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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