEST
201 WALTON WAY
1035 HICKORY CREEK BLVD
1615 INTERSTATE 10 S
3409 W 7TH ST
3333 HWY 75 NORTH
6016 MARSHA SHARP FWY
2025 S SOUTHWEST LOOP 323
1400 EAST JACKSON
4949 GREENWOOD DRIVE
2240 FM 407
3965 DOWLEN
4970 HWY 290 WEST
11755 BEECHNUT STREET
4400 BRYANT IRVIN ROAD
11242 SOUTH GESSNER ROAD
2700 SOUTH KIRKWOOD DRIVE
13742 NORTH ELDRIDGE PKWY
9135 GRAPEVINE HWY
2000 US HIGHWAY 181
7480 PADRE ISLAND BLVD
255 FM 518
3570 W ALTON GLOOR B
9140 FOREST LANE
2925 CUSTER ROAD
2610 WEST PIONEER PARKWAY
City
LEWISVILLE
HOUSTON
FRIENDSWOOD
HOUSTON
HOUSTON
RICHARDSON
PLANO
HOUSTON
HOUSTON
CEDAR PARK
CREEK/DENT
BEAUMONT
FT WORTH
SHERMAN
LUBBOCK
TYLER
MCALLEN
CORPUS CHRISTI
HIGHLAND VILLAGE
BEAUMONT
AUSTIN
HOUSTON
FORT WORTH
HOUSTON
HOUSTON
CYPRESS
N. RICHLAND HILLS
PORTLAND
BROWNSVILLE
KEMAH
BROWNSVILLE
DALLAS
PLANO
PANTEGO
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
75077770807754677070770437508175074770847706578613750657770176107-2718
750907940775701785037841675077777067873577072761327707177077774297618078374785217756578520752437507576013Last Updated 12/21/2012
226
NABP #
4522632
4522656
4522670
4522745
4522959
4522961
4522973
4522985
4522997
4523002
4523014
4523026
4523038
4523064
4523088
4523090
4523115
4523139
4523141
4523367
4523658
4523684
4524004
4524028
4524054
4524080
4524105
4524117
4524446
4524484
4524511
4524965
4524977
4524991
Pharmacy Name
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
5150 NORTH GARLAND AVENUE
351 HIGHWAY 6
425 COIT ROAD
20424 KATY FREEWAY
8000 RESEARCH FOREST DR
1550 GRAND PKWY
250 S FM 270
12555 BRIAR FOREST DR
220 S LOOP 336
12400 FM 1960
8745 SPRING CYPRESS
9125 W SAM HOUSTON PARKWAY
7747 KIRBY DR
12605 I 45 NORTH
3830 WEST DAVIS
151 N FRIENDSWOOD DR
3135 FM 528
11701 S SAM HOUSTON PKWY
10010 CYPRESSWOOD DR
2061 RUFE SNOW DR
7960 LONG POINT ROAD
2320 BOB BULLOCK LOOP
7201 GRAPEVINE HWY
2525 1 20
708 E PIPELINE
2210 S FELDER
6805 NMAIN
1919 FAITHON P LUCAS BLVD
2165 NORTHPARK DRIVE
9101 NORTH TARRANT PARKWAY
5310 SOUTH RICE AVENUE
2100 LOOP 410 SE
621 UPTOWN BLVD
5655 EAST SAM HOUSTON PKWY N
City
GARLAND
SUGAR LAND
PLANO
KATY
THE WOODLANDS
KATY
LEAGUE CITY
HOUSTON
CONROE
HOUSTON
SPRING
HOUSTON
HOUSTON
WILLIS
CONROE
FRIENDSWOOD
FRIENDSWOOD
HOUSTON
HOUSTON
KELLER
HOUSTON
LAREDO
N. RICHLAND HILLS
GRAND PRARIE
HURST
ARLINGTON
THE COLONY
MESQUITE
KINGWOOD
N RICHLAND HILLS
HOUSTON
SAN ANTONIO
CEDAR HILL
HOUSTON
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7504077478750757744977382774937757377077773047706577379770647703077378-6900
7730477546775467708977070762487705578043761807505276053760137505675181773397618077081782207510477015Last Updated 12/21/2012
227
NABP #
4525020
4525525
4525537
4526541
4526705
4526729
4526743
4526755
4526957
4526983
4527000
4527810
4528052
4528141
4528317
4528519
4528711
4528723
4529054
4529105
4529460
4529484
4529597
4529600
4530437
4530463
4530639
4530641
4530653
4530780
4530994
4531489
4531972
4532241
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
Address Line 1
1710 BROADWAY STREET
850 WEST RUSK STREET
2325 WEST INTERSTATE 20
3939 FRANKFORD RD
7001 GATEWAY BLVD WEST
1520 EXCHANGE PARKWAY
2275 GUS THOMASSON ROAD
3000 SAUL KLEINFELD DRIVE
12789 MIDWAY ROAD
430 NORTH COIT ROAD
9700 HILLCROFT STREET
10505 BROADWAY
18700 STATE HIGHWAY 105 WEST
6060 FM 2920
3410 GULF FREEWAY
3770 BELT LINE ROAD
22605 TOMBALL PARKWAY
1732 PRECINCT LINE ROAD
6513 MEADOWBROOK DR
11565 STATE HWY 6 SO
9025 SPENCER HIGHWAY
1521 NORTH COCKRELL HILL ROAD
1004 S CROWLEY RD
5190 HWY 78
12900 N I 35 SVC RD SB
1701 WEST STATE HIGHWAY 114
190 EAST FM 3040
8315 FM 78
1603 VANCE JACKSON ROAD
3820 ATASCOCITA RAOD
17455 SPRING CYPRESS
6350 NORTH ELDRIDGE PARKWAY
3801 KELL BLVD
6616 FM 1488
City
PEARLAND
ROCKWALL
GRAND PRAIRIE
DALLAS
EL PASO
ALLEN
DALLAS
EL PASO
DALLAS
RICHARDSON
HOUSTON
PEARLAND
CONROE
SPRING
DICKINSON
ADDISON
TOMBALL
HURST
FORT WORTH
SUGARLAND
LA PORTE
DALLAS
CROWLEY
SACHSE
AUSTIN
GRAPEVINE
LEWISVILLE
CONVERSE
SAN ANTONIO
HUMBLE
CYPRESS
HOUSTON
WICHITA FALLS
MAGNOLIA
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
77581750877505275287799257500275228799367524475080770967758477356773797753975001773757605476112774787757175211760367504878753760517506778109782137739677429770417630877355Last Updated 12/21/2012
228
NABP #
4532467
4532645
4532671
4532683
4532734
4532962
4533166
4533178
4533510
4533964
4534067
4534079
4534093
4534106
4534360
4534396
4534409
4534423
4354394
4534702
4534841
4534966
4535019
4535069
4535071
4535184
4535540
4535590
4535639
4535742
4536908
4537277
4537289
4537342
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
Address Line 1
4851 LEGACY DRIVE
8030 BANDERA ROAD
1421 WEST FRONTAGE ROAD
5730 WEST AMARILLO BLVD
1255 HIGHWAY 59 LOOP
6102 FM 3009
1228 NORTH HIGHWAY 377
4700 EAST PALM VALLEY BLVD
6425 FM 1464 RD
1592 S LOOP 288
5001 MCKINNEY RANCH PARKWAY
21150 KUYKENDAHL ROAD
220 NORTH HIGHWAY 175
407 EAST HWY 114
8520 NORTH BEACH STREET
2020 HEIGHTS DRIVE
215 EAST MILE 3 ROAD
26270 NORTHWEST FREEWAY
100 E STUMER RD
2201 ROSS OSAGE DRIVE
4017 14TH ST
1551 ZARAGOSA ROAD
802 EAST HIGHWAY 80
600 HEWITT DRIVE
9300 SOUTH IH 35 BLDG B
2301 E WACO DR
9700 COIT ROAD
2050 NORTH HIGHWAY 78
3851 AIRPORT FREEWAY
3205 MAIN STREET
2801 EAST INTERSTATE 20
5555 S BUCKNER BLVD
5301 SOUTH 1ST
1401 NORTH SAGINAW BLVD
City
FRISCO
SAN ANTONIO
ALAMO
AMARILLO
WHARTON
SCHERTZ
ROANOKE
ROUND ROCK
RICHMOND
DENTON
MCKINNEY
SPRING
SEAGOVILLE
LEVELLAND
FORT WORTH
HARKER HEIGHTS
PALMHURST
CYPRESS
RAPID CITY
AMARILLO
PLANO
EL PASO
FORNEY
WACO
AUSTIN
WACO
PLANO
WYLIE
FORT WORTH
FRISCO
HUDSON OAKS
DALLAS
ABILENE
SAGINAW
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
SD
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
750347825078516791067748878154762627866577407-8287
76205-4730
750707737975159793367613776548785747742957701-6417
7910375074799367512676712787487670575025-5832
75098761117503476087752287960576179Last Updated 12/21/2012
229
NABP #
4538089
4538306
4538318
4538320
4538356
4538368
4538382
4538394
4538433
4230809
4539093
4539245
4539726
4539788
4539815
4539827
4540096
4540630
4540870
4540882
4541086
4541670
4541682
4541694
4541707
4541745
4541834
4542254
4542848
4543383
4543408
4543410
4543460
4543472
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7077
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1414 MARLAND WOOD ROAD
6756 WEST VICKERY BLVD
4230 JOHN BEN SHEPPARD PKWY
14091 FM 490
9460 W SAM HOUSTON PKWY S
4215 CANYON DRIVE
200 WEST INTERSTATE 20
105 CENTENNIAL BLVD
915 EAST RANDOL MILL ROAD
336 HIGHWAY 9 W
3310 NORTH 4TH ST
3304 DENTON HWY
721 BOYD ROAD
5749 SHERWOOD WAY
15220 MONTFORT DRIVE
9598 ROWLETT ROAD
4038 DENTON ROAD
3302 SOUTHEAST MILITARY DRIVE
10001 WOODLANDS PARKWAY
9500 CLIFFORD STREET
951 WEST BELT LINE ROAD
4401 HIGHWAY 83 SOUTH
1911 4TH STREET
690 OLD SAN ANTONIO ROAD
1701 WEST FM 646
1129 MORGAN BLVD
1101 FLOWER MOUND RD
407 N BRENTWOOD
4101 SOUTH MCCOLL ROAD
1670 WEST UNIVERSITY DRIVE
6315 82ND STREET
8201 NORTH FM 620
1721 NORTH CUSTER
400 NORTH HIGHWAY 67
City
TEMPLE
FORT WORTH
ODESSA
RAYMONDVILLE
HOUSTON
AMARILLO
MIDLAND
LINDALE
ARLINGTON
BENNETTSVILLE
LONGVIEW
HALTOM CITY
AZLE
SAN ANGELO
DALLAS
HOUSTON
CARROLLTON
SAN ANTONIO
THE WOODLANDS
FORT WORTH
DESOTO
LAREDO
LUBBOCK
BUDA
LEAGUE CITY
HARLINGEN
FLOWER MOUND
LUFKIN
EDINBURG
MCKINNEY
LUBBOCK
AUSTIN
MCKINNEY
MIDLOTHIAN
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
SC
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
76502761167976278580770997911079701757717601129512-2165
75605761177602076901752487707575007782237738276108751157804679415786107757378550-5152
7502875901785397506979424787267507076065Last Updated 12/21/2012
230
NABP #
4543484
4544032
4544044
4544068
4544119
4544183
4544195
4544208
4544587
4544892
4544905
4545173
4545399
4546149
4546656
4546668
4546961
4548129
4548232
4548410
4548422
4549157
4549448
4549462
4549626
4549690
4549739
4549981
4550085
4550097
4550718
4551277
4551506
5133195
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3491
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4201
KMART PHARMACY4205
KMART PHARMACY4972
KMART PHARMACY9329
KMART PHARMACY7056
WAL-MART PHARMACY
KMART PHARMACY9325
KROGER PHARMACY
TEXAS CITY PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PHARMACY
RITE CARE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
8801 HIGHWAY 34 SOUTH
1350 LEAH AVE
8040 INDEPENDENCE PARKWAY
1548 FM 685
2750 E LEAGUE CITY PKWY
8115 NORTH LOOP
12220 FM 423
4006 ESTES PARKWAY
1210 NORTH GREENVILLE
11210 POTRANCO ROAD
9235 NORTH SAM HOUSTON PKWY E
1405 EARL RUDDER FREEWAY
2301 RAYFORD ROAD
3060 FM 407
5401 PARK SPRINGS BLVD
951 NORTH RESLER
6375 MONTANA AVE
4800 US 2667 HIGHWAY
6060 NORTH FRY ROAD
1120 MCRAE BLVD
9484 DYER ST
6501 UNIVERSITY AVENUE
2440 PABLO KISEL BLVD
1100 MC CANN
5660 GRAND PARKWAY WEST
655 SUNLAND PARK DR
5021 TEASLEY LANE
2506 25TH AVE NORTH
11003 SHADOW CREEK PKWY
10250 FRESNO STATE HWY 6
3012 E MAIN AVE STE A
3116 MARTIN LUTHER KING BLVD
1705 EXPRESSWAY 83
7025 W MAIN ST
City
QUINLAN
SAN MARCOS
PLANO
PFLUGERVILLE
LEAGUE CITY
EL PASO
FRISCO
LONGVIEW
ALLEN
SAN ANTONIO
HUMBLE
COLLEGE STATION
SPRING
HIGHLAND VILLAGE
ARLINGTON
EL PASO
EL PASO
ARLINGTON
HOUSTON
EL PASO
EL PASO
LUBBOCK
BROWNSVILLE
LONGVIEW
RICHMOND
EL PASO
DENTON
TEXAS CITY
PEARLAND
FRESNO
ALTON
DALLAS
PENITAS
MILWAUKEE
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
WI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7547478666750257866077573799077503475603750027825377396778457738675077760177991279925-2044
760177744979925-7624
79924-6411
7941378526-4095
756017746979912-5168
7621077590775847754578573-0908
752157857653214Last Updated 12/21/2012
231
NABP #
4552178
4552382
4843973
4552926
4553132
4553346
4553601
4553649
4553776
4553788
4554235
4554312
4554526
4555059
4555136
4555465
5643754
5643766
4557849
5643778
4557875
4557887
4557899
4558360
4558384
4558409
4558411
4558435
5643780
4559007
4559019
4559021
4559348
4559362
Pharmacy Name
MAS CLUB PHARMACY
CRENSHAW PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY7309
PHARMACY
KMART PHARMACY7296
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PHARMACY
SERVICES, LLC
PHARMACY 2 LLC
NUCARE PHARMACY
KROGER PHARMACY
VITAL CARE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
8711 N FREEWAY
5010 CRENSHAW RD STE 160
6530 TRADING SQUARE
8011 WEST GRAND PARKWAY SOUTH
4520 W 7TH ST
6624 MEADOWBROOK DR
1400 WILDCAT DR
532 WEST I 30
24401 BRAZOS TOWN CROSSING
12221 CUSTER RD
6300 RICHMOND AVE.
8901 FM1960 BYPASS W #102
2004 E. EXPRESSWAY 83 SUITE 2
6050 LAKE WORTH BLVD.
3120 SOUTH UNIVERSITY
3453 ST. FRANCIS AVE.
10355 TRINITY PKWY
1000 E IMPERIAL HWY
5235 ALDINE MAIL ROUTE
337 E MAGNOLIA BLVD
14344 MEMORIAL DR
5730 SEAWALL BLVD
3541 PALMER HWY146
752 WYNNEWOOD VILLAGE
3510 ALTA MESA
1406 WEST WALNUT
313 E. PIONEER PKWY
525 N GALLOWAY
5660 HOLLYWOOD BLVD
2410 EAST EXPRESSWAY 83
1200 E JACKSON AVE
1724 W UNIVERSITY DRIVE
111 I 45 SOUTH
18518 KUYKENDAHL
City
HOUSTON
PASADENA
HAYMARKET
RICHMOND
TEXARKANA
FORT WORTH
PORTLAND
GARLAND
ROSENBURG
FRISCO
HOUSTON
HUMBLE
WESLACO
LAKE WORTH
FORT WORTH
DALLAS
STOCKTON
LA HABRA
HOUSTON
BURBANK
HOUSTON
GALVESTON
TEXAS CITY
DALLAS
FT. WORTH
GARLAND
GRAND PRAIRIE
MESQUITE
LOS ANGELES
MISSION
MCALLEN
EDINBURG
HUNTSVILLE
SPRING
State
TX
TX
VA
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
CA
CA
TX
CA
TX
TX
TX
TX
TX
TX
TX
TX
CA
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7703777505-3047
20169774697550176112-5241
78374-2813
75043774717503477057773387859676135761097522895219-7243
90631-7452
7703991502-1132
770797755177590752247613375042750517514990028-6810
7857278503785397734077379Last Updated 12/21/2012
232
NABP #
4559970
4560240
4560252
4560264
4560276
4560288
4560719
4560822
4561076
4561090
4561228
4561331
4561482
4563133
4563260
4563929
4563931
4564058
4564072
4564084
4564096
4564286
4564387
4564907
4564921
4565113
4565125
4565238
4565240
4565252
4565644
4565911
4566127
4566139
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
COMPOUNDING PHCY
KMART PHARMACY7912
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2412 TEXAS AVE
2109 HARWOOD RD
5701 W PLEASANT RIDGE RD
17194 PRESTON RD
200 W CAMP WISDOM RD
701 WEST MARSHALL
2800 NOLANA AVE
3550 SPENCER HWY
13133 VETERANS MEMORIAL
6767 SPENCER HWY
2303 BOONVILLE RD
101 DIXIE DR
1505 WIRT
211 FM 1960 BYPASS RD E
3061 JOHN REDDITT DR
1461 SPRING CYPRESS RD
2619 RED BLUFF RD
3612 N BELTLINE RD
2770 VALWOOD PKWY
2201 W GRAUWYLER ROAD
1310 CLARKSVILLE ROAD
1905 EL MAR
14710 WOODFOREST
1515 SOUTH LOOP 288
2580 E ARKANSAS LANE
1025 SAWDUST RD
5200 FAIRMONT PKWY
1405 EAST TYLER
4999 TWIN CITY HWY
3845 PHELAN BLVD
1201 STONE STREET
4145 NORTH DOWLEN ROAD
10727 GATEWAY BLVD WEST
4530 WOODROW BEAN TRANSMTN DR.
City
COLLEGE STATION
BEDFORD
ARLINGTON
DALLAS
DUNCANVILLE
LONGVIEW
MC ALLEN
PASADENA
HOUSTON
PASADENA
BRYAN
CLUTE
HOUSTON
HUMBLE
LUFKIN
SPRING
PASADENA
IRVING
FARMERS BRANCH
IRVING
PARIS
SEABROOK
HOUSTON
DENTON
ARLINGTON
SPRING
PASADENA
ATHENS
PORT ARTHUR
BEAUMONT
KILGORE
BEAUMONT
EL PASO
EL PASO
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7784076021760167524875116756017850477504770147750577808-2232
77531770557733875904-5697
77373775067506275234750617546077586770157620876014773807750575751776427770775662777067993579924Last Updated 12/21/2012
233
NABP #
4566141
4566470
4566482
4566521
4566797
4566800
4566812
4567030
4567042
4567460
4567472
4567612
4567624
4567686
4567713
4567939
4567941
4568486
4568676
4568690
4568967
4569135
4569147
4569159
4569161
4569527
4569589
4569591
4569604
4569616
4569628
4569630
4569642
4569654
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2801 N CHARLES ST
7075 FM 1960 RD WEST
135 NE LOOP 564
2041 REDBUD BLVD
9303 HWY 6 SOUTH
12222 JONES RD
200 GULF FREEWAY SOUTH
1313 FRY ROAD
27650 TOMBALL PKWY
16503 NACOGDOCHES ROAD
1407 LOOP 336 WEST
400 SOUTH BYPASS 35
7401 INTERSTATE 30
3600 GUS THOMASSON ROAD
300 EAST END BLVD
4900 GARTH ROAD
795 TX AVE
3115 EDGAR BROWN DR
2700 HIGHWAY 281 NORTH
2003 SOUTH DUMAS AVENUE
1601 WEST STATE HIGHWAY 114
3100 EAST MAIN
603 HWY 243 EAST
601 N FM 1821
1060 N MAIN STREET
23611 HIGHWAY 59 N
401 W COMMERCE
2125 WEST TRAVIS
200 US HWY 80 EAST
4215 SOUTH LOOP 289
1701 NORTH 23RD ST
3506 S HWY 6 SOUTH
6401 NE LOOP 820
3700 I 40 EAST
City
PAMPA
HOUSTON
MINEOLA
MCKINNEY
HOUSTON
HOUSTON
LEAGUE CITY
KATY
TOMBALL
SAN ANTONIO
CONROE
ALVIN
GREENVILLE
MESQUITE
MARSHALL
BAYTOWN
BRIDGE CITY
W ORANGE
MARBLE FALLS
DUMAS
GRAPEVINE
UVALDE
CANTON
MINERAL WELLS
EULESS
PORTER
BROWNWOOD
LAGRANGE
MESQUITE
LUBBOCK
CANYON
HOUSTON
N RICHLAND HILLS
AMARILLO
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
79065770697577375069770837707077573774497737578247773047751175402751507567077520776117763078654790297605178801751037606776039773657680178945751497942379015770827618079103Last Updated 12/21/2012
234
NABP #
4570037
4570328
4570330
4570342
4570354
4570366
4570392
4570746
4570758
4570861
4570873
4570885
4570897
4570900
4571116
4571128
4571231
4571332
4571382
4571394
4571407
4571609
4571611
4571623
4571635
4571647
4571659
4571902
4571914
4572029
4572132
4572245
4572269
4572310
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
14060 FM 2920
1400 LOWES BLVD
121 HWY 332 WEST
1209 S INTERSTATE 35
800 JAMES BOWIE DRIVE
2475 ASCENSION BLVD
8550 HWY 6 N WEST RD
155 L0UETTA CROSSING
2610 W DICKSON ST
550 SOUTH 123 BYPASS
801 WEST MAIN
1919 NORTH MAIN
1701 EAST END BLVD N
1903 SOUTH CEDAR
1215 NORTH STREET
514 S CARRIER PARKWAY
702 WEST LOOP 289
5671 TREASCHWIG
2207 S BRIDGE ST
6770 WESTWORTH BLVD
2801 AVENUE F
1501 NORTH I 27
11210 W AIRPORT BLVD
401 EAST HWY 82
4320 FRANKLIN AVE
3155 W WHEATLAND ROAD
625 HWY 290 EAST
2225 W INTERSTATE 20
RT 2 US HWY 281 SOUTH
4210 JOHN BEN SHEPHERD PKWY
951 SW WILSHIRE BLVD
4100 WEST AIRPORT FREEWAY
325 E SPRING ST
3300 MONTROSE BLVD
City
TOMBALL
KILLEEN
LAKE JACKSON
NEW BRAUNFELS
NEW BOSTON
ARLINGTON
HOUSTON
SPRING
FT STOCKTON
SEGUIN
LEWISVILLE
PEARLAND
MARSHALL
PECOS
NACOGDOCHES
GRAND PRAIRIE
LUBBOCK
SPRING
BRADY
VILLAGE
CHILDRESS
PLAINVIEW
STAFFORD
SHERMAN
WACO
DALLAS
HEMPSTEAD
GRAND PRAIRIE
FALFURRIAS
ODESSA
BURLESON
IRVING
PALESTINE
HOUSTON
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
77375765427756678130755707601177095773737973578155750677758175670797727596175051-1501
794167737376825761147920179072774777509076710752377744575052783557976276028750617580177006Last Updated 12/21/2012
235
NABP #
4572512
4572687
4572699
4573083
4573095
4573108
4573285
4573374
4573386
4573398
4573413
4573425
4573817
4573829
4573831
4573843
4573932
4574150
4574162
4574174
4574186
4574198
4574201
4574213
4574338
4574388
4574542
4574857
4574883
4574895
4574908
4574910
4574996
4575001
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
1620 WEST CHURCH
1836 S MAIN STREET
4610 SOUTH COULTER
9441 ALAMEDA AVE
6360 LAKE WORTH BLVD
2721 BOCA CHICA BLVD
7555 N MESA
1310 NORTH TEXAS BLVD
488 HWY 71 WEST
2214 N FIRST STREET
1305 S HWY 121
9114 CAMP BOWIE WEST BLVD
5050 TROUP HWY
201 US HWY 59 LOOP
2005 HUTCHINGS AVE
3820 HWY 64 WEST
2701 SOUTH IH 35
1707 W UNIVERSITY
3001 MATLOCK
2415 HIGHWAY 79S
1420 HIGHWAY 377 E
11925 ELAM RD
500 W UNIVERSITY
515 S MACARTHUR
1506 NORTH TEXANA
15955 FM 529 ROAD
5302 N GARLAND AVE.
150 W EL DORADO BLVD
3450 FM 1960 WEST
12300 LAKE JUNE RD
4517 NORTH MIDLAND DRIVE
1381 S MAIN STREET
235 EAST FM 1382
6080 S HULEN
City
LIVINGSTON
WEATHERFORD
AMARILLO
EL PASO
LAKE WORTH
BROWNSVILLE
EL PASO
WESLACO
BASTROP
CARRIZO SPRINGS
LEWISVILLE
FT. WORTH
TYLER
ATLANTA
BALLINGER
TYLER
ROUND ROCK
MCKINNEY
MANSFIELD
HENDERSON
GRANBURY
BALCH SPRINGS
DENTON
IRVING
HALLETTSVILLE
HOUSTON
GARLAND
FRIENDSWOOD
HOUSTON
BALCH SPRINGS
MIDLAND
BOERNE
CEDAR HILL
FT. WORTH
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7735176086791217990776135785217991278596786027883475067761167570375551768217570478664750697606375654-4411
7604975180762017506077964770957504477546770687518079707780067510476132Last Updated 12/21/2012
236
NABP #
4575330
4575342
4575354
4575366
4575378
4575380
4575912
4575950
4575974
4576015
4576041
4576053
4576065
4576077
4576116
4576130
4576192
4576320
4576609
4576611
4576623
4576712
4576988
4576990
4577005
4577283
4577310
4577803
4577815
4577827
4577916
4577928
4578019
4578297
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
Address Line 1
1801 WEST LINCOLN AVE
1616 WEST HENDERSON
1406 EAST MILAM
400 TINEY BROWNING BLVD
3159 GARLAND AVENUE
6001 CENTRAL EXPRESSWAY
1617 W HENDERSON ST
6749 AIRLINE
4101 HWY 121
3665 STATE HWY 6
1821 SOUTH PADRE ISLAND DR
13750 I 10 EAST
1435 EAST MAIN ST
1815 BROTHERS BLVD
1133 E GEN L CAVAZOS BLVD
2935 RIDGE ROAD
1030 NORWOOD PARK BD
2121 HWY 146 BYPASS
1250 FLOUR BLUFF DR
3829 US HWY 77
4801 SOUTH COOPER STREET
815 W CRAWFORD
1515 N FM 1604 EAST
1213 E TRINITY MILLS ROAD
5025 LOOP 410 NORTHWEST
3130 LAWRENCE RD
13201 FM 620 ROAD NORTH
710 EAST BEN WHITE BLVD
1521 I 35 EAST
610 WEST 29TH ST
1608 NORTH SWENSON
1126 WEST BUSINESS 77
19611 EASTEX FREEWAY
4515 COLLEGE AVENUE
City
HARLINGEN
CLEBURNE
MEXIA
PORT LAVACA
GARLAND
PLANO
CLEBURNE
HOUSTON
BEDFORD
SUGARLAND
CORPUS CHRISTI
HOUSTON
FREDERICKSBURG
COLLEGE STATION
KINGSVILLE
ROCKWALL
AUSTIN
LIBERTY
CORPUS CHRISTI
CORPUS CHRISTI
ARLINGTON
DENISON
SAN ANTONIO
CARROLLTON
SAN ANTONIO
WICHITA FALLS
AUSTIN
AUSTIN
BELLMEAD
SAN ANGELO
STAMFORD
SAN BENITO
HUMBLE
SNYDER
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
78552760317666777979750417502376033-4122
770767602177478784167701578624778457836375032-5804
787537757578418784107601775020782587500678229763087872978704767057690379553785867733879549Last Updated 12/21/2012
237
NABP #
4578538
4578576
4578994
4579136
4579148
4579275
4579314
4580103
4580280
4580418
4580420
4580696
4581408
4581410
4581422
4581434
4582094
4582551
4582816
4582828
4583464
4583503
4583515
4583705
4583844
4583971
4584062
4584315
4584480
4584492
4585292
4585305
4585507
4585660
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3919
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3475
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4808
Address Line 1
10411 N FREEWAY 45
141 INTER STATE 45 SOUTH
620 SOUTH IH 35
1200 S E MILITARY DRIVE
1430 AUSTIN HIGHWAY
5330 FM1640
5610 SAN BERNARDO AVE
10750 WESTVIEW DRIVE
8401 ANDERSON ST
4600 7TH STREET
1404 WEST WILSON
1401 WEST HWY 100
4109 S STAPLES ST
2121 HWY 79 SOUTH
109 22ND STREET
US HWY 290 2374 E AUSTIN
11330 MONTWOOD DR
100 N LHS DRIVE
401 COKE STREET
3732 WEST WALKER
1804 N VELASCO
TEXAS HWY 6 7 EAST BYPASS
6410 I 45
2410 DODSON ST
1900 WEST MOORE AVE
5330 S COOPER
1101 S FORT HOOD ST
10677 E NORTHWEST HWY
496 SOUTH BIBB ST
2000 HOBBS HIGHWAY
1002 NORTH WELLS
475 STATE HIGHWAY 36 N
115 COBB MILL ROAD
210 SW GEORGIA AVE
City
HOUSTON
HUNTSVILLE
GEORGETOWN
SAN ANTONIO
SAN ANTONIO
RICHMOND
LAREDO
HOUSTON
FORT WORTH
BAY CITY
BORGER
PORT ISABEL
CORPUS CHRISTI
HENDERSON
HONDO
GIDDINGS
EL PASO
LUMBERTON
HILLSBORO
BRECKENRIDGE
ANGLETON
MARLIN
LA MARQUE
DEL RIO
TERRELL
ARLINGTON
KILLEEN
DALLAS
EAGLE PASS
SEMINOLE
EDNA
CALDWELL
WOODVILLE
SWEETWATER
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7703777340786267821478209774697804177043761207741479007785787841175654788617894279936-4383
77657766457642477515766617756878840751607601776541-7451
75238788527936077957778367597979556Last Updated 12/21/2012
238
NABP #
4585824
4585850
4585925
4585975
4585987
4586369
4586826
5643970
4587195
5644009
4587652
4587739
4587816
4587828
4587842
4587917
4587929
4587931
4588123
4588212
4588515
4588969
4589024
4589062
4589290
4589478
4589567
4589682
4589757
4589769
4589771
4589795
4590039
4590217
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ST MARY PHARMACY
WAL-MART PHARMACY
COMPOUNDING
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
2311 SOUTH JEFFERSON
1311 SOUTH JACKSON
976 PRICE HIGHWAY 1709
2701 HWY 50
9002 NORTH NAVARRO
9451 FM 1960 BYPASS
1200 WEST MAIN
505 W WILLOW ST
1710 CENTRAL TEXAS EXPRESSWAY
700 E COLORADO BLVD
2223 SOUTH LOOP 256
2701 EAST MAIN
1100 N HIGHWAY 96
14215 FM 2100
6626 FM 1960 EAST
1200 N HWY 77
700 EAST ENNIS AVE
3801 WEST HWY 31
8420 US HWY 287 NO
4534 E HWY 83
3401 S 31ST STREET
2440 GILMER ROAD
4810 NORTH STREET
515 E LOOP 281
150 NORTH BECKLEY
15802 CHAMPION FOREST DR
5501 SHERWOOD WAY
360 FM 1960 WEST
2200 BRIARCREST DRVE
1801 N VELASCO
2765 W WASHINGTON
782 INTERSTATE 30
401 NORTH US HWY 75
13307 MIDWAY ROAD
City
MOUNT PLEASANT
JACKSONVILLE
KELLER
COMMERCE
VICTORIA
HUMBLE
GUN BARREL CITY
LONG BEACH
LAMPASAS
PASADENA
PALESTINE
ALICE
SILSBEE
CROSBY
HUMBLE
WAXAHACHIE
ENNIS
CORSICANA
BOWIE
RIO GRAND CITY
TEMPLE
LONGVIEW
NACOGDOCHES
LONGVIEW
LANCASTER
SPRING
SAN ANGELO
HOUSTON
BRYAN
ANGLETON
STEPHENVILLE
ROCKWALL
DENISON
FARMERS BRANCH
State
TX
TX
TX
TX
TX
TX
TX
CA
TX
CA
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7545575766762487542877904773387515690806-2830
7655091101-2102
758017833277656775327734675165751197511076230785827650275604759657560575146773797690477090778027751576401750877502075244Last Updated 12/21/2012
239
NABP #
4590572
4590609
4590623
4590635
4591283
4591308
4591310
5644073
4591322
4591536
4591613
4591853
4591865
4591877
4591889
4591891
4591930
4591992
4592158
4592160
4592259
4592261
4592273
4592285
4592297
4592300
4592502
4592564
4592576
4592792
4592881
4592970
4592982
4593112
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
12434 TOMBALL PARKWAY
1990 OLD SPANISH TRAIL
2300 N GESSNER
1352 W 43RD STREET
2805 S HWY 36
1700 DALLAS PARKWAY
5017 US HWY 290 WEST
11207 S LA CIENEGA BLVD STE 102
7101 GATEWAY BLVD
1750 S BROADWAY
310 OVERCREEK WAY
2500 DANIEL MCCALL DRIVE
3413 WEST LOOP
831 HWY 59 SOUTH
800 WEST GIBSON
1712 EAST WASHINGTON
2709 CROSS TIMBERS RD
502 EAST FM 351
2727 DUNVALE ROAD
2401 HWY 35 NORTH
1225 E LOOP 304
3855 LAMAR AVENUE
1350 NORTH MAIN
735 HWY 377 EAST
8585 MEMORIAL BLVD
23561 US HWY 59
6300 OAKMONT BLVD HULEN
203 US LOOP 290 WEST
5131 GREENBRIAR RD
10306 S POST OAK
201 WEST MARCY
5665 E MOCKINGBIRD LANE
7100 INDEPENDENCE PWKY
4747 RESEARCH FOREST
City
HOUSTON
HOUSTON
HOUSTON
HOUSTON
GATESVILLE
PLANO
AUSTIN
LOS ANGELES
EL PASO
SULPHUR SPRINGS
SEALY
LUFKIN
EL CAMPO
CLEVELAND
JASPER
NAVASOTA
FLOWER MOUND
BEEVILLE
HOUSTON
ROCKPORT
CROCKETT
PARIS
VIDOR
GRANBURY
PORT ARTHUR
PORTER
FT WORTH
BRENHAM
WICHITA FALLS
HOUSTON
BIG SPRING
DALLAS
PLANO
THE WOODLANDS
State
TX
TX
TX
TX
TX
TX
TX
CA
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7708677054770807701876528750937873590045-6112
7992575482774747590477437773277595177868750287810277063783827583575460776627604877642773657613277833763027703579720752067502577381Last Updated 12/21/2012
240
NABP #
4593287
4593477
4593667
4593679
4593681
4593934
4594316
4594328
4594330
4594342
5644097
4594568
4594582
4594734
4594746
4594900
4594912
5644100
4595508
4595611
4595623
4595697
4595700
4595712
4595851
4595863
4595875
4595964
4595976
4596194
4596675
4596714
5644174
4596889
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
9330 JONES ROAD
1801 SOUTH VOSS ROAD
4000 NEW BOSTON ROAD
13484 NORTHWEST FREEWAY
8923 W MILITARY DRIVE
US 90A ROBERTSON ST
800 S US HWY 81 287
6702 SEAWALL BLVD
1216 JUNCTION HWY
2501 WEST WHEELER
21132 BEACH BLVD APT BLV
2604 NORTH MAIN ST
1202 E BROADWAY
305 10TH STREET
301 N COLUMBIA DR
301 S BOWEN
536 CENTENNIAL BLVD
30491 AVENIDA DE LAS FLORES
1620 EAST MAIN
1705 FRY RD
3245 E BROADWAY
9301 FOREST LN
2720 EAST HWY 190
709 WEST HWY 79
3701 NORTH MAIN ST
6650 N BEACH
160 N COIT
6322 TELEPHONE RD
4533 GARTH ROAD
8500 JONES MALTSBURGER
19300 LAKE HOUSTON PARKWAY
4350 SOUTHWEST DR
2065 E HIGHLAND AVE
2151 WEST OAKLAWN
City
HOUSTON
HOUSTON
TEXARKANA
HOUSTON
SAN ANTONIO
GONZALES
DECATUR
GALVESTON
KERRVILLE
ARANSAS PASS
BEACH
BELTON
CUERO
FLORESVILLE
WEST COLUMBIA
ARLINGTON
BUCKINGHAM
MARGA
MADISONVILLE
KATY
PEARLAND
DALLAS
COPPERAS COVE
ROCKDALE
TAYLOR
FORT WORTH
RICHARDSON
HOUSTON
BAYTOWN
SAN ANTONIO
HUMBLE
ABILENE
SAN BERNARDINO
PLEASANTON
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
CA
TX
TX
TX
TX
TX
TX
CA
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
CA
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
7706577057755017704078245786297623477551780287833692648-5404
76513779547811477486760137508192688-3923
778647744977581752437652276567765747613775080770877752178216773467960692404-4625
78064Last Updated 12/21/2012
241
NABP #
4596891
4596904
4596930
4597235
4597639
4597829
4597956
4598201
4598213
4598376
4598388
4598390
4598403
4598504
4598530
4598718
4598782
4598807
4599087
4599099
4599582
4599897
4600828
4600892
4600905
4600917
4601844
5644213
4603343
5644237
4603355
4604066
4604232
4604345
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4809
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
MEDICATION STATION
KROGER PHARMACY
KROGER PHARMACY
SMITHS PHARMACY #444
SMITHS PHARMACY #475
SMITHS PHARMACY #477
SMITHS PHARMACY #94
SMITHS PHARMACY #30
APPLE PHARMACY
SMITHS PHARMACY #28
PHARMACY
SMITHS PHARMACY #495
SMITHS PHARMACY #47
SMITHS PHARMACY #48
KMART PHARMACY4162
Address Line 1
4691 STATE HWY 121
2700 CENTRAL FREEWAY
3410 NORTH PARK DRIVE
1904 S COLORADO ST
2103 MILAM STREET
1015 HWY 80
950 E SANDY LAKE RD
5501 HWY 6
819 N OAK STREET
1820 LOY LAKE RD
2110 E SOUTHLAKE BLVD
2350 SOUTHEAST GREEN OAKS BL
4142 CEDAR SPRINGS
1300 FAIRMONT PARKWAY
200 BUSINESS PARK DR
5001 SAN DARIO AVE
1035 N SHEPHERD
2021 NORTH HWY 121
1923 NORTH WOOD
700 ED HALL DRIVE
13135 LOUETTA ROAD
2901 SOUTH LAKE FOREST DRIVE
555 SOUTH 200 WEST
3215 SOUTH VALLEY STREET
750 NORTH MAIN STREET
455 SOUTH 500 EAST
4275 HARRISON BLVD
10055 LAMPSON AVE
922 E 2100 S
2334 W PICO BLVD
1820 WEST 9000 SOUTH
2039 EAST 9400 SOUTH
1075 EAST MAIN ST
1770 W 4100 S
City
THE COLONY
WICHITA FALLS
KINGWOOD
LOCKHART
COLUMBUS
SAN MARCOS
COPPELL
MISSOURI CITY
PEARSALL
SHERMAN
SOUTHLAKE
ARLINGTON
DALLAS
LAPORTE
KENEDY
LAREDO
HOUSTON
BONHAM
GILMER
KAUFMAN
CYPRESS
MCKINNEY
BOUNTIFUL
SALT LAKE CITY
LOGAN
SALT LAKE CITY
OGDEN
GARDEN GROVE
SALT LAKE CITY
LOS ANGELES
WEST JORDAN
SANDY
PRICE
SALT LAKE CITY
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
UT
UT
UT
UT
UT
CA
UT
CA
UT
UT
UT
UT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
75056763057733978644789347866675019774597806175090760927601875219775717811978041-5777
770087541875644751427742975070840108410984321841028440392840-4716
8410690006-4802
84088840928450184119Last Updated 12/21/2012
242
NABP #
4604511
4604612
4604624
4604636
4604648
4604814
4604840
4604977
4605044
4605056
4605070
4605133
4605210
4606058
4606109
4606123
4606135
4606250
4606274
4606313
4606337
4606426
4606464
4606488
4606616
4606642
4606767
4606793
4606818
4606957
4607000
4607012
4607098
4607101
Pharmacy Name
SMITHS PHARMACY #75
KMART PHARMACY3085
KMART PHARMACY3096
KMART PHARMACY7618
KMART PHARMACY4159
SMITHS PHARMACY #44
KMART PHARMACY7425
SMITHS PHARMACY #82
SMITHS PHARMACY #80
KMART PHARMACY7426
KMART PHARMACY7423
SMITHS PHARMACY #178
SMITHS PHARMACY #77
SMITHS PHARMACY #65
KMART PHARMACY7412
SMITHS PHARMACY #81
SMITHS PHARMACY #66
SMITHS PHARMACY #83
SMITHS PHARMACY #69
SMITHS PHARMACY #79
SMITHS PHARMACY #133
SMITHS PHARMACY #137
SMITHS PHARMACY #131
SAVON PHARMACY
SMITHS PHARMACY #135
SMITHS PHARMACY #136
SMITHS PHARMACY #149
SMITHS PHARMACY #189
SMITHS PHARMACY #139
SMITHS PHARMACY #87
KMART PHARMACY3765
CITY MARKET PHARMACY
SMITHS PHARMACY #140
SMITHS PHARMACY #151
Address Line 1
632 SOUTH 100 WEST
680 WEST 2600 SOUTH
475 N STATE ST
1442 W 90TH SOUTH
4670 S 900 EAST
876 EAST 800 SOUTH
900 E EXPRESSWAY LANE
1080 WEST HIGHWAY 40
828 SOUTH 900 WEST
2010 N MAIN
1750 N MAIN
156 SOUTH MAIN
402 6TH AVE
8055 WEST 3500 SOUTH
3330 S 5600 W ST
3470 EAST 7800 SOUTH
4065 S REDWOOD RD
665 WEST 5300 SOUTH
1174 WEST 600 NORTH
2560 NORTH 400 EAST
845 EAST 4500 SOUTH
4643 S 4000 WEST
1485 HARRISON BLVD
740 N MAIN ST
1316 NORTH HIGHWAY 89
350 NORTH FREEDOM BLVD
1170 EAST GENTILE
20 NORTH BLUFF ST
7061 SOUTH REDWOOD RD
175 EAST 442 NORTH
1165 SOUTH UNIVERSITY AVE
425 S MAIN STREET
2353 NORTH MAIN ST
2399 S MAIN ST
City
PAYSON
WOODS CROSS
OREM
WEST JORDAN
SALT LAKE CITY
SALT LAKE CITY
SPANISH FORK
VERNAL
SALT LAKE CITY
LAYTON
LOGAN
BRIGHAM CITY
SALT LAKE CITY
MAGNA
WEST VALLEY CITY
SALT LAKE CITY
WEST VALLEY CITY
MURRAY
SALT LAKE CITY
OGDEN
SALT LAKE CITY
WEST VALLEY CITY
OGDEN
TOOELE
FARMINGTON
PROVO
LAYTON
ST GEORGE
WEST JORDAN
LOGAN
PROVO
MOAB
SUNSET
BOUNTIFUL
State
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
846518408784057840888411784102846608407884104840418434184302841038404484120841218412384107841168440484107841208440484074840258460184040-6802
84770840848432184601845328401584010Last Updated 12/21/2012
243
NABP #
4607125
4607137
4607149
4607175
4607202
4607226
4607276
4607288
4607389
4607428
4607430
4607567
4607644
4607656
4607670
4607682
4607745
4607808
4607858
4608189
4608191
4608329
4608418
4608519
4608646
4608672
4608735
4608747
4608759
4608785
4609117
4609446
4609458
4609496
Pharmacy Name
SMITHS PHARMACY #153
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #144
KMART PHARMACY9794
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9241
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY7542
SMITHS PHARMACY #138
KMART PHARMACY7624
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #72
SMITHS PHARMACY #42
WAL-MART PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #63
SMITHS PHARMACY # 142
SMITHS PHARMACY #158
SMITHS PHARMACY #73
SMITHS PHARMACY #132
SMITHS PHARMACY #85
SMITHS PHARMACY #147
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
10305 SOUTH 1300 EAST
625 W TELEGRAPH ST.
99 WEST 1280 NORTH
1330 SO. PROVIDENCE CENTER DR.
45 SOUTH STATE ST
745 SOUTH BLUFF
1851 WEST HWY 40
255 SOUTH HIGHWAY 55
4848 SO. 900 WEST ST
745 WEST HILL FIELD ROAD
5469 SOUTH REDWOOD ROAD
1355 S SANDHILL RD
6545 NORTH LANDMARK DRIVE
1040 SOUTH US HIGHWAY 89
1550 NORTH MAIN
835 S BLUFF ST
610 WEST PRICE RIVER DRIVE
1634 W SOUTH JORDAN PARKWAY
1055 W DRAPER PARKWAY
7250 SO UNION PARK AVE
11328 SO JORDAN GATEWAY ROAD
1725 WEST UINTA WAY
633 S MAIN ST
949 WEST GRASSLAND DRIVE
915 W REDCLIFF DR
550 N MAIN ST
951 WEST 1700 SOUTH
4080 WEST 9000 SOUTH
210 EAST 700 SOUTH
212 EAST 12300 SOUTH
980 EAST FORT UNION BLVD
5620 W 4100 S
777 N MAIN
1055 W HILLFIELD ROAD
City
SANDY
WASHINGTON
TOOELE
CEDAR CITY
OREM
SAINT GEORGE
VERNAL
PRICE
RIVERDALE
LAYTON
TAYLORSVILLE
OREM
PARK CITY
RICHFIELD
NORTH LOGAN
ST GEORGE
PRICE
SOUTH JORDAN
DRAPER
MIDVALE
SOUTH JORDAN
KIMBALL JUNCTION
CEDAR CITY
AMERICAN FORK
WASHINGTON
HEBER CITY
SYRACUSE
WEST JORDAN
PLEASANT GROVE
DRAPER
MIDVALE
WEST VALLEY CITY
EPHRAIM
LAYTON
State
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
84092847808407484720840578477084078845018440584041841238405884098847018434184770845018409584020840478409584098847208400384780840328407584088840628402084047841288462784041Last Updated 12/21/2012
244
NABP #
4609535
4609573
4609585
4610019
4610069
4610071
4610083
4610122
4610172
4610184
4610639
4610689
4610742
4610829
4611009
4611073
4611148
4611186
4611198
4611237
4611251
4611996
4612037
4693897
4694471
4695726
4695839
4695942
4696297
4696526
4697213
4697984
4698013
4698455
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #108
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SMITHS PHARMACY #119
WAL-MART PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
4272
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
6525 SOUTH STATE STREET
350 WEST HOPE AVENUE
585 NORTH STATE STREET
5560 W 13400 S
1052 SOUTH TURF FARM ROAD
10 EAST 1300 SOUTH
1632 NORTH 2000 WEST
1356 EAST HIGHWAY 193
5675 WEST 6200 SOUTH
4627 SOUTH 900 EAST
1950 S 300 W
2228 WEST 1700 SOUTH
9151 SOUTH QUARRY BLVD
221 WEST PARRISH LANE
13502 SOUTH HAMILTON VIEW RD
11278 SOUTH JORDAN GTWY
1550 EAST 3500 NORTH
180 N 3400 W
NEC 4800 & CEDAR HILLS DR
136 W STATE STATE ROAD 73
1150 S 100 W
1945 WALL AVE
1274 S US 189
534 HARRISVILLE ROAD
660 SOUTH 1750 WEST
7571 SOUTH 3800 WEST
2610 SOUTH PIONEER ROAD
7671 SOUTH 3800 WEST
1313 UNIVERSITY AVENUE
1200 SOUTH COMMERCE WAY
4949 SOUTH 900 WEST ST
145 WEST CACHE VALLEY BLVD
3180 SOUTH 5600 WEST
4570 SOUTH 4000 WEST
City
MURRAY
SALT LAKE CITY
LINDON
HERRIMAN
PAYSON
RICHFIELD
CLINTON
LAYTON
WEST VALLEY CITY
SALT LAKE CITY
SALT LAKE CITY
SYRACUSE
SANDY
CENTERVILLE
RIVERTON
SOUTH JORDAN
LEHI
HURRICANE
CEDAR HILLS
SPRINGS
LOGAN
OGDEN
HEBER CITY
HARRISVILLE
SPRINGVILLE
WEST JORDAN
ST GEORGE
WEST JORDAN
PROVO
PERRY
RIVERDALE
LOGAN
WEST VALLEY CITY
WEST VALLEY CITY
State
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
UT
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
84107841158404284096-6919
84651847018401584040841188411784115840758409484014840658409584043847378406284045-2900
8432184401840328440484663840848479084084846018430284405843418412084120Last Updated 12/21/2012
245
NABP #
4698784
4699039
4699255
4699697
4699700
4700022
4700185
4700779
4701175
4702317
4703129
4703345
4703357
4703369
4703547
4703585
4703763
4703787
4703941
4704020
4704068
4704145
4804375
4807371
4807600
4810102
4810772
4810811
4810900
4810948
4810986
4811166
4811255
4813893
Pharmacy Name
SAVON PHARMACY
WAL-MART PHARMACY
SMITHS PHARMACY #107
WAL-MART PHARMACY
WAL-MART PHARMACY
THE PHARMACY INC
OROURKE
BROWNS DRUG STORE
INC
PHARMACY INC
HERO PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
PHARMACY
OSCO PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY3122
FARM FRESH PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY3869
KMART PHARMACY3154
KMART PHARMACY3206
KMART PHARMACY4062
KMART PHARMACY4084
KMART PHARMACY3324
KMART PHARMACY4090
FARM FRESH PHARMACY
Address Line 1
745 N DIXIE DOWNS DR
3706 WEST 9800 SOUTH
1320 NORTH REDWOOD RD
1360 EAST DRAPER PARKWAY
1710 SKYLINE DRIVE
205 NORTH ST
62 WOODSTOCK AVE
40 MAIN ST
19 CENTRAL ST
1219 N AVE
334 RT 2
170 GRAFTON RD
863 HARVEST LANE
1 RUTLAND PLAZA
282 BERLIN MALL ROAD UNIT 1
210 NORTHSIDE DRIVE
66 MOUNTAIN VIEW DR
PAINE TURNPIKE N
71 BOXWOOD ST
570 SHELBURNE RD
78 ATKINSON ST
820 WATERBURY STOWE RD
4000 VICTORY BLVD
401 ORIANA RD
230 E LITTLE CREEK RD
2868 VIRGINIA BEACH BLVD
116 SOUTHGATE SQUARE
210 W MERCURY BLVD
4715 NINE MILE RD
3311 RIVERSIDE DR
2315 WARDS ROAD
3533 FRANKLIN RD S W
1801 HYDRAULIC RD
799 CHIMNEY HILL SHOPPING CENTER
City
ST GEORGE
SOUTH JORDAN
SPRINGS
DRAPER
SOUTH OGDEN
BENNINGTON
RUTLAND
DERBY LINE
WOODSTOCK
BURLINGTON
SOUTH HERO
TOWNSHEND
WILLISTON
RUTLAND
BERLIN
BENNINGTON
COLCHESTER
BERLIN CORNERS
WILLISTON
BURLINGTON
BELLOWS FALLS
WATERBURY
PORTSMOUTH
NEWPORT NEWS
NORFOK
VIRGINIA BEACH
COLONIAL HTS
HAMPTON
RICHMOND
DANVILLE
LYNCHBURG
ROANOKE
CHARLOTTESVILLE
VIRGINIA BEACH
State
UT
UT
UT
UT
UT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VT
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
847708409584045-4734
840208440505201-1829
05701-3599
05830-0427
050910540805486-0264
0535305495057010560205201054460560205495054010510105676237012360823505234522383423669232232454124502-2101
240142290123452-3050
Last Updated 12/21/2012
246
NABP #
4813906
4814225
4814441
4814453
4814756
4814871
4814883
4815051
4815948
4816697
4817031
4817093
4817358
4817360
4817980
4819085
4819617
4819706
4819960
4820660
4821004
4821030
4821244
4821256
5710694
4823286
4823313
4823705
4823731
4823820
4823832
4823907
4823983
4824062
Pharmacy Name
KMART PHARMACY3365
KROGER PHARMACY
KMART PHARMACY3336
KMART PHARMACY4997
KMART PHARMACY3471
KMART PHARMACY7032
KMART PHARMACY3785
FARM FRESH PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY4212
KMART PHARMACY4483
KMART PHARMACY3598
FARM FRESH PHARMACY
KMART PHARMACY7259
KROGER PHARMACY
KMART PHARMACY3560
FARM FRESH PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY3689
WAL-MART PHARMACY
KMART PHARMACY3709
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
741 LITTLE CREEK RD EAST
245 ARCH AVENUE
5432 GLENSIDE DR
550 FIRST COLONIAL ROAD
2001 SOUTH MILITARY HWY
1835 E MARKET ST
5007 VICTORY BLVD
2110 GREAT NECK SHOPPING CENTER
3353 WESTERN BRANCH BLVD
460 WYTHE CREEK RD
608 E MERCURY BLVD
455 MERRIMAC TRAIL
7807 SUDLEY RD
4251 JOHN MARR DRIVE
1419 HERSHBERGER RD NW
1401 N MAIN ST
118 WALLER MILL ROAD
1904 EMMETT STREET
1205 FORDHAM DR
1615 GENERAL BOOTH BLVD
1140 EAST STUART DRIVE
4488 ELECTRIC ROAD
701 A N BATTLEFIELD BLVD
2058 S INDEPENDENCE BLVD
41232 US HIGHWAY 19 N
1790 EAST MARKET STREET
1282 SMITHFIELD PLZ
4876 PRINCESS ANNE RD
300 TOWNE CENTRE DRIVE
976 COMMONWEALTH BLVD
1675 SO PLEASANT VALLEY
915 HARDY ROAD
2400 N. FRANKLIN ST.
1851 WEST MAIN STREET
City
NORFOLK
WAYNESBORO
RICHMOND
VIRGINIA BEACH
CHESAPEAKE
HARRISONBURG
TABB
VIRGINIA BEACH
CHESAPEAKE
POQUOSON
HAMPTON
WILLIAMSBURG
MANASSAS
ANNANDALE
ROANOKE
SUFFOLK
WILLIAMSBURG
CHARLOTTESVILLE
VIRGINIA BEACH
VIRGINIA BEACH
GALAX
ROANOKE
CHESAPEAKE
VIRGINIA BEACH
TARPON SPRINGS
HARRISONBURG
SMITHFIELD
VIRGINIA BEACH
ABINGDON
MARTINSVILLE
WINCHESTER
VINTON
CHRISTIANSBURG
SALEM
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
FL
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
23518229802322823451233202280123693234542332123662236632318520109220032401223434231852290123464234542433324018-0722
233202345334689-5106
228012343023462242102411222601241792407324153Last Updated 12/21/2012
247
NABP #
4824086
4824101
4824113
4824149
4824199
4824202
4824214
4824315
4824377
4824517
4824529
4824543
4824555
4824567
4824644
4824656
4825090
4825230
4825292
4825305
4825393
4825482
4825519
4825521
4825723
4825735
4825886
4825898
4825901
4826167
4826270
4826294
4826333
4826345
Pharmacy Name
KMART PHARMACY3706
WAL-MART PHARMACY
KMART PHARMACY3705
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3754
WAL-MART PHARMACY
KMART PHARMACY3801
KMART PHARMACY3742
KMART PHARMACY3544
FARM FRESH PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY9154
WAL-MART PHARMACY
KMART PHARMACY9737
KMART PHARMACY9125
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3868
KROGER PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY3942
KMART PHARMACY3976
WAL-MART PHARMACY
Address Line 1
1480 EAST MAIN STREET
4210 FRANKLIN ROAD
RIDGEVIEW CTE US RT 23 BYPASS
161 ELECTRIC ROAD
780 COMMONWEALTH DRIVE
1233 NORTH LEE HIGHWAY
1193 NORTH MAIN STREET
2876 GREENSBORO ROAD SOUTH
3471 OLD HALIFAX RD
312 CONSTITUTION DRIVE
4300 PORTSMOUTH BLVD
1355 WEST MAIN STREET
309 S BATTLEFIELD BLVD
1028 RICHMOND AVENUE C.
2300 SO. PLEASANT VALLEY RD.
671 SOUTHPARK BLVD
1800 PERRY DR
30 TOWNE CENTER WAY
129 MALL ROAD
515 MOUNT CROSS ROAD
1 CLAYPOOL HILL MALL ROAD SUITE 1
465 SOUTH ST
11400 WEST BROAD STREET ROAD
7430 BELL CREEK RD
1900 CUNNINGHAM DRIVE
5225 ALEXANDER RD
657 PHOENIX DRIVE
12810 JEFFERSON DAVIS HWY
7805 TIMBERLAKE ROAD
2448 CHESAPEAKE SQ RING ROAD
353 CHATHAM DR
13910 METROTECH DRIVE
1650 GENERAL BOOTH BLVD
1200 NORTH MAIN
City
WYTHEVILLE
ROANOKE
WISE
SALEM
NORTON
LEXINGTON
MARION
MARTINSVILLE
SOUTH BOSTON
VIRGINIA BEACH
CHESAPEAKE
SALEM
CHESAPEAKE
STAUNTON
WINCHESTER
COLONIAL HEIGHTS
FARMVILLE
HAMPTON
COVINGTON
DANVILLE
CEDAR BLUFF
FRONT ROYAL
GLEN ALLEN
MECHANICSVILLE
HAMPTON
DUBLIN
VIRGINIA BEACH
CHESTER
LYNCHBURG
CHESAPEAKE
NEWPORT NEWS
CHANTILLY
VIRGINIA BEACH
SUFFOLK
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2438224014242932415324273244502435424112-8107
24592234622332124153233222440122601238342390123666244262454024609-9438
22630230602311123666240842345223831245022332123602201512345423434Last Updated 12/21/2012
248
NABP #
4826422
4826484
4826496
4826674
4826787
4826799
4826977
4827056
4827107
4827121
4827157
4827222
4827309
4827373
4827448
4827450
4827462
4827626
4827715
4827804
4828123
4828135
4828301
4828337
4828438
4828476
4828541
4828729
4828781
4828995
4829024
4829101
4829137
4829365
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4850
WAL-MART PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
KMART PHARMACY7717
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
FARM FRESH PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
3900 WARDS ROAD
1660 TAPPAHANNOCK BLVD
171 BURGESS ROAD
6819 WALTONS LANE
12401 JEFFERSON
8386 SUDLEY RD
4001 COLLEGE AVE
1170 NORTH MILITARY HWY.
1000 LAUREL STREET NORTH EAST
1800 CARL D SILVER PKWY
211 15 PROVIDENCE RD
1521 SAMS CIRCLE
975 HILTON HEIGHTS ROAD
928 DIAMOND SPRINGS RD
12000 IRON BRIDGE ROAD
14000 WORTH AVE
315 FURR ST
950 EDWARDS FERRY ROAD NE
1980 RIO HILL CENTER
13059 FAIR LAKES PARKWAY
900 WAL-MART WAY
45415 DULLES CROSSING PLAZA
1925 ELECTRIC RD
5050 RUTGERS ST
7254 HAYES SHOPPING CENTER
115 NORGE LN
2712 W MAIN STREET
801 JAMES MADISON HWY
13245 LEE HWY
2012 WARDS ROAD
200 ARTHUR WAY
3970 VALLEY GATEWAY BLVD
5800 KINGSTOWNE BLVD
7910 RICHMOND HIGHWAY
City
LYNCHBURG
TAPPAHANNOCK
HARRISONBURG
GLOUCESTER
NEWPORT NEWS
MANASSAS
BLUEFIELD
NORFOLK
CHRISTIANSBURG
FREDERICKSBURG
CHESAPEAKE
CHESAPEAKE
CHARLOTTESVILLE
VIRGINIA BEACH
CHESTER
WOODBRIDGE
SOUTH HILL
LEESBURG
CHARLOTTESVILLE
FAIRFAX
MIDLOTHIAN
STERLING
SALEM
ROANOKE
HAYES
WILLIAMSBURG
WAYNESBORO
CULPEPER
BRISTOL
LYNCHBURG
NEWPORT NEWS
ROANOKE
ALEXANDRIA
ALEXANDRIA
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
24502225602280123061236022010924605235022407322401233252332022901234552383122192239702017622901220332311320166241532401223072231882298022701242022450223602240122231522306Last Updated 12/21/2012
249
NABP #
4829377
4829430
4829442
4829517
4829745
4829822
4829959
4830154
4831815
4831841
4831877
4832362
4832691
4832780
4832956
4833035
4833047
4833542
4833580
4833592
4833605
4833732
4833871
4833883
4833922
4834025
4834037
4834051
4834075
4834215
4834405
4834455
4834467
4834479
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4988
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
SHOPPERS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
217 GARRISONVILLE ROAD
2840 LINKHORNE DR
4807 VALLEY VIEW BLVD N.W.
850 STATLER BLVD
550 OLD FRANKLIN TURNPIKE
6101 N MILITARY
466 SOUTH CUMMINGS ST
7901 BROOK RD
2021 LYNNHAVEN PARKWAY
240 W COMMONWEALTH BLVD
197 MADISON HEIGHTS SQ
125 WASHINGTON SQUARE PLAZA
521 LASKIN RD
1451 SOUTH MAIN STREET
31 MIDWAY STREET
313 WEST THACKER ROAD
160 KINTER WAY
7480 LEE HIGHWAY
1500 ARMORY DRIVE
461 WEST RESERVOIR ROAD
1200 N MILITARY HWY
4001 VIRGINIA BEACH BLVD
3500 SOUTH CRATER ROAD
903 UNIVERSITY CITY BLVD
7373 PEPPERS FERRY BLVD
700 JAMES MADISON HWY
3801 JEFF DAVIS HWY
6360 SEVEN CORNERS CENTER
10864 SUDLEY MANOR DR
7660 RICHMOND HWY
72 KINGSTON DRIVE
3971 BRAMBLETON AVE
1036 U.S. HWY 211 WEST
2160 JOHN WAYLAND HWY
City
STAFFORD
LYNCHBURG
ROANOKE
STAUNTON
ROCKY MOUNT
NORFOLK
ABINGDON
RICHMOND
VIRGINIA BEACH
MARTINSVILLE
MADISON HEIGHTS
FREDERICKSBURG
VIRGINIA BEACH
BLACKSTONE
BRISTOL
COVINGTON
PEARISBURG
RADFORD
FRANKLIN
WOODSTOCK
NORFOLK
VIRGINIA BEACH
PETERSBURG
BLACKSBURG
RADFORD
WARRENTON
ALEXANDRIA
FALLS CHURCH
MANASSAS
ALEXANDRIA
DALEVILLE
ROANOKE
LURAY
HARRISONBURG
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
22554245032401224401241512351824210232272345624112245722240523451238242420124426241342414123851226642350223452238052406024141201862230522044201092230624083240182283522801Last Updated 12/21/2012
250
NABP #
4834481
4834568
4834594
4834645
4834671
4835089
4835091
4835130
4835178
4835407
4835433
4835471
4835508
4835510
4835522
4835534
4835546
4835572
4835584
4835611
4835623
4835635
4835659
4835661
4835685
4835697
4835700
4835712
4835736
4835801
4835825
4835849
4835926
4835976
Pharmacy Name
WAL-MART PHARMACY
KROGER PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
FARM FRESH PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
Address Line 1
303 MARKET DRIVE
4119 BOONSBORO RD
1620 CEDAR RD
2501 SHEILA LANE
6200 LITTLE RIVER TURNPIKE
422 E NELSON ST
1322 SOUTH MAIN ST
14000 SHOPPERS BEST WAY
12200 CHATTANOOGA PLAZA
400 OLD FRANKLIN TURNPIKE STE 110
13320 G.C. PEERY HWY
2190 COLISEUM DR
9480 WEST BROAD STREET
2801 HICKS RD
4816 S LABURNUM AVE
1356 GASKINS RD
11400 HUGUENOT RD
12726 JEFFERSON DAVIS HIGHWAY
1601 WILLOW LAWN DR
4625 SHORE DR
1800 REPUBLIC DR
101 VILLAGE AVE
205 EAST LITTLE CREEK RD
5601 HIGH STREET WEST
1501 SAMS CIRCLE
3330 VIRGINIA BEACH BLVD
12407 JEFFERSON AVE
9440 WEST BROAD STREET
555 NORTH FRANKLIN ST NE
601 CHILDRENS LN
14050 WORTH AVE
901 WALMART WAY
6259 COLLEGE DRIVE
614 BRANDON AVENUE
City
EMPORIA
LYNCHBURG
CHESAPEAKE
RICHMOND
ALEXANDRIA
LEXINGTON
BLACKSBURG
DALE CITY
MIDLOTHIAN
ROCKY MOUNT
POUNDING MILL
HAMPTON
RICHMOND
RICHMOND
RICHMOND
RICHMOND
MIDLOTHIAN
CHESTER
RICHMOND
VIRGINIA BEACH
VIRGINIA BEACH
YORKTOWN
NORFOLK
PORTSMOUTH
CHESAPEAKE
VIRGINIA BEACH
NEWPORT NEWS
RICHMOND
CHRISTIANSBURG
NORFOLK
WOODBRIDGE
MIDLOTHIAN
SUFFOLK
ROANOKE
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
23847245032332223225223122445024060221922311224151246372366623294232352323123238-4919
23113-1193
2383123230234552345423693235052370323320234522360223294240732350722192231132343524015Last Updated 12/21/2012
251
NABP #
4836017
4836182
4836194
4836461
4836548
4836613
4836625
4836637
4836752
4836966
4837033
4837057
4837071
4837108
4837172
4837235
4837261
4837348
4837502
4837538
4837603
4837730
4837780
4837792
4837805
4837893
4837970
4837982
4838047
4838237
4838275
4838340
4838465
4838718
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SHOPPERS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
KROGER PHARMACY #517
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SHOPPERS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
Address Line 1
1149 NIMMO PARKWAY
1126 E. LYNCHBURG SALEM TRNPK
45425 DULLES CROSSING PLAZA
7005 MANCHESTER LAKES BLVD
7223 WILLIAMSON RD
345 COMMONWEALTH DRIVE
5237 PROVIDENCE RD
970 HILTON HEIGHTS RD
3345 VIRGINIA BEACH BLVD
6335 MECHANICSVILLE TURNPIKE
1050 REGIONAL PARK RD
9622 MAIN ST
2601 GEO. WASHINGTON MEM. HWY
2444 CHESAPEAKE SQ RING ROAD
4524 CHALLENGER AVENUE
6335 MULTIPLEX DR
11280 WEST BROAD STREET
731 EAST ROCHAMBEAU ROAD
145 HILL CARTER PKWY
13201 RITTENHOUSE DRIVE
9401 LIBERIA AVE
1477 WEST MAIN ST
80 WESTLAKE ROAD
1505 STAFFFORD MARKET PL
6000 BURKE COMMONS ROAD
901 NORTH LOMBARDY STREET
1455 TOWN SQUARE BLVD
116 LUCY LANE
17041 JEFFERSON DAVIS HIGHWAY
1618 MAIN STREET
9540 LIBERIA AVE
1510 EAST RIDGE ROAD
10001 SOUTHPOINT PARKWAY
4174 FORTUNA CENTER DR
City
VIRGINIA BEACH
BEDFORD
STERLING
FRANCONIA
ROANOKE
WYTHEVILLE
VIRGINIA BEACH
CHARLOTTESVILLE
VIRGINIA BEACH
MECHANICSVILLE
LEBANON
FAIRFAX
YORKTOWN
CHESAPEAKE
ROANOKE
CENTREVILLE
HENRICO
WILLIAMSBURG
ASHLAND
MIDLOTHIAN
MANASSAS
SALEM
HARDY
STAFFORD
BURKE
RICHMOND
ROANOKE
WAYNESBORO
DUMFRIES
CLIFTON FORGE
MANASSAS
RICHMOND
FREDERICKSBURG
DUMFRIES
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2345624523201662231024019243822346422901234522311124266220312369323321240122012023233-1065
231882300523112201112415324101225542201523220-2201
2401222980220262442220110232292240722025Last Updated 12/21/2012
252
NABP #
4838770
4838782
4838845
4839051
4839099
4839190
4839215
4839342
4839366
4839380
4839392
4839455
4839493
4839520
4839722
4839734
4839746
4839811
4840333
4840460
4840725
4840749
4840838
4841056
4841133
4841246
4841412
4841688
4841842
4841878
4842096
4842135
4842250
4842262
Pharmacy Name
FARM FRESH PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
FARM FRESH PHARMACY
SHOPPERS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART
WALMART PHARMACY
Address Line 1
HWY
4511 JOHN TYLER HWY
501 WAL-MART DRIVE
201 E BERKLEY AVE
632 GRASS FIELD PARKWAY
19265 JEB STUART HIGHWAY
9409 LORTON MARKET ST
125 CLARION ROAD
1464 MT PLEASANT RD
1069 INDEPENDENCE BLVD
RR 2
3575 BRIDGE RD
1400 KEMPSVILLE RD
2425 CENTREVILLE RD
7530 TIDEWATER DRIVE
1504 NORTH PARHAM ROAD
1098 FREDRICK BLVD
14101 MIDLOTHIAN TURNPIKE
13249 LEE HIGHWAY
200 OLD FAIR GROUNDS WAY
1459 ARMORY DRIVE
215 PIEDMONT PLACE
10 RIVERTON COMMONS DR.
4571 LAB URNUM AVE
9351 ATLEE RD
1720 E. LITTLE CREEK RD
735 SOUTHPARK BLVD
14501 HANCOCK VILLAGE ST
11 VILLAGE PKWY
164 CAMP CREEK PKWY
15069 FOREST RD
505 OAKVILLE RD
3227 OLD FORREST RD
26036 LANKFORD HWY
City
GRAFTON
WILLIAMSBURG
WINCHESTER
NORFOLK
CHESAPEAKE
STUART
LORTON
ALTA VISTA
CHESAPEAKE
VIRGINIA BEACH
JONESVILLE
SUFFOLK
CHESAPEAKE
HERNDON
NORFOLK
RICHMOND
PORTSMOUTH
MIDLOTHIAN
BRISTOL
KILMARNOCK
FRANKLIN
DANVILLE
FRONT ROYAL
RICHMOND
MECHANICSVILLE
NORFOLK
COLONIAL HEIGHTS
CHESTERFIELD
STAFFORD
GORDONSVILLE
FOREST
APPOMATTOX
LYNCHBURG
ONLEY
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2369223185226032352323322241712207924517233222345524263234352332020171235052322923707231132420222482238512454022630-6718
232312311623518-4202
23834-3605
238322240622942-6878
24551-3900
24522-8361
2450123418Last Updated 12/21/2012
253
NABP #
4842375
4842426
4842452
4842666
4842705
4842919
4843024
4843074
4843113
4843240
4843567
4901206
5805037
4904163
4904543
4904670
4908072
4908957
4909365
4909377
4909911
4909923
5805164
4910712
4910762
4910849
4911447
4911497
4911675
5805304
5805366
5805378
4912920
4913465
Pharmacy Name
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
FARM FRESH PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SUPERMED PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
CORP
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
HAPPY PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
Address Line 1
135 STONE RIDGE RD
601 COMMERCE DR
6303 RICHMOND HWY
1385 FORDHAM DR
3507 W CARY ST
201 HILLCREST PARKWAY
16375 MERCHANT LANE
11181 LEE HWY
1179 RIVERVIEW ST
201 MARANTO MANOR DR
4368 CHANTILLY SHOPPING CTR
1320 LEE BLVD
1665 RALPH AVE
1540 GILMAN BLVD
3184 OCEAN BEACH WAY
4615 196TH ST SW SUITE 175
100 NW 85TH STREET
525 E FRANCIS AVE
7250 PACIFIC AVE
4505 S 19TH ST
2500 COLUMBIA HOUSE BLVD
7700 HIGHWAY 99
1384 BOSTON ROAD
25250 PACIFIC HWY S
2041 148TH NE
800 LAKEWAY DR
9999 HOLMAN RD NW
14300 FIRST AVE SOUTH
8530 EVERGREEN WAY
1831 GRAND CONCOURSE
866 NIAGARA FALLS BLVD
3800 DEWEY AVE
18325 AURORA AVE NORTH
13000 LAKE CITY WAY NE
City
RUCKERSVILLE
BLUEFIELD
ALEXANDRIA
VIRGINIA BEACH
RICHMOND
CHESAPEAKE
KING GEORGE
FAIRFAX
GRUNDY
WINCHESTER
CHANTILLY
RICHLAND
BROOKLYN
ISSAQUAH
LONGVIEW
LYNNWOOD
SEATTLE
SPOKANE
TACOMA
TACOMA
VANCOUVER
VANCOUVER
BRONX
KENT
BELLEVUE
BELLINGHAM
SEATTLE
SEATTLE
EVERETT
BRONX
TONAWANDA
GREECE
SHORELINE
SEATTLE
State
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
VA
WA
NY
WA
WA
WA
WA
WA
WA
WA
WA
WA
NY
WA
WA
WA
WA
WA
WA
NY
NY
NY
WA
WA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2296824605-9221
22306-6410
23464-5345
23221-2728
23322-2485
22485-5655
22030-5004
2461422602201519935211236-3317
98027986329803698117992089840898405986619866510459980329800798229-6219
9811798168982081045314120-2006
14616-2529
9813398125Last Updated 12/21/2012
254
NABP #
4913744
4914429
4914481
4914823
4915104
4915572
4934825
4916093
4916120
4916384
4916586
4917499
4917970
4918249
4918667
4918681
4918770
4919316
4919366
4919796
4919847
4920004
4920028
4920422
4920472
4920650
4920903
4921032
4921323
4921400
4922503
4922515
4922527
4922628
Pharmacy Name
FRED MEYER PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
QFC PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
KMART PHARMACY4439
SAVON PHARMACY
KMART PHARMACY4253
KMART PHARMACY7331
KMART PHARMACY7621
SAVON PHARMACY
FRED MEYER PHARMACY
Address Line 1
11325 SE MILL PLAIN BLVD
1890 IRONDALE RD
1100 N MERIDIAN
12221 120TH AVE NE
101 WELLSIAN WAY
520 128TH ST SW
17222 HIGHWAY 99
401 S 40TH ST
8611 STEILACOOM BLVD SW
2615 BROADWAY
3905 BRIDGEPORT WAY W
2401 N PEARL ST
12811 BEVERLY PARK RD
9925 STATE AVE
11012 CANYON RD E
17801 108TH AVE SE
14215 SE PETROVITSKY RD
10201 SE 240TH
2800 MILTON WAY
700 SLEATER KINNEY RD NE
801 AUBURN WAY N
E 510 37TH ST
1434 OLNEY AVE SE
400 BRIDGE ST
5050 STATE HIGHWAY 303 NE
1128 N MILLER ST
33702 21ST AVE SW
2304 E NOB HILL BLVD
6727 EVERGREEN WAY
1414 72ND ST E
1201 NW LOUISIANA AVE
32165 STATE ROUTE 20
6100 PACIFIC AVE SE
1206 NORTH 40TH AVE
City
VANCOUVER
PORT HADLOCK
PUYALLUP
KIRKLAND
RICHLAND
EVERETT
LYNNWOOD
YAKIMA
TACOMA
EVERETT
TACOMA
TACOMA
LYNNWOOD
MARYSVILLE
PUYALLUP
RENTON
RENTON
KENT
MILTON
LACEY
AUBURN
SPOKANE
PORT ORCHARD
CLARKSTON
BREMERTON
WENATCHEE
FEDERAL
YAKIMA
EVERETT
TACOMA
CHEHALIS
OAK HARBOR
LACEY
YAKIMA
State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
98684-5070
983399837198034993529820498037-3170
989089849898201-3044
984669840698037982709837398055980589803198354985039800299203983669940398311988019802398901-9502
9820398404-3307
98532-1816
98277-3774
9850398908Last Updated 12/21/2012
255
NABP #
4922654
4922666
4922743
4922870
4922933
4922983
4923024
4923098
4923113
4923214
4923226
4923238
4923252
4923339
4923377
4923404
4923428
4923430
4923478
4923492
4923579
4923670
4923745
4923769
4923783
4923808
4923884
4923896
4923959
4923961
4924216
4924278
4924444
4924470
Pharmacy Name
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
QFC PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
KMART PHARMACY4147
WAL-MART PHARMACY
FRED MEYER PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
Address Line 1
8851 E TRENT AVE
19500 HWY 99
902 ENGH ROAD
1005 N STRATFORD ROAD
810 NORTH HWY 395
4919 EVERGREEN WAY
22828 100TH AVE W
1610 W LINCOLN
7411 NE 117TH AVE
1304 N LIBERTY LAKE RD
15609 E SPRAGUE AVE
920 S BURLINGTON BLVD
12725 FIRST AVE S
8867 161ST AVE NE
2720 SO QUILLAN ST
17520 STATE ROUTE 9 SE
990 B EAST WASHINGTON
909 EAST WISHKAH HWY 12 101 E
3925 236TH AVE NE
14300 NE 20TH AVE
16600 SE MCGILLIVRAY BLVD
5204 W CLEARWATER
4110 E SPRAGUE AVENUE
2675 EAST LINCOLN AVENUE
20904 HWY 410
926 164TH SE
2000 NORTH WENATCHEE AVE
100 E WALLACE KNEELAND BVLD
690 W GAGE BLVD
1600 EAST CHESTNUT AVENUE
18805 STATE ROUTE 2
1601 NW LOUISIANA AVE
310 31ST AVENUE SE
365 RENTON CENTER WAY SW
City
MILLWOOD
LYNNWOOD
OMAK
MOSES LAKE
COLVILLE
EVERETT
EDMONDS
YAKIMA
VANCOUVER
LIBERTY LAKE
SPOKANE VALLEY
BURLINGTON
BURIEN
REDMOND
KENNEWICK
SNOHOMISH
SEQUIM
ABERDEEN
REDMOND
VANCOUVER
VANCOUVER
KENNEWICK
SPOKANE
SUNNYSIDE
BONNEY LAKE
MILL CREEK
WENATCHEE
SHELTON
RICHLAND
YAKIMA
MONROE
CHEHALIS
PUYALLUP
RENTON
State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
99212980369884198837991149820398020989029866299019990379823398168980529933798296983829852098053986869868399336992029894498390980129880198584993529890198272985329837498055Last Updated 12/21/2012
256
NABP #
4924494
4924583
4924608
4924622
4924646
4924723
4924836
4924937
4925078
4925080
4925167
4925218
4925220
4925270
4925395
4925458
4925472
4925547
4925597
4925838
4925939
4925941
4926006
4926018
4926032
4926044
4926347
4926359
4926549
4926587
4926626
4926727
4926842
4926878
Pharmacy Name
WAL-MART PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
Address Line 1
762 SUPERMALL WAY
2811 W 10TH AVE
114 E LAURIDSEN BLVD
705 TROSPER RD SW
3411 E KOLONELS WAY
3497 BETHEL ROAD SE
540 7TH AVE
11100 ROOSEVELT WAY NE
11401 STATE AVE
5000 E FOURTH PLAIN BLVD
6797 STATE HWY 303 N.E.
4420 MERIDIAN ST
2746 NE 45TH
743 RAINIER AVE SOUTH
3520 PACIFIC AVE SE
17404 MERIDIAN EAST
16735 SE 272ND STREET
3322 132ND ST SE
15727 EAST BROADWAY
2301 FREEWAY DR
8196 STATE ROUTE 104
12120 NORTH DIVISION
4301 212TH ST SW
4560 KLAHANIE DR SE
6901 SOUTH 19TH STREET
301 E WALLACE KNEELAND BLVD
221 NE 104TH AVE
4775 WHITMAN LANE SE
800 NE TENNEY ROAD
12906 BOTHELLEVERETT HIGHWAY
1250 SW ERIE STREET
1900 SOUTH 314TH STREET
1450 SW ERIE ST
2222 NW BUCKLIN HILL RD
City
AUBURN
KENNEWICK
PORT ANGELES
TUMWATER
PORT ANGELES
PORT ORCHARD
LONGVIEW
SEATTLE
MARYSVILLE
VANCOUVER
BREMERTON
BELLINGHAM
SEATTLE
RENTON
OLYMPIA
PUYALLUP
KENT
BOTHELL
SPOKANE VALLEY
MOUNT VERNON
KINGSTON
SPOKANE
TERRACE
ISSAQUAH
TACOMA
SHELTON
VANCOUVER
LACEY
VANCOUVER
EVERETT
OAK HARBOR
FEDERAL WAY
OAK HARBOR
SILVERDALE
State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
98001993379836298512983629836698632981259827098661983119822698105980579850198373984029801299037982739834699208980439802798466985849866498509986859820898277980039827798383Last Updated 12/21/2012
257
NABP #
4926993
4927072
4927084
4927109
4927147
4927159
4927250
4927313
4927325
4927375
4927399
4927402
4927414
4927604
4927616
4927680
4927705
4927743
4927818
4927894
4928404
4928480
4928492
4928769
4928834
4928884
4929002
4929090
4929204
4929216
4929228
4929230
4929278
4929292
Pharmacy Name
SAMS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
KMART PHARMACY3443
QFC PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
QFC PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
Address Line 1
1101 SUPERMALL WAY SW 1275
1400 164TH ST SW
2108 W MAIN ST
13200 AURORA AVE N
1009 MONROE STREET
915 NW 45TH ST
11 GRANT ROAD
13606 E 32ND AVE
5520 SIDNEY RD
1900 SE SEDGWICK ROAD
2755 77TH AVE S
104 MILLITARY RD S
401 NW 12TH AVENUE
21045 BOTHELLEVERETT HIGHWAY
6305 BRIDGEPORT WAY WEST
2301 WEST WELLESLEY AVE
3010 E 57TH AVE
N 12312 STATE ROUTE 395
301 MARYSVILLE MALL
3550 128TH SE
20600 108TH AVE SE
1700 SE MEADOWBROOK BLVD
20025 SR 410
9000 NE HWY 99
6100 E LAKE SAMMAMISH PKWY SE
8924 QUILCEDA BLVD
1860 EAST MAIN ST
201 S WATER STREET
400 SOUTH THOR ST
1399 SE BLVD
460 E NORTH BEND WAY
325 PARK PLACE CENTER
555 TROSPER RD SW
2801 DUPORTAIL STREET
City
AUBURN
LYNNWOOD
BATTLE GROUND
SEATTLE
ENUMCLAW
SEATTLE
EAST WENATCHEE
SPOKANE
PORT ORCHARD
PORT ORCHARD
MERCER ISLAND
TACOMA
BATTLEGROUND
BOTHELL
UNIVERSITY PLACE
SPOKANE
SPOKANE
SPOKANE
MARYSVILLE
BELLEVUE
KENT
COLLEGE PLACE
BONNEY LAKE
VANCOUVER
ISSAQUAH
TULALIP
OTHELLO
ELLENSBURG
SPOKANE
EPHRATA
NORTH BEND
KIRKLAND
TUMWATER
RICHLAND
State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
98002980379860498133-7509
9802298107988029920698367983669804098444986049802198467992059922399218982709800698031993249839098665980299827199344989269920298823980459803398512-7375
99352Last Updated 12/21/2012
258
NABP #
4929305
4929355
4929432
4929444
4929519
4929545
4929785
4929812
4929874
4929886
4929925
4929951
4929963
4930017
4930029
4930093
4930219
4930245
4930283
4930435
4930598
4930613
4930663
4930916
4931021
4931071
4931083
4931235
4931273
4931451
4931487
4931627
4931639
4931641
Pharmacy Name
SAVON PHARMACY
QFC PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
QFC PHARMACY
SAVON PHARMACY
QFC PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
SAVON PHARMACY
FRED MEYER PHARMACY
QFC PHARMACY
SAMS PHARMACY
FRED MEYER PHARMACY
SAMS PHARMACY
ASSURED PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
QFC PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
11330 NW 51ST AVE
1510 145TH PL SE
2636 116TH AVE NE
20307 MOUNTAIN HWY EAST
9212 NORTH COLTON STREET
31009 PACIFIC HWY S
18921 BOTHELL WAY NE
450 N WILBUR AVE
NE 201 STATE RT 300
19881 STATE RD 2
9001 N INDIAN TRAIL RD
1401 GALAXY DRIVE NE
19205 SR 410 EAST
3505 SE 192ND
17667 NE 76TH STREET
2900 WHEATON WAY
8300 NE 137TH AVE
1225 WEST BAKERVIEW RD
6520 N NEVADA
22303 MOUNTAIN VIEW HIGHWAY EAST
27008 92ND AVE NW
901 SOUTH GRADY WAY
1201 VALLEY AVE E
13550 AURORA AVENUE NORTH
12071 124TH AVE NE
1284 WEST WASHINGTON STREET
417 BROADWAY E
17432 SOUTHEAST 270TH PLACE
600 NW RICHMOND BEACH RD
11224 N E 124TH STREET
23475 NE NOVELTY HILL RD
4820 NORTH ROAD 68
21200 OLHAVA WAY NW
430 SE 192ND AVE
City
GIG HARBOR
BELLEVUE
BELLEVUE
SPANAWAY
SPOKANE
FEDERAL WAY
BOTHELL
WALLA WALLA
BELFAIR
MONROE
SPOKANE
LACEY
BONNEY LAKE
VANCOUVER
REDMOND
BREMERTON
VANCOUVER
BELLINGHAM
SPOKANE
SPANAWAY
STANWOOD
RENTON
SUMNER
SEATTLE
KIRKLAND
SEQUIM
SEATTLE
COVINGTON
SHORELINE
KIRKLAND
REDMOND
PASCO
POULSBO
VANCOUVER
State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
983329800798004983879921898003980119936298528982729920898516983919868398052983109868298226992089838798292980579839098133980349838298102-5009
98042981779803498053993019837098683Last Updated 12/21/2012
259
NABP #
4931831
4932201
4932213
4932225
4932237
4932340
4932415
4932718
4932869
4933429
4933493
4933506
4933518
4933633
4933809
4933811
4933835
4934015
4934116
5004130
5004142
5004154
5004368
5906132
5906170
5906257
5005752
5006499
5007299
5007326
5007592
5007617
5007833
5007869
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
QFC PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
WAL-MART PHARMACY
FRED MEYER PHARMACY
QFC WEST SEATTLE #883
WAL-MART PHARMACY
QFC NORTH SEATTLE
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4442
KMART PHARMACY3218
KMART PHARMACY3198
KMART PHARMACY3220
WAL-MART PHARMACY
LELAND PHARMACY
PHARMACY
KMART PHARMACY4188
KMART PHARMACY3425
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
Address Line 1
11400 HWY 99
34520 16TH AVENUE SOUTH
108 APPLE BLOSSOM DRIVE
7001 BRIDGEPORT WAY WEST
16502 MERIDAN AVE. EAST
500 MERCER
17100 STATE ROUTE 507 SE
1221 SOUTH HAYFORD ROAD
2801 BICKFORD AVE
306 5TH ST
2902 164TH ST SW
4550 42ND AVE SW
6600 W NOB HILL BLVD
1531 NE 145TH ST
4010 172ND ST
695 SE BISHOP BLVD
1486 DIKE ACCESS RD
5600 LITTLEROCK RD SW
3715 OCEAN BEACH HWY
6531 MCCORKLE AVENUE SE
1050 DIVISION ST
1477 MCCORKLE
800 GRAND CENTRAL AVE
2218 GREENVILLE AVE
5412 FARMER ST
2743 W 15TH ST
1701 4TH AVE W
5636 US ROUTE 60 E
5450 BIG TYLER ROAD
930 DIVISION STREET
350 PATTESON DRIVE
5717 MACCORKLE AVENUE SE
10635 MACCORKLE AVE SE
1213 STAFFORD DR
City
EVERETT
FEDERAL WAY
CHELAN
LAKEWOOD
PUYALLUP
SEATTLE
YELM
SPOKANE
SNOHOMISH
CLARKSTON
LYNNWOOD
SEATTLE
YAKIMA
SEATTLE
ARLINGTON
PULLMAN
WOODLAND
TUMWATER
LONGVIEW
CHARLESTON
PARKERSBURG
ST ALBANS
VIENNA
DALLAS
HOUSTON
PLANO
CHARLESTON
HUNTINGTON
CROSS LANES
PARKERSBURG
MORGANTOWN
CHARLESTON
MARMET
PRINCETON
State
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WA
WV
WV
WV
WV
TX
TX
TX
WV
WV
WV
WV
WV
WV
WV
WV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
98204980039881698499983759810998597992249829099403-1860
9803798116-4225
9890898155-7205
9822399163-5390
9867498512-7363
98632-4801
253042610125177-1826
2610575206-7122
77020-4720
75075-7525
2531225705253132610126505253042531524740Last Updated 12/21/2012
260
NABP #
5007910
5007972
5008176
5008253
5008621
5008657
5008734
5008823
5008859
5008897
5008974
5008986
5009130
5009154
5009267
5009279
5009293
5009306
5009318
5009370
5009407
5009433
5009445
5009469
5009546
5009623
5009887
5009926
5009938
5010006
5010044
5010056
5010082
5010107
Pharmacy Name
KROGER PHARMACY
KMART PHARMACY7341
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3484
KMART PHARMACY4963
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9207
WAL-MART PHARMACY
KROGER PHARMACY
KMART PHARMACY3318
KMART PHARMACY3724
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7582
KMART PHARMACY3880
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY4897
KMART PHARMACY4701
WAL-MART PHARMACY
KMART PHARMACY3877
Address Line 1
198 EMILY DRIVE
102 EMILY DR
19 7TH AVE WEST
201 TEAYS CENTER
5 RIVERWALK MALL
1851 EARL CORE ROAD
1734 HARPER ROAD
2007 EAST 7TH STREET
1100 FLEDDERJOHN RD
1330 NO. ESNHOWER DR
100 FAYETTE TOWN CENTER
201 CROSSINGS MALL
6540 MALL ROAD
200 ACADEMY DRIVE
200 WAL STREET
721 BEVERLY PIKE
301 BECKLEY PLAZA
550 EMILY DR
211 N MARSHALL STREET
250 THREE SPRINGS DR
101 GREAT TEAYS BLVD
800 FOXCROFT AVENUE
500 DELAWARE AVENUE
110 BERLIN ROAD
32 TYGART MALL LOOP
701 GRAND CENTRAL AV
97 SENECA TRAIL
9000 FAYETTEVILLE ROAD
2700 MOUNTAINEER BLV
400 THREE SPRINGS DR
1287 WINCHESTER AVENUE
3977 CUMBERLAND ROAD
215 FOUR H CAMP RD
731 BEVERLY PIKE
City
CLARKSBURG
CLARKSBURG
HUNTINGTON
SCOTT DEPOT
S CHARLESTON
MORGANTOWN
BECKLEY
PARKERSBURG
CHARLESTON
BECKLEY
FAYETTEVILLE
ELKVIEW
MORGANTOWN
RIPLEY
SUMMERSVILLE
ELKINS
BECKLEY
CLARKSBURG
BENWOOD
WEIRTON
SCOTT DEPOT
MARTINSBURG
CHARLESTON
WESTON
WHITE HALL
VIENNA
LEWISBURG
OAK HILL
CHARLESTON
WEIRTON
MARTINSBURG
BLUEFIELD
MORGANTOWN
ELKINS
State
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
2630126301257012556025303-1026
26505258012610125314258012584025071-9230
26505252712665126241258012630126031260622556025401253022645226554261052490125901253092606225401-5018
247012650826241Last Updated 12/21/2012
261
NABP #
5010448
5010450
5010513
5010587
5010599
5010664
5010676
5010715
5010727
5010842
5011034
5011046
5011147
5011161
5011224
5011248
5011250
5011262
5011375
5011387
5011426
5011464
5011490
5011565
5011577
5011589
5011591
5011616
5011680
5011755
5011767
5011779
5011781
5011868
Pharmacy Name
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
KROGER PHARMACY
SAMS PHARMACY
Address Line 1
411 MALL ROAD
3333 US ROUTE 60
520 N JEFFERSON ST
450 11TH STREET
100 ST THOMAS DR
788 W PIKE ST
RT 20 SOUTH
2627 FIFTH AVE
RR#4 STATE RT. 220 S
6360 US ROUTE 60
96 PATRICK HENRY WAY
77 NORMAN MORGAN BLVD
200 MT DECHANTAL ROAD
MCGRAW AND MAIN STREET
133 BECKLEY CROSSING
RT 85 HOPKINS BRANCH RD
505 VIRGINIA AVE
100 NITRO MARKETPLACE
11 HARNESS ROAD
1142 SOUTH BRIDGE STREET
1439 MACCORKLE AVE SW
7 MARKET PLACE
100 MCGINNIS DRIVE
320 MALLARD LANE
1 WAL-MART LANE
2900 PIKE STREET
97 WILLIAMS DRIVE
500 PARK CENTER
1241 WARWOOD AVE
201 GREASY RIDGE ROAD
100 BUCKHANNON CROSSROADS
ST RT 107 BELLEPOINT CC PLAZA
3558 MAIN STREET
2500 MOUNTAINEER BLVD
City
OAK HILL
HUNTINGTON
LEWISBURG
ELKINS
WEIRTON
CLARKSBURG
BUCKHANNON
HUNTINGTON
KEYSER
BARBOURSVILLE
CHARLES TOWN
LOGAN
WHEELING
RIPLEY
BECKLEY
DANVILLE
SMITHERS
NITRO
MOOREFIELD
NEW MARTINSVILLE
ST ALBANS
WESTON
WAYNE
MASON
GRAFTON
PARKERSBURG
SPENCER
RAINELLE
WHEELING
PRINCETON
BUCKHANNON
HINTON
WEIRTON
CHARLESTON
State
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
25901257052490126241260622630126201257022672625504254142560126003252712580125053251862514326836261552517726452255702526026354261012527625962260032474026201259512606225309Last Updated 12/21/2012
262
NABP #
5011870
5011907
5011957
5011969
5012163
5012187
5053967
5053981
5054034
5054109
5054161
5054351
5054363
5054399
5054541
5054628
5054654
5054678
5054680
5054779
5054919
5055288
5055492
5103988
5644388
5644390
5644403
5644439
5644453
5644465
5644477
5644504
5644516
5644528
Pharmacy Name
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
SAMS PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
FAMILY LIFE PHARMACY
KROGER PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KROGER PHARMACY
2219
RIPLEY, INC
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
U.S. RT 119 HOLDEN RD
151 BEAVER PLAZA
1300 LAFAYETTE AVE
US ROUTE 52
25 NICHOLS DRIVE
91 27TH STREET
1220 NORTH EISENHOWER DRIVE
981 DUNBAR VILLAGE
1881 ROBERT C BRYD DR
61 PLAZA DRIVE
10 WAL-MART DRIVE
6001 UNIVERSITY TOWN CENTRE DR
6051 UNIVERSITY TOWN CENTRE DR
450 STEWART LANE
100 WAL-MART DRIVE
21189 COAL RIVER RD
500 SUNCREST TOWN CENTRE DR
164 AND SLEEPY CREEK RD
5680 HAMMONDS MILLS ROAD
180 RED OAKS SC
2500 CHEROKEE AVE SE
194 PINNELL STREET
1001 WARRIOR WAY
3811 SPRING ST
22015 HAWTHORNE BLVD
13401 MAIN ST
1189 E MARCH LN
1421 COFFEE RD
14530 NORDHOFF ST
9100 ALCOSTA BLVD
1120 S ANAHEIM BLVD
255 G ST
2700 MARCONI AVE
4080 DOUGLAS BLVD
City
LOGAN
BEAVER
MOUNDSVILLE
BLUEWELL
BARBOURSVILLE
WELLSBURG
BECKLEY
DUNBAR
MACARTHUR
KIMBALL
MOUNDSVILLE
MORGANTOWN
GRANVILLE
TRIADELPHIA
KINGWOOD
COMFORT
MORGANTOWN
HURRICANE
MARTINSBURG
RONCEVERTE
CHARLESTON
RIPLEY
QUINCY
RACINE
TORRANCE
HESPERIA
STOCKTON
MODESTO
PANORAMA CITY
SAN RAMON
ANAHEIM
LINCOLN
SACRAMENTO
GRANITE BAY
State
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WV
WI
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
25601-4010
25813260412470125504260702580125064258732485326041265342653426059265372504926505255262540424970253042527125015-1300
5340590503-7006
9234595210-3545
95355-3170
91402-1811
94583-3857
92805-5810
95648-1880
95821-4914
95746-5900
Last Updated 12/21/2012
263
NABP #
5112785
5113092
5113422
5113751
5113799
5113840
5113864
5113876
5113888
5113927
5113977
5644566
5114309
5114967
5115058
5117583
5117595
5117660
5117672
5117898
5117963
5117975
5117987
5118092
5118458
5118636
5118737
5118814
5118939
5118941
5119121
5119183
5119195
5119260
Pharmacy Name
KMART PHARMACY4219
KMART PHARMACY4385
KMART PHARMACY7206
KMART PHARMACY4255
KMART PHARMACY9543
KMART PHARMACY7530
KMART PHARMACY3182
KMART PHARMACY4380
KMART PHARMACY4395
KMART PHARMACY3774
KMART PHARMACY3088
WAL-MART PHARMACY
KMART PHARMACY4089
KMART PHARMACY7010
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
RACINE INC
KMART PHARMACY3618
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3692
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
1109 LOMBARDI AVE
4601 S 27TH STREET
3015 TOWER AVENUE
2233 OLD HUMES RD
1309 N HIGH ST
18200 W BLUEMOUND ROAD
5600 S 108TH ST
3201 N MAYFAIR ROAD
6077 S PACKARD AVENUE
2211 S GREEN BAY ROAD
4100 52ND ST
1600 SARATOGA AVE
2415 STATE ROAD
111 DIVISION ST NORTH
1244 WISCONSIN AVE
601 LEFFLER STREET
424 WEST 8TH STREET
38020 US HIGHWAY 18
201 SOUTH EDWARDS BOULEVARD
222 WEST MCCOY BLVD
1800 PROGRESSIVE PKWY
1133 NORTH MAIN ST
1600 WEST WISCONSIN ST
2401 HWY 14 EAST
516 MONUMENT SQ
6900 WEST GREENFIELD AVE
7202 WATTS ROAD
1800 HWY 51 WEST
4331 8TH ST SOUTH
3500 BRUMBACK BLVD
1450 SUMMIT AVENUE
1905 MC COY ROAD
611 HWY 54 EAST
1362 WEST MAIN STREET
City
GREEN BAY
GREENFIELD
SUPERIOR
JANESVILLE
FORT ATKINSON
BROOKFIELD
HALES CORNERS
WAUWATOSA
CUDAHY
RACINE
KENOSHA
SAN JOSE
LA CROSSE
STEVENS POINT
RACINE
DODGEVILLE
MONROE
PRAIRIE DU CHIEN
LAKE GENEVA
TOMAH
PLATTEVILLE
VIROQUA
SPARTA
RICHLAND CENTER
RACINE
WEST ALLIS
MADISON
STOUGHTON
WISCONSIN RAPIDS
SOMERS
OCONOMOWOC
SUN PRAIRIE
BLACK RIVER FALLS
WHITEWATER
State
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
CA
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
5430453220548805354553538530455313053222-3203
53110534065314295129-5101
54601544815340353533535665382153147546605381854665546565358153403-1033
532145371953589544945317153066535905461553190Last Updated 12/21/2012
264
NABP #
5119296
5119309
5119335
5119385
5119412
5119424
5119602
5119640
5119741
5119753
5119765
5119777
5119789
5119791
5119842
5120085
5120150
5120162
5120174
5120275
5120388
5120427
5120439
5120605
5120629
5120643
5120655
5120667
5120744
5120756
5120768
5120794
5120845
5120883
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3768
KMART PHARMACY7656
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3769
KMART PHARMACY3750
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3541
KMART PHARMACY3735
WAL-MART PHARMACY
KMART PHARMACY3831
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3851
KMART PHARMACY4051
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3534
Address Line 1
1536 EGG HARBOR ROAD
3800 DEERFIELD DRIVE
2935 NEW PINERY ROAD
190 MEDFORD PLAZA
3711 SO TAYLOR DRIVE
3500 EAST MAIN STREET
2222 CREST VIEW DRIVE
1211 E GREEN BAY STREET
830 WEST FULTON STREET
4500 SOUTH 108TH STREET
920 HWY 12
351 SOUTH WASHBURN ST.
103 OAK AVENUE
409 PRAIRIE VIEW ROAD
2440 WEST MASON STREET
2615 EASTERN AVE
2501 WEST AVENUE
4115 CALUMET AVENUE
1717 NORTH SHAWANO STREET
W190 N9855 APPLETON AVENUE
250 EAST WOLF RUN
825 EAST GREEN BAY AVENUE
6701 SOUTH 27TH STREET
5141 DOUGLAS AVE
2424 EAST CLAIRMONT AVE
2000 S WEST AVE
3915 GATEWAY DRIVE
2500 EAST LAKE SHORE DRIVE
2863 HERITAGE DRIVE
377 NORTH ROLLING MEADOWS DRIV
3107 MARKET PLACE
3705 TOWER AVENUE
861 COUNTY HWY F
1275 BELL AVE
City
STURGEON BAY
JANESVILLE
PORTAGE
MEDFORD
SHEBOYGAN
MERRILL
HUDSON
SHAWANO
WAUPACA
GREENFIELD
BARABOO
OSHKOSH
MENOMONIE
CHIPPEWA FALLS
GREEN BAY
PLYMOUTH
RICE LAKE
MANITOWOC
NEW LONDON
GERMANTOWN
MUKWONAGO
SAUKVILLE
FRANKLIN
RACINE
EAU CLAIRE
WAUKESHA
EAU CLAIRE
ASHLAND
DELAFIELD
FOND DU LAC
ONALASKA
SUPERIOR
BERLIN
HARTFORD
State
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
54235535465390154451530815445254016541665498153228539135490454751547295430353073548685422054961530225314953080531325340254701531865470154806530185493554650548805492353027Last Updated 12/21/2012
265
NABP #
5121099
5121138
5121140
5121152
5121265
5121277
5121289
5121481
5121708
5122077
5122178
5122407
5122940
5122952
5123093
5123461
5123815
5123877
5124475
5124487
5125439
5125530
5125869
5125895
5710923
5126051
5126164
5126215
5126328
5126330
5126683
5126746
5126811
5126847
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7649
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY3970
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
STAYWELL PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SCHNUCKS PHARMACY
Address Line 1
1901 MARKET WAY
2950 NEW PINERY ROAD
180 CEDAR FALLS ROAD
250 CROSSROADS DR
1200 WEST FOND DU LAC ST
2292 MAIN STREET
2121 LINCOLN ST
955 NORTH MUTUAL WAY
1425 E HIGHWAY 151
4300 RIB MOUNTAIN DRIVE
1244 EAST GREEN BAY
2212 GLACIER DRIVE
810 SOUTH IRISH ROAD
8760 N RIDGEWAY
4198 NAKOOSA TRAIL
2785 MILWAUKEE ROAD
2900 ROOSEVELT RD
3807 SPRING ST
1515 WEST PARADISE DR.
3049 SOUTH OAKES ROAD
1540 SOUTH 108TH STREET
2001 NORTH CENTRAL AVE
600 NORTH SPRINGDALE ROAD
7701 WEST CALUMET ROAD
4002 W . WATERS AVE
3355 SOUTH 27TH ST
401 EAST CAPITAL DRIVE
3701 EAST CALUMET ST.
200 HWY 64 EAST
2470 WEST MASON
8700 NORTH SERVITE DRIVE
15594 STATE HIGHWAY 77
130 COMMERCE STREET
1501 CRESTON PARK DR
City
WATERTOWN
PORTAGE
MENOMONIE
PLOVER
RIPON
GREEN BAY
RHINELANDER
APPLETON
PLATTEVILLE
WAUSAU
SHAWANO
ST CROIX FALLS
CHILTON
MINOCQUA
MADISON
BELOIT
MARINETTE
RACINE
WEST BEND
STURTEVANT
WEST ALLIS
MARSHFIELD
WAUKESHA
MILWAUKEE
TAMPA
MILWAUKEE
MILWAUKEE
APPLETON
ANTIGO
GREEN BAY
MILWAUKEE
HAYWARD
WISCONSIN DELLS
JANESVILLE
State
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
FL
WI
WI
WI
WI
WI
WI
WI
WI
WI
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
53094539015475154467549715431154501549135381854401541665402453014545485371453511541435340353095531775321454449531865322333614532155321254915544095430353223548435396553545Last Updated 12/21/2012
266
NABP #
5126950
5126962
5126974
5127128
5127332
5127421
5127508
5127534
5127572
5127611
5127697
5127762
5127887
5127926
5128118
5128269
5128409
5128574
5129475
5129487
5129590
5130149
5130151
5130466
5130478
5130517
5130620
5130707
5131468
5131571
5131709
5711088
5132345
5201570
Pharmacy Name
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL MART PHARMACY
PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAMS PHARMACY
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
SAM'S PHARMACY
HY-VEE PHARMACY
WAL-MART PHARMACY
WALMART PHARMACY
KMART PHARMACY4736
Address Line 1
5825 WEST HOPE AVENUE
428 WALTON DRIVE
1000 NO WESTHILL BLVD
1819 EAST GENEVA STREET
2500 W LAYTON AVE
1415 LAWRENCE DR.
201 N MAYFAIR RD
4622 MORMON COULEE ROAD
5000 W CHAMBERS ST
1901 MILWAUKEE AVENUE
1155 WINNECONNE AVENUE
6705 SOUTH 27TH ST
15333 WEST NATIONAL AVENUE
120 FRANCES LANE
2786 COMMERCIAL BLVD
19333 W NORTH AVENUE
411 PEWAUKEE ROAD
250 WEST RICHMOND WAY
4000 RIB MOUNTAIN DR
3900 DEERFIELD DRIVE
3237 S 16TH ST
2151 ROYAL AVE
800 WEST 10TH STREET SOUTH
1010 N 8TH ST
1220 THIEL STREET
4433 VANGUARD DRIVE
10101 S 27TH ST
1520 STATE HWY 26
7050 WATTS RD
3300 BRUMBACK AVE
3801 E WASHINGTON AVE
3500 N TAMIAMI TRL
W159S6530 MOORLAND ROAD
4000 EAST 2ND ST
City
MILWAUKEE
PLYMOUTH
APPLETON
DELAVAN
MILWAUKEE
DE PERE
MILWAUKEE
LA CROSSE
MILWAUKEE
BURLINGTON
NEENAH
FRANKLIN
NEW BERLIN
BEAVER DAM
CHIPPEWA FALLS
BROOKFIELD
PEWAUKEE
NEW RICHMOND
WAUSAU
JANESVILLE
MILWAUKEE
MONONA
LADYSMITH
MEDFORD
HATFORD
SHEBOYGAN
FRANKLIN
JEFFERSON
MADISON
SOMERS
MADISON
SARASOTA
MUSKEGO
CASPER
State
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
WI
FL
WI
WY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
5321653073549145311553221-5400
54115-3927
53226-4216
5460153210-1650
53105549565313253151539165472953045-4132
5307254017544015354653215-4526
53713548485445153027530815313253549537195314453704-3648
34234-5358
5315082609Last Updated 12/21/2012
267
NABP #
5201582
5201594
5201809
5201885
5201998
5202089
5202166
5202267
5202382
5202421
5202433
5202445
5202457
5202469
5202623
5202673
5202736
5202774
5202801
5202837
5202849
5202938
5203334
5203598
5203699
5203738
5203803
5203980
5204069
5204071
5204083
5204095
5204108
5204110
Pharmacy Name
KMART PHARMACY3891
KMART PHARMACY7107
CITY MARKET PHARMACY
SMITHS PHARMACY #86
SMITHS PHARMACY #187
SMITHS PHARMACY #185
SMITHS PHARMACY #183
SMITHS PHARMACY # 182
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY7139
WAL-MART PHARMACY
WAL-MART PHARMACY
KMART PHARMACY9074
KMART PHARMACY4837
KMART PHARMACY4863
KMART PHARMACY9792
SMITHS PHARMACY #180
SAVON PHARMACY
PHARMACY
SAVON PHARMACY
SMITHS PHARMACY #184
WAL-MART PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
OSCO PHARMACY
Address Line 1
1840 DELL RANGE BLVD
2450 FOOTHILL BLVD
602 HIGLEY BLVD
70 YELLOW CREEK RD
905 BRIDGER DR
2405 C Y AVE
1200 WEST MAIN ST
2531 FOOTHILL BLVD
2032 DELL RANGE BLVD
4308 GRAND AVENUE
1733 NORTH FEDERAL
125 NORTH 2ND STREET
201 GATEWAY BLVD
1695 COFFEEN AVE
2300 SOUTH DOUGLAS HWY
510 SOUTH HIGHWAY 89
4400 EAST 2ND STREET
321 YELLOWSTONE AVENUE
2571 N BUSINESS 90
1960 N FEDERAL BLVD
2150 SOUTH DOUGLAS HWY
750 NORTH 3RD STREET
906 CAMEL DRIVE
105 BUFFALO WAY
3702 DELL RANGE BLVD
1323 DEWAR DR
1425 SOUTH HIGHWAY 89
4255 CY AVENUE
2610 S DOUGLAS HWY
1076 CY AVE
1825 17TH ST
5800 N YELLOWSTONE RD
3355 E PERSHING BLVD
1865 COFFEEN AVE
City
CHEYENNE
ROCK SPRINGS
RAWLINS
EVANSTON
GREEN RIVER
CASPER
RIVERTON
ROCK SPRINGS
CHEYENNE
LARAMIE
RIVERTON
EVANSTON
ROCK SPRINGS
SHERIDAN
GILLETTE
JACKSON
CASPER
CODY
SHERIDAN
RIVERTON
GILLETTE
LARAMIE
GILLETTE
JACKSON
CHEYENNE
ROCK SPRINGS
JACKSON
CASPER
GILLETTE
CASPER
CODY
CHEYENNE
CHEYENNE
SHERIDAN
State
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
WY
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
820098290182301829308293582604825018290282009820708250182930829018280182718830018260982414828018250182718820708271683001-4806
82001829018300282604827188260482414820098200182801Last Updated 12/21/2012
268
NABP #
5204122
5204134
5300075
5300099
5600069
5600273
5600362
5600374
5600386
5600398
5600475
5600538
5600627
5600831
5600879
5600881
5600994
5601009
5601061
5601148
5601338
5601580
5601592
5601605
5601617
5601794
5601807
5601908
5601960
5602075
5602087
5602099
5602138
5612925
Pharmacy Name
OSCO PHARMACY
OSCO PHARMACY
KMART PHARMACY3829
KMART PHARMACY7413
TODAY PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
INC
SAVON PHARMACY
SAVON PHARMACY
SAMS PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SANTA ANA
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
PHCY
INC
PHARMACY
SUPPLY
RALPHS PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
Address Line 1
3112 E GRAND
2625 E 2ND ST
26A CHARLOTTE AMALIE
REMAINDER MATRICULATE 1 CANE ES
2200 E ANAHEIM
425 S SUNRISE WAY
4001 HALLMARK PARKWAY
1400 LEAD HILL BLVD
1200 HIGHLAND AVENUE
1131 NORTH BEALE ROAD
39940 10TH STREET WEST
2105 BEVERLY BLVD
189 NIBLICK RD
26850 N THE OLD RD
904 PLEASANT GROVE BLVD
1055 HARRIMAN PLACE
32225 HIGHWAY 79 SOUTH
235 EAST DORSET DRIVE
2431 N TUSTIN AVE
7660 EL CAMINO REAL
39140 WINCHESTER RD
732 CENTER DRIVE
6433 FALLBROOK AVENUE
11729 IMPERIAL HIGHWAY
2495 IRON POINT RD 11
150 N ROBERTSON BLVD
4476 TWEEDY BLVD
540 W PALMDALE BLVD
2544 CAMPBELL PL STE 150
583 N VENTU PARK RD
12201 HIGHLAND AVE
3405 MARRON ROAD
14919 WHITTIER BLVD
3450 MARRON RD
City
LARAMIE
CASPER
ST THOMAS
ST CROIX
LONG BEACH
PALM SPRINGS
SAN BERNARDINO
ROSEVILLE
NATIONAL CITY
MARYSVILLE
PALMDALE
LOS ANGELES
PASO ROBLES
VALENCIA
ROSEVILLE
SAN BERNARDINO
TEMECULA
DIXON
SANTA ANA
CARLSBAD
MURRIETA
SAN MARCOS
WEST HILLS
NORWALK
FOLSOM
BEVERLY HILLS
SOUTH GATE
PALMDALE
CARLSBAD
NEWBURY PARK
CUCAMONGA
OCEANSIDE
WHITTIER
OCEANSIDE
State
WY
WY
VI
VI
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
8207082609008020084090804922629240795661919509590193551900579344691381956789240892590956209270592009925639206991307906509563090211-2142
9028093551920099132091730920569060592056Last Updated 12/21/2012
269
NABP #
5612937
5612949
5612951
5612963
5613054
5613181
5613446
5613511
5613648
5613650
5613713
5613864
5613939
5613977
5614082
5614133
5614210
5614486
5614587
5614690
5614703
5614715
5614727
5614739
5614741
5614892
5614943
5615010
5615060
5615135
5615159
5615301
5615313
5615363
Pharmacy Name
ASSURED PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SUNRISE PHARMACY
PHARMACY
PACIFICA PHARMACY
SAMS PHARMACY
THE MEDICINE CABINET
SAVON PHARMACY
WAL-MART PHARMACY
ASAP PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAMS PHARMACY
RALPHS PHARMACY
AVALON PHARMACY
AND COMPOUNDING
RALPHS PHARMACY
PHARMACY #1
DEL MAR PHARMACY
ZOEY PHARMACY
AGAPI PHARMACY
Address Line 1
7000 INDIANA AVE STE 112
1360 EASTLAKE PARKWAY
3250 BIG DALTON AVENUE
4840 SHAWLINE STREET
22915 VICTORY BLVD
3460 EL CAMINO AVENUE
7895 HIGHLAND VILLAGE PL
777 STORY ROAD
500 N SEPULVEDA BLVD
380 E 17TH STREET
1636 W 25TH ST
605 FLETCHER PARKWAY
3706 E CESAR CHAVEZ AVE
6325 TOPANGA CANYON BLVD
18682 BEACH BLVD
40500 MURRIETA HOT SPRINGS RD
228 E ANAHEIM ST
5038 W AVE N
27931 KELLY JOHNSON PARKWAY
367 N CHEVY CHASE DR
29675 THE OLD ROAD NORTH
3601 E FOOTHILL BLVD
101 OLD GROVE RD
12835 MOUNTAIN AVE
12660 LIMONITE AVE
5625 GOSFORD ROAD
14440 BURBANK BLVD
1203 N AVALON BLVD
9448 MAGNOLIA AVE
26751 PORTAOLLA PARKWAY
7922 ROSECRANS AVE STE P-2
9008 GARVEY AVE STE A
18500 VIA PRINCESSA
6501 SAN FERNANDO RD
City
RIVERSIDE
CHULA VISTA
BALDWIN PARK
SAN DIEGO
CANOGA PARK
SACRAMENTO
SAN DIEGO
SAN JOSE
EL SEGUNDO
COSTA MESA
SAN PEDRO
EL CAJON
LOS ANGELES
WOODLAND HILLS
BEACH
MURRIETA
WILMINGTON
PALMDALE
SANTA CLARITA
GLENDALE
CASTAIC
PASADENA
OCEANSIDE
CHINO
CORONA
BAKERSFIELD
SHERMAN OAKS
WILMINGTON
RIVERSIDE
FOOTHILL RANCH
PARAMOUNT
ROSEMEAD
SANTA CLARITA
GLENDALE
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
92506919159170692111913079582192129951229024592627907329202090063913679264892563907449355291355912069138491107920579171092880933139140190744925039261090723-6009
917709138791201Last Updated 12/21/2012
270
NABP #
5615438
5615476
5615553
5615705
5615717
5615729
5615779
5615971
5616339
5616341
5616656
5616860
5616923
5616985
5617040
5617139
5617951
5618282
5618307
5618319
5618345
5618422
5622015
5622560
5622801
5622825
5622875
5622899
5622938
5623093
5623219
5623269
5623271
5623500
Pharmacy Name
WAL-MART PHARMACY
COMPOUNDING
SAVON PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
THANH PHARMACY INC
GRAND AVE PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAMS PHARMACY
PACIFIC SIDE PHARMACY
PHARMACY
INC
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
MEDICINE CABINET
RALPHS PHARMACY
WAL-MART PHARMACY
MEDPRO PHARMACY
PHARMACY
KMART PHARMACY 7098
PHCY LLC
PHARMACY
PHARMACY
RALPHS PHARMACY
LANVY PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
Address Line 1
19503 SOUTH NORMANDIE AVE
2903 SATURN ST
23850 COPPER HILL DR
44009 OSGOOD ROAD
770 WEST EL MONTE WAY
8400 EDGEWATER DRIVE
12923 INGLEWOOD AVE
1400 S GRAND AVE
12721 MORENO BEACH DRIVE
1150 BROADWAY
28047 SCOTT RD
26468 CARL BOYER DRIVE
19582 BEACH BLVD
3208 SANTA ANITA AVE
2220 CLARK AVE
26471 CARL BOYER DRIVE
1540 EAST 2ND STREET
34220 MONTEREY AVENUE
34500 MONTEREY AVENUE
5821 ANTELOPE ROAD
6046 ATLANTIC BLVD
4700 ADMIRALTY WY
5000 RHONDA ROAD
7129 W SUNSET BLVD
16025 VENTURA BLVD
5100 CLAYTON RD.
5435 BALBOA BLVD
3299 E HILL ST
866 N VERMONT AVE # 202
3345 SPORTS ARENA BLVD
14971 BROOKHURST
40580 ALBRAE STREET
1827 WALNUT GROVE BLVD
17099 BROOKHURST STREET
City
TORRANCE
BREA
VALENCIA
FREMONT
DINUBA
OAKLAND
HAWTHORNE
LOS ANGELES
MORENO VALLEY
CHULA VISTA
MURRIETA
SANTA CLARITA
BEACH
EL MONTE
LONG BEACH
SANTA CLARITA
BEAUMONT
PALM DESERT
PALM DESERT
SACRAMENTO
MAYWOOD
MARINA DEL REY
ANDERSON
LOS ANGELES
ENCINO
CONCORD
ENCINO
SIGNAL HILL
LOS ANGELES
SAN DIEGO
WESTMINSTER
FREMONT
ROSEMEAD
FOUNTAIN VALLEY
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
905039282191354945399361894621902509001592555919119256291350926489173390815913509222392260922609584290270902929600790046914369452191316907559002992110-4920
92683945389177092708Last Updated 12/21/2012
271
NABP #
5623904
5623916
5623928
5624019
5624071
5624083
5624297
5624540
5624552
5624564
5624576
5624653
5624716
5624968
5624982
5625922
5625958
5626138
5626188
5626241
5626253
5626265
5626289
5626330
5626380
5626506
5626582
5626722
5626811
5626847
5626859
5626897
5626900
5626924
Pharmacy Name
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
MESA PHARMACY IV
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
SUPERIOR PHARMACY
WAL-MART PHARMACY
WELLCARE RX
SAVON PHARMACY
PHARMACY
TNH PHARMACY 2
SAVON PHARMACY
WAL-MART PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
COMPOUNDING
BELLAIRE PHARMACY
RALPHS PHARMACY
SAVON PHARMACY
WALMART PHARMACY
INC
PHARMACY
U CARE PHARMACY
SAVON PHARMACY
SAVON PHARMACY
SAVON PHARMACY
WAL-MART PHARMACY
Address Line 1
13321 E SOUTH STREET
10525 4S COMMONS DRIVE
16225 SIERRA LAKES PARKWAY
655 14TH ST
150 BEACH ROAD
3360 EL CAMINO AVENUE
7218 VAN NUYS BLVD STE B
3350 LA SIERRA AVE
23716 EL TORO RD
670 S WESTERN AVE
6300 IRVINE BLVD
11755 VICTORY BLVD
7010 AUBURN BLVD
9114 EDINGER AVE
7070 ARCHIBALD ST
16070 TUSCOLA RD #102
15211 VANOWEN STREET
74590 HWY 111
1400 HILLTOP MALL ROAD
1910 N CAMPUS AVE
1459 MAIN ST
1133 S MISSION RD
13322 RIVERSIDE DR
12650 SHERMAN WAY
25539 PASEO DE VALENCIA
2310 PROCTOR VALLEY RD
1861 S. SAN JACINTO AVE
14624 SHERMAN WAY
3328 GARFIELD AVE
9646 E GARVEY AVE
940 N TUSTIN ST
13650A BEAR VALLEY RD
27702 CROWN VALLEY PKWY
755 RIVERPOINT COURT
City
CERRITOS
SAN DIEGO
FONTANA
SAN DIEGO
MARINA
SACRAMENTO
VAN NUYS
RIVERSIDE
LAKE FOREST
LOS ANGELES
IRVINE
HOLLYWOOD
CITRUS HEIGHTS
FOUNTAIN VALLEY
CORONA
APPLE VALLEY
VAN NUYS
PALM DESERT
RICHMOND
UPLAND
RAMONA
FALLBROOK
SHERMAN OAKS
HOLLYWOOD
LAGUNA HILLS
CHULA VISTA
SAN JACINTO
VAN NUYS
COMMERCE
S EL MONTE
ORANGE
VICTORVILLE
LADERA RANCH
SACRAMENTO
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
907039212792335921019393395821914059250392630-4711
9000592620916069562192708-1437
928809230791405-3606
922609480691784920659202891423-2509
91605926539191492583-5605
9140590040-3102
91733-4600
92867923929269495605Last Updated 12/21/2012
272
NABP #
5626936
5626986
5627178
5627217
5627279
5627407
5627421
5627433
5627700
5627786
5627988
5628144
5628308
5628384
5628548
5906271
5629083
5629095
5629386
5629413
5629689
5630050
5630098
5630214
5630947
5631367
5631824
5631874
5632080
5632220
5632307
5633094
5633462
5633513
Pharmacy Name
WAL-MART PHARMACY
THE MEDICINE CABINET
PHARMACY
RALPHS PHARMACY
RALPHS PHARMACY
NATIONAL PHARMACY
RALPHS PHARMACY
PHARMACY
ZELZAH PHARMACY
SAVON PHARMACY
RALPHS PHARMACY
PHARMACY
PHARMACY
VENICE PHARMACY
RALPHS PHARMACY
KROGER PHARMACY
EXPRESS PHARMACY
SAV ON PHARMACY
GLENOAKS PHARMACY
PHARMACY AND MEDICAL
PHARMACY
PHARMACY
WAL-MART PHARMACY
SAV ON PHARMACY
OC PHARMACY
QUALITY HOME INFUSION
PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
TUJUNGA PHARMACY
DRUGSTORE CAFE
WAL-MART PHARMACY
PHARMACY
PHARMACY II
Address Line 1
2761 JENSEN AVE
119 E WASHINGTON BLVD
18000 VENTURA BLVD
7257 SUNSET BLVD
645 W 9TH ST
7420 SANTA MONICA BLVD
3455 SEPULVEDA BLVD
1489 E CHEVY CHASE DR
17911 VENTURA BLVD
9870 N MAGNOLIA AVE
160 NORTH LAKE AVE
13517 13519 VAN NUYS BLVD
3978 SORRENTO VALLEY BLVD
1514 S VERMONT AVE
811 AVENIDA TALEGA
1440 STUDEMONT ST
1030 SOUTH GLENDALE AVE
2955 APLINE BLVD
303 S GLENOAKS BLVD
11541 LAUREL CANYON BLVD
1401 S BROOKHURST RD
1107 S ALVARADO ST
8961 GREENBACK LANE
1571 SAN ELIJO RD S
31654 RANCHO VIEJO RD
212 W MAGNOLIA BLVD
16311 VENTURA BLVD
250 WILDCAT DRIVE
3848 MCHENRY AVE
6501 FOOTHILL BLVD
8501 WILSHIRE BLVD
15555 HESPERIAN BLVD
2487 E WASHINGTON BLVD
111 E CARSON ST
City
SANGER
LOS ANGELES
ENCINO
HOLLYWOOD
LOS ANGELES
WEST HOLLYWOOD
TORRANCE
GLENDALE
ENCINO
SANTEE
PASADENA
PACOIMA
SAN DIEGO
LOS ANGELES
SAN CLEMENTE
HOUSTON
GLENDALE
ALPINE
BURBANK
SAN FERNANDO
FULLERTON
LOS ANGELES
ORANGEVALE
SAN MARCOS
CAPISTRAN
BURBANK
ENCINO
BRAWLEY
MODESTO
TUJUNGA
BEVERLY HILLS
SAN LEANDRO
PASADENA
CARSON
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TX
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
9365790015913169004690017900469050591206913169207191101913319212190006926737700791205919019150291340928339000695662920789267591502-1724
91436922279535091042902119457991104-2047
90745Last Updated 12/21/2012
273
NABP #
5634022
5634111
5634375
5634781
5634856
5634868
5634907
5635113
5635769
5635961
5636230
5636850
5636975
5636987
5637092
5637105
5637117
5637864
5637876
5906346
5637977
5638183
5638361
5638397
5638626
5638676
5638688
5638715
5638739
5638804
5638866
5638993
5639096
5639147
Pharmacy Name
SAM'S PHARMACY
PHARMACY
CITI PHARMACY
PHARMACY
COMPOUNDING
KIM AN PHARMACY
PHARMACY
WAL-MART PHARMACY
SAM'S PHARMACY
VALLEY PHARMACY
MAICO PHARMACY
WAL-MART PHARMACY
PHARMACY
FAMILY MEDICAL
RALPHS PHARMACY
RALPHS PHARMACY
ALLURE PHARMACY
E R PHARMACY RX
LOUISE PHARMACY
KROGER PHARMACY
SAMS PHARMACY
SCRIPTSITE PHARMACY
MEDICAL SUPPLY I
MEDICORX SPECIALTY
AND HOME HEALTH
PHARMACY
PHARMACY
STATION PHARMACY
AVS PHARMACY
INC.
COMPOUNDING
AMERICOMP PHARMACY
WAL-MART PHARMACY
MED ZONE PHARMACY
Address Line 1
4901 N SANTA ANITA AVE
7111 WINNETKA AVENUE
1013 S. CENTRAL AVE
7816 FLORENCE AVE
3679 MOTOR AVE STE 305
15550 BROOKHURST ST
8737 BEVERLY BLVD
170 COCHRANE PLAZA
8250 POWER INN RD
24465 SUNNYMEAD BLVD
10161 BOLSA AVE
5075 GOSFORD RD
145 S GLENDALE AVE
1500 S OLIVE ST
19081 GOLDENWEST ST
10772 JEFFERSON BLVD
11670 SAN VICENTE BLVD STE A
10670-A BALBOA BLVD.
17255-B VENTURA BLVD
4241 CAPITAL AVE
12920 FOOTHILL BLVD
490 POST ST STE 208
20177 SATICOY ST
7039 VALJEAN AVE
8622 GARVEY AVE STE 102
4128 S BROADWAY
646 S HARBOR BLVD
1820 WILSHIRE BLVD
511 1/2 E BROADWAY BLVD
24404 S VERMONT AVE
17547 CHATSWORTH ST
1219 N PACIFIC AVE STE B
1375 N DAVIS RD
418 E. GLENOAKS BLVD.
City
EL MONTE
WINNETKA
GLENDALE
DOWNEY
LOS ANGELES
WESTMINSTER
WEST HOLLYWOOD
MORGAN HILL
SACRAMENTO
MORENO VALLEY
WESTMINSTER
BAKERSFIELD
GLENDALE
LOS ANGELES
BEACH
CULVER CITY
LOS ANGELES
GRANADA HILLS
ENCINO
DALLAS
SAN FERNANDO
SAN FRANCISCO
WINNETKA
VAN NUYS
ROSEMEAD
LOS ANGELES
SANTA ANA
SANTA MONICA
GLENDALE
HARBOR CITY
GRANADA HILLS
GLENDALE
SALINAS
GLENDALE
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
TX
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
91731913069120490240-3728
90034-5762
92683-7571
90048950379582392553-9313
9268393313-4993
9120590015-3023
92648-2151
90230-4933
90049-5127
9134491316752049134094102-1416
91306-2506
91406-3915
91770-3291
9003792704-1384
90403-5610
912059071091344-5845
91202-1619
93907-1991
91207-2014
Last Updated 12/21/2012
274
NABP #
5639161
5639375
5639387
5639440
5639604
5639820
5639868
5639933
5640049
5640203
5640506
5640556
5640582
5640710
5640811
5640823
5640962
5641279
5641318
5641394
5641407
5641419
5641421
5641700
5641990
5642168
5642207
5642500
5642649
5642687
5685005
5700035
5906409
5700578
Pharmacy Name
SAMS PHARMACY
FARMACIA FAMILIA
PHARMACY
SAVON PHARMACY
FELICITA PHARMACY
WAL-MART PHARMACY
RAINDROP PHARMACY
SPRINGDALE PHARMACY
& MEDICAL SUPP
CULVER CITY
SMC PHARMACY
ACARE PHARMACY
SAM'S PHARMACY
ALL RX COMPLETE
PHARMACY, INC
COMPOUNDING
CALIFORNIA PHARMACY
WAL-MART PHARMACY
STUDIORX
MIRACLE PHARMACY
TRINITY PHARMACY
CARE ONE PHARMACY
SAMS PHARMACY
COMPOUNDING CEN
COMPOUNDING
ST MINA PHARMACY
W & P PHARMACY, INC.
SAN JUDAS PHARMACY
DESERT PHARMACY
SEENA PHARMACY
SAVON PHARMACY
PALM PHARMACY
WAL-MART PHARMACY
PHARMACY LLC
Address Line 1
5871 FIRESTONE BLVD
1833-B E CESAR E CHAVEZ AVE
2436 W VICTORY BLVD
1018 CASITAS PASS RD
625 W CITRACADO PKWY # STE.106
800 COMMERCE DR
2705 N SEPULVEDA BLVD
5839A WESTMINSTER BLVD
7148 FOOTHILL BLVD.
4340 OVERLAND AVE
1908 SANTA MONICA BLVD STE 4
9860 KATELLA AVE
17835 GALE AVE
8727 VAN NUYS BLVD STE 105
10571 CALLE LEE STE 163
13771 NEWPORT AVE STE 7
14541 BROOKHURST ST STE C5
88 E ORANGETHORPE AVE
937 CRENSHAW BLVD
7418-7420 FOOTHILL BLVD
1335 S GRAND AVE
9043 GARFIELD AVE
1399 W ARTESIA BLVD
23600 TELO AVE STE 155
951 TURQUOISE ST
8110 MANGO AVE STE 105
9205 WHITTIER BLVD
2201 W PICO BL # G
41120 WASHINGTON ST STE 100
3901 LAS POSAS RD STE 101
13270 NEWPORT AVE
486 PALM AVE
9929 HIGHWAY 6
7142 N UNIVERSITY DR
City
SOUTH GATE
LOS ANGELES
BURBANK
CARPINTERIA
ESCONDIDO
ATWATER
MANHATTAN BEACH
WESTMINSTER
TUJUNGA
CULVER CITY
SANTA MONICA
ANAHEIM
CITY OF INDUSTRY
PANORAMA CITY
LOS ALAMITOS
TUSTIN
WESTMINSTER
ANAHEIM
LOS ANGELES
TUJUNGA
GLENDORA
FOUNTAIN VALLEY
GARDENA
TORRANCE
SAN DIEGO
FONTANA
PICO RIVERA
LOS ANGELES
BERMUDA DUNES
CAMARILLO
TUSTIN
HIALEAH
MISSOURI CITY
TAMARAC
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
FL
TX
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
90280-3705
9003391506-1229
93013-2109
92025-6428
9530190266-2725
926839104290230-4117
90404928049174891402-2451
90720-2572
92780-4682
92683-5784
92801-1206
90019-1938
9104291740-5046
92708-6560
90248-3363
90505-4035
92109-1192
92335-3603
90660-2450
9000692203-9596
93010-1505
9278033010-4718
77459-4149
33321-2916
Last Updated 12/21/2012
275
NABP #
5701215
5701556
5701645
5701746
5701760
5906459
5702419
5703524
5703841
5704398
5704514
5705009
5705035
5705302
5705869
5705934
5706190
5706203
5706570
5707091
5707166
5707192
5707419
5707495
5708144
5708156
5708168
5708358
5708409
5708524
5708675
5708687
5708827
5708839
Pharmacy Name
HEALTHY MEDS, LLC.
OSCEOLA INC
DISCOUNT, INC.
WAL-MART PHARMACY
PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
TAMPA
PHARMACY
AND WELLNESS CENT
STARX PHARMACY INC
MARAZUL PHARMACY INC
WAL-MART PHARMACY
WAL-MART PHARMACY
& DISCOUNT, INC
WAL-MART PHARMACY
WAL-MART PHARMACY
MED EXPRESS RX
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
DISCOUNT CORP
WAL-MART PHARMACY
PHARMACY,INC.
WAL-MART PHARMACY
WAL-MART PHARMACY
RAPID PHARMACY CORP
- DISCOUNT , IN
DISCOUNT,INC
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
9021 TAFT ST
720 W OAK ST
14770 SW 56TH ST
4302 W GANDY BLVD
8216 W FLAGLER ST
15800 SOUTH FWY
1300 JOHN SIMS PKWY E
10358 BIG BEND RD
7108 CAUSEWAY BLVD
4529 N PINE ISLAND RD
4073 13TH STREET
802 E DIXIE AVE
2140 WEST FLAGLER ST #102
6712 US HWY 98W
201 34TH ST N
10845 SW 40TH ST
8400 CORAL WAY
901 LITHIA PINECREST RD
1717 SHEPHERD RD
12550 S ORANGE BLOSSOM TRL
MWC US HWY 1 & GULFSTREAM BLVD
3183 W VINE ST
9716 SW 40TH STREET
2102 MAIN ST
104 EAST FLETCHER AVENUE
2765 10TH AVE N
12800 PINES BLVD
2017 W 62ND ST
12887 SW 42ND ST
2913 NW 7TH ST
334 GULF BREEZE PKWY
400 W 49TH ST
5511 DEEP LAKE RD
10863 BLOOMINGDALE AVE
City
PEMBROKE PINES
KISSIMMEE
MIAMI
TAMPA
MIAMI
PEARLAND
NICEVILLE
RIVERVIEW
TAMPA
SUNRISE
SAINT CLOUD
LEESBURG
MIAMI
SANTA ROSA BEACH
ST PETERSBURG
MIAMI
MIAMI
BRANDON
LAKELAND
ORLANDO
BOYNTON BEACH
KISSIMMEE
MIAMI
DUNEDIN
TAMPA
PALM SPRINGS
PEMBROKE PINES
HIALEAH
MIAMI
MIAMI
GULF BREEZE
HIALEAH
OVIEDO
RIVERVIEW
State
FL
FL
FL
FL
FL
TX
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
FL
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
33024-4676
34741-4990
33185-4070
33611-3406
33144-2028
77584-1834
32578335783361933351-5376
3476934748331353245933713-8552
33165-4410
33155-2334
33511-6120
33811-2179
328373342634741-3738
3316534698-5604
3361233461-3185
33027-1708
3301633175-3435
33125-4305
325613301232765-5239
33578-3616
Last Updated 12/21/2012
276
NABP #
5800087
5800203
5800669
5800873
5800998
5801003
5801116
5801560
5801899
5802081
5802170
5802219
5802435
5802586
5802651
5802714
5802891
5802904
5802954
5803108
5803134
5803297
5803386
5803401
5803730
5900130
5900231
5900407
5900801
5901079
5901118
5901132
5901144
5901156
Pharmacy Name
INC
WAL-MART PHARMACY
WAL-MART PHARMACY
SURGICAL LLC
AND SURGICAL SU
PHARMACY, INC.
LLC
PHARMACY LLC
NICK'S PHARMACY
CORP.
ELMHURST PHARMACY
SAMS PHARMACY
H & C CHEMISTS INC.
SILVER PHARMACY, INC.
PHARMACY
COMPOUNDING CENTER
CARE WELL RX
WAL-MART PHARMACY
BATISH DRUGS
NAZ PHARMACY INC.
SAMS PHARMACY
COLONY PHARMACY INC
PARK PLAZA PHARMACY
PALMVILLE
JULIA AND J PHARMACY
LLC
INC.
LLC
PHARMACY
WAL-MART PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
Address Line 1
5805 4TH AVE
2 GANNETT DR.
4975 TRANSIT RD
3404 UNION ST
817 EAST 180TH STREET
2202 AVE U
358 EAST 204TH STREET
1315 AVENUE J
111 GOLD STREET
30 E. KINGSBRIDGE RD.
75 23 BROADWAY
579 TROY SCHENECTADY RD
1299 1ST AVE
4024 18TH AVENUE
349 HENRY ST
532 BROADHOLLOW RD STE 104
826 E TREMONT AVE
24 QUAKER RIDGE BLVD
378 LAFAYETTE AVE
731 CONEY ISLAND AVE
2649 ERIE BLVD E
481 MIDDLE NECK RD
1773 UNIVERSITY AVE
774 ALLERTON AVE
864A E TREMONT AVE
1520 HOLLAND ST
10200 W AIRPORT BLVD STE 180
5701 BRYANT IRVIN RD STE 104
1305 ARPORT FREEWAY #110
12236 MONTANA AVE
2850 W UNIVERSITY DR
8840 BENBROOK BLVD
4412 NORTH FWY
2750 W UNIVERSITY DR
City
BROOKLYN
JOHNSON CITY
LANCASTER
FLUSHING
BRONX
BROOKLYN
BRONX
BROOKLYN
BROOKLYN
BRONX
ELMHURST
LATHAM
NEW YORK
BROOKLYN
BROOKLYN
MELVILLE
BRONX
QUEENSBURY
BROOKLYN
BROOKLYN
SYRACUSE
GREAT NECK
BRONX
BRONX
BRONX
JACINTO CITY
STAFFORD
FORT WORTH
BEDFORD
EL PASO
DENTON
BENBROOK
HOUSTON
DENTON
State
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
11220-3836
137901408611354-3053
10460112291046711230-3605
112011046811373-5612
12110-2806
10021-5503
1121811201-5551
11747-3609
10460128041123811218-4306
13224-1201
11023-1470
10453-6997
10467-8910
10460-4201
77029-2848
77477-3337
76132-4026
760217993676201-1601
76126-3440
77022-3606
76201-1628
Last Updated 12/21/2012
277
NABP #
5901170
5901194
5901409
5901663
5901726
5902007
5902021
5902160
5902564
5902641
5902855
5902867
5902893
5903124
5903174
5903198
5903388
5903390
5903403
5903415
5903833
5903895
5904099
5904277
5904405
5904479
5904493
5904570
5904582
5904619
5904708
5904859
5904897
5904936
Pharmacy Name
WAL-MART PHARMACY
PHARMACY DEPOT
WEDGWOOD PHARMACY
WAL-MART PHARMACY
WESTPOINT PHARMACY
MEDIC ONE PHARMACY
KROGER PHARMACY
MI FARMACIA
RITE CARE PHARMACY
WAL-MART PHARMACY
PHARMACY
WAL-MART PHARMACY
LEGACY PHARMACY
VITAL CARE PHARMACY
PHARMACY
SAMS PHARMACY
KROGER PHARMACY #580
WAL-MART PHARMACY
SAMS PHARMACY
KROGER PHARMACY #594
WAL-MART PHARMACY
WAL-MART PHARMACY
NEW RX PHARMACY
PHARMACY
WAL-MART PHARMACY
EXPRESS RX PHARMACY
KK'S PHARMACY #51
WAL-MART PHARMACY
WAL-MART PHARMACY
KK'S PHARMACY #251
PHARMACY
PHARMACY
C AND I PHARMACY
WAL-MART PHARMACY
Address Line 1
2525 W ANDERSON LN
11450 SPACE CENTER BLVD STE 101
5324 WEDGMONT CIR N
730 W EXCHANGE PKWY
9501 CLIFFORD ST STE
400 MEDIC LN STE C
3300 TEXAS SAGE TRAIL
4800 S 23RD ST STE 6
7108 ENVOY CT
1118 SIBLER RD
4373 SOUTH HAMPTON RD
8555 PRESTON RD
1307 8TH AVE
1927 E BELT LINE RD STE 146
2709 W 15TH ST STE B
9900 S I H 35
2671 LITTLE ELM PARKWAY
6185 RETAIL RD
3610 SAINT MICHAEL DR
3300 E BROAD ST
6101 SARATOGA RD
4268 LEGACY DR
3612 22ND PLACE
1015 N ZARAGOZA RD
2800 FLOWER MOUND RD
2245 BRINKER RD
2480 W ILLINOIS AVE
13003 STATE HIGHWAY 249
13739 N CENTRAL EXPY
980 N WALNUT CREEK DR, #118
3814 LYONS AVENUE
15800 DOOLEY RD STE 200
2306 GUTHRIE RD STE 250
1221 FM 1187
City
AUSTIN
HOUSTON
FORT WORTH
ALLEN
FORT WORTH
ALVIN
FORT WORTH
MCALLEN
DALLAS
HOUSTON
DALLAS
FRISCO
FORT WORTH
CARROLLTON
PLANO
AUSTIN
LITTLE ELM
DALLAS
TEXARKANA
MANSFIELD
CORPUS CHRISTI
FRISCO
LUBBOCK
EL PASO
FLOWER MOUND
DENTON
DALLAS
HOUSTON
DALLAS
MANSFIELD
HOUSTON
ADDISON
GARLAND
CROWLEY
State
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
TX
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Zip + 4
78757-1180
77059-3599
76133-1946
7501376108-4461
77511-5567
7617778503-8694
75247-5102
7705575237750347610475006-5814
75075-7545
78748-3885
750687523175503-2341
76063-5626
7841275034-0812
7941079907-1822
75022-4819
7620875233-1106
77086-3122
75243-1003
760637702075001-5739
75043-5954
76036-3303
Last Updated 12/21/2012
278
NABP #
5904998
5905166
5905178
5905192
5905255
5711557
5906649
5906740
5906752
5644972
5644984
5644996
5645001
5645063
1045574
Pharmacy Name
PHARMACY
SAMS PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
PHARMACY
SAMS PHARMACY
KROGER PHARMACY #038
PARKWOOD PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
WAL-MART PHARMACY
ONESTOP RX
Address Line 1
9101 N CENTRAL EXPY STE 565
7601 N 10TH ST
13100 JOSEY LN
10301 ALAMEDA AVE
2436 S INTERSTATE 35 E STE 360
1725 34TH ST N
25050 FM 1093
405 EAST PARKWOOD
4025 OLD DENTON RD
2240 S BRADLEY RD
1445 E FOOTHILL BLVD
8810 GROSSMONT BLVD
6820 EASTERN AVE
575 SATURN BLVD
4830 N ARMENIA AVE
City
DALLAS
MCALLEN
FARMERS BRANCH
SOCORRO
DENTON
ST PETERSBURG
KATY
FRIENDSWOOD
CARROLLTON
SANTA MARIA
UPLAND
LA MESA
BELL GARDENS
SAN DIEGO
TAMPA
TX
TX
TX
TX
TX
FL
TX
TX
TX
CA
CA
CA
CA
CA
FL
State
Zip + 4
75231-5927
78504-7737
75234-6351
79927-1605
76205-4900
33713-3601
774947754675007-1023
93455-1348
91786-4054
91942-9027
90201-3902
92154-4731
33603-
1054143 PEGASUS RX PHARMACY 1992 ALT US HIGHWAY 19
TAMPA DRUGS AND
1097509 DIABETIC CENTER
1010 BUSCH BLVD
TARPON SPRINGS
FL
34689-
TAMPA
FL
33612-
1400249 RENES DRUG STORE INC
PEKIN PRESCRIPTION
1401075 LABORATORY
NORTHSIDE REXALL
1407255 DRUG
1408461 ROCHELLE PHARMACY
KIMMEL-CHAPLAIN
1413018 PHARMACY
1423639 HOPEDALE PHARMACY
1425215 SAV MOR PHARMACY
WEBER CLINIC
1425760 PHARMACY
1426700 BERTRAM PHARMACY
1427928 TOLEDO PHARMACY
1427942 SAV MOR PHARMACY
201 W MAIN CROSS ST
TAYLORVILLE
IL
62568-2247
1016 COURT STREET
PEKIN
IL
61554-4818
201 N STATE ST
314 LINCOLN HWY
GENESEO
ROCHELLE
IL
IL
61254-1236
61068-
205 BAILEY LN
107 TREMONT
596 OAK ST
BENTON
HOPEDALE
NEOGA
IL
IL
IL
62812-1998
6174762447-
1200 N EAST ST
1301 N ALLEN ST
170 COURTHOUSE SQ
104 E. SOUTHLINE ROAD
OLNEY
ROBINSON
TOLEDO
TUSCOLA
IL
IL
IL
IL
62450-2499
62454-1001
6246861953-1480
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Last Updated 12/21/2012
279
NABP #
Pharmacy Name
1428095 SAV MOR PHARMACY
1437753 SAV MOR PHARMACY
COUNTY MARKET
1438200 PHARMACY 026
1438870 THE PHARMACY
PHYSICIAN PLAZA
1439012 PHARMACY
1447603 SAV MOR PHARMACY
1447805 CORWIN PHARMACY
THE MEDICINE SHOPPE
1448364 PHARMACY
COUNTY MARKET
1453581 PHARMACY 453
1453694 FAMILY PHARMACY
MEDICINE STOP OF
1454545 PEORIA
1454569 ALWOOD PHARMACY
1455496 SCHNUCKS PHARMACY
1457402 EASTLAND PHARMACY
1457553 LOW COST PHARMACY
1459115 MEDICAP PHARMACY
METHODIST PHARMACY
1459709 @ ALLEN ROAD
1463708 BROWN'S DRUG STORE
1464471 CUB FOODS 219
1466653 PHARMACY SOLUTIONS
1469659 MULCAHY PHARMACY
1472860 FAMILY DRUG STORE
1473862 REA CLINIC PHARMACY
DELAVAN FAMILY
1474648 PHARMACY
DALES SOUTHLAKE
1477579 PHARMACY
1478482 MACKINAW PHARMACY
COUNTY MARKET
1479977 PHARMACY 228
Address Line 1
105 E JACKSON ST
110 E STATE ST
City
VIRDEN
NOKOMIS
IL
IL
State
Zip + 4
6269062075-1340
825 W WASHINGTON
600 N MAIN ST
PITTSFIELD
TAYLORVILLE
IL
IL
62363-0463
62568-1599
2300 N EDWARD ST
122 W LOCUST ST
954 E 9TH STREET
DECATUR
FAIRBURY
LOCKPORT
IL
IL
IL
62526-4163
61739-1549
60441-
200 W MORTON AVE
JACKSONVILLE
IL
62650-
1050 E FORT ST
920 WEST ST
FARMINGTON
PERU
IL
IL
6153161354-2763
4410 NORTH KNOXVILLE AVENUE
ROUTE 150 SOUTH
2665 NORTH ILLINOIS ST
1505 EASTLAND DR
415 5TH ST
501 E SLOAN ST
PEORIA
ALPHA
SWANSEA
BLOOMINGTON
LACON
HARRISBURG
IL
IL
IL
IL
IL
IL
6161461413-0355
62226-2302
61701-3502
61540-1210
62946-
2338 W SUD PARKWAY
115 W JEFFERSON AVE
403 N VETERANS PKWY
100 ABBOTT PARK ROAD
2160 S FIRST ST
1603 W MAIN ST
4241 STATE HWY 14 WEST
PEORIA
EFFINGHAM
BLOOMINGTON
ABBOTT PARK
MAYWOOD
SHELBYVILLE
CHRISTOPHER
IL
IL
IL
IL
IL
IL
IL
6161562401-2344
6170460064-6335
601536256562822-
402 PINE ST
DELAVAN
IL
61734-
245 W 1ST DR
116 S MAIN
DECATUR
MACKINAW
IL
IL
62521-5206
61755-
1903 W MONROE ST
SPRINGFIELD
IL
62704-
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Last Updated 12/21/2012
280
NABP #
1479989
1480564
1480780
1481439
1482467
1482758
1484118
2606703
2623507
2639613
2639651
4504153
5700807
5900863
5902071
Pharmacy Name
COUNTY MARKET
PHARMACY 227
COUNTY MARKET
PHARMACY 083
CUB PHARMACY 341
SAV MOR PHARMACY
ADVENTIST GLENOAKS
HOSPITAL OUTPATI
TREMONT FAMILY
PHARMACY
NEIGHBORHOOD
PHARMACY INC
COUNTY MARKET
PHARMACY 184
SCHNUCKS PHARMACY
COUNTY MARKET
PHARMACY 375
COUNTY MARKET
PHARMACY 409
EXPRESS PHARMACY
PEGASUS RX 002
PHARMACY
MI PHARMACY
ROSE PHARMACY, LLC
Address Line 1
City
State
Zip + 4
2777 S SIXTH AVE
SPRINGFIELD
IL
62703-
3001 VETERANS PARKWAY
1400 E PERSHING RD
121 W NORTH AVE
SPRINGFIELD
DECATUR
FLORA
IL
IL
IL
627046252662839-
701 WINTHROP AVENUE
GLENDALE HEIGHTS IL
60139-
220 WEST PEARL, SUITE A
IL
61568-7905
11600 S KEDZIE AVE
TREMONT
MERRIONETTE
PARK
IL
60803-6307
5 DIAMOND BLVD
8800 MANCHESTER RD
HANNIBAL
BRENTWOOD
MO
MO
6340163144-
1208 SOUTH MAIN STREET
PALYMRA
MO
63461-
1805 ELM STREET
6730 HWY 6 S
CANTON
HOUSTON
MO
TX
6343577083-
6506 EMBASSY BLVD.
4444 W. JEFFERSON BLVD # 614
7447 HARWIN DR STE 188
PORT RICHEY
COCKRELL HILL
HOUSTON
FL
TX
TX
346687521177036-2367
For more information about the Rxtra program, contact the Health Alliance Pharmacy Department at 1-800-851-9973, option 4.
Last Updated 12/21/2012
281

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