2017 Preferred Pharmacy Network - Health Insurance … · 2017 Preferred Pharmacy Network NCPDP NPI...

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2017 Preferred Pharmacy Network NCPDP NPI Pharmacy Name Address City State Zip Phone Number 5901233 1578878294 BARNES & WILLIAMS DRUG CENTER NO. 2 4601 S 14TH ST ABILENE TX 79605 (325) 695-3784 4557914 1912068776 BARNES AND WILLIAMS DRUG CENTER 701 HICKORY ST ABILENE TX 79601 (325) 677-9191 4583678 1902915341 HEB PHARMACY 1345 BARROW ST ABILENE TX 79605 (325) 690-5011 4585026 1013954452 MARKET STREET PHARMACY 4450 BUFFALO GAP RD ABILENE TX 79606 (325) 695-4690 4537289 1639196793 SAMS PHARMACY 5550 S CLACK ST ABILENE TX 79606 (325) 793-2652 4582878 1083794309 UNITED PHARMACY 2160 PINE ST ABILENE TX 79601 (325) 673-4737 4511968 1023095932 UNITED PHARMACY 3301 SOUTH 14TH ABILENE TX 79605 (325) 698-7801 4583806 1407834088 UNITED PHARMACY 920 N WILLIS ABILENE TX 79603 (325) 677-1362 5906358 1194080267 WALGREENS 1005 N JUDGE ELY BLVD ABILENE TX 79601 (325) 672-1842 4507096 1952316929 WALGREENS #4875 3033 S 14TH ST ABILENE TX 79605 (325) 795-1440 4507921 1689689655 WALGREENS #4899 5201 BUFFALO GAP RD ABILENE TX 79606 (325) 695-8664 4532912 1194730259 WALGREENS #7937 991 N WILLIS ST ABILENE TX 79603 (325) 676-2392 4596714 1386661569 WAL-MART PHARMACY 10-0535 4350 SOUTHWEST DR ABILENE TX 79606 (325) 695-9250 4503745 1578580684 WAL-MART PHARMACY 10-0536 1650 STATE HWY 351 ABILENE TX 79601 (325) 677-2191 5915953 1477935021 A-SCRIPT PHARMACY 17051 DALLAS PKWY # 110 ADDISON TX 75001 (214) 643-6287 5914800 1538553847 SKYLINE PHARMACY 16051 ADDISON RD ADDISON TX 75001 (972) 290-1126 4517819 1043249006 TOM THUMB PHARMACY #2643 14280 MARSH LANE ADDISON TX 75001 (972) 241-4532 4501765 1235248642 HEB PHARMACY 1211 E FRONTAGE RD ALAMO TX 78516 (956) 702-7550 4553043 1578792073 WALGREENS #12837 510 N ALAMO RD ALAMO TX 78516 (956) 782-4779 4532671 1194742247 WAL-MART PHARMACY 1421 WEST FRONTAGE ROAD ALAMO TX 78516 (956) 782-2156 4569806 1699884031 HEB PHARMACY 1115 E MAIN STREET ALICE TX 78332 (361) 664-1344 4512162 1346366374 RUSHING GONZALEZ LEGEND DRUG 301 E MAIN ALICE TX 78332 (361) 664-4368 4544107 1164557443 WALGREENS #10231 1055 E MAIN ST ALICE TX 78332 (361) 664-2498 4587739 1619994886 WAL-MART PHARMACY 10-0791 2701 EAST MAIN ALICE TX 78332 (361) 668-0504 4547189 1508042946 MARKET STREET PHARMACY 985 BETHANY DRIVE ALLEN TX 75013 (972) 908-3840 4512073 1164451126 TOM THUMB PHARMACY #3579 900 W MCDERMOTT DRIVE ALLEN TX 75013 (214) 495-3718 4508505 1760497739 WALGREENS #4787 1226 W MCDERMOTT DR ALLEN TX 75013 (972) 396-0753 4507957 1215942289 WALGREENS #4860 510 E MAIN ALLEN TX 75002 (972) 727-6509 4529624 1295746436 WALGREENS #6829 1819 E BETHANY DR ALLEN TX 75002 (972) 359-2884 4529624 1295746436 WALGREENS #6829 1819 E BETHANY DR ALLEN TX 75002 (972) 359-2884 4554778 1659601011 WALGREENS #9121 500 STACY RD ALLEN TX 75002 (469) 342-2024 4526729 1669499711 WAL-MART PHARMACY 1520 EXCHANGE PARKWAY ALLEN TX 75002 (214) 547-8671 5901663 1285934901 WAL-MART PHARMACY 730 W EXCHANGE PKWY ALLEN TX 75013 (972) 649-0364 5901714 1699086447 CITY DRUG STORE 202 E AVE E ALPINE TX 79830 (432) 837-2252 4548852 1881857407 RICHARDS PHARMACY 3509 E MAIN AVE ALTON TX 78573 (956) 584-7772 4509076 1023023090 WALGREENS #4113 1620 S GORDON ST ALVIN TX 77511 (281) 585-2404 4567612 1306864178 WAL-MART PHARMACY 10-0462 400 HIGHWAY 35 BYP S ALVIN TX 77511 (281) 585-3451 4586725 1922088830 ADC PHARMACY 6700 W 9TH AMARILLO TX 79106 (806) 358-0331 5917173 1982076147 AMARILLO PHARMACY 6010 S WESTERN ST STE 100 AMARILLO TX 79110 (806) 803-9401 4585898 1063499929 AMIGOS PHARMACY 3300 I-40 E AMARILLO TX 79103 (806) 373-8722 4512364 1457494353 CATCHINGS PRESCRIPTIONS LTD 1900 S COULTER AMARILLO TX 79106 (806) 355-2924 5908403 1730421975 GRAND PHARMACY 3500 NE 24TH AVE AMARILLO TX 79107 (806) 350-7455 4510548 1669459558 MARKET STREET PHARMACY 2530 S GEORGIA AMARILLO TX 79109 (806) 468-9911 4512489 1942215587 MARTIN TIPTON PHARMACY LLC 1501 S TYLER ST AMARILLO TX 79101 (806) 373-2812 5912995 1881019826 MEDICAL SQUARE PHARMACY 1215 S COULTER ST STE 101 AMARILLO TX 79106 (806) 350-7451 5916462 1770969990 SAM'S CLUB PHARMACY 10-7676 8952 WESTGATE PKWY WEST AMARILLO TX 79124 (806) 513-6487 4534702 1730106899 SAMS PHARMACY 2201 ROSS OSAGE DRIVE AMARILLO TX 79103 (806) 374-0622 A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 6129 TX 8/16 1

Transcript of 2017 Preferred Pharmacy Network - Health Insurance … · 2017 Preferred Pharmacy Network NCPDP NPI...

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5901233 1578878294 BARNES & WILLIAMS DRUG CENTER NO. 2 4601 S 14TH ST ABILENE TX 79605 (325) 695-37844557914 1912068776 BARNES AND WILLIAMS DRUG CENTER 701 HICKORY ST ABILENE TX 79601 (325) 677-91914583678 1902915341 HEB PHARMACY 1345 BARROW ST ABILENE TX 79605 (325) 690-50114585026 1013954452 MARKET STREET PHARMACY 4450 BUFFALO GAP RD ABILENE TX 79606 (325) 695-46904537289 1639196793 SAMS PHARMACY 5550 S CLACK ST ABILENE TX 79606 (325) 793-26524582878 1083794309 UNITED PHARMACY 2160 PINE ST ABILENE TX 79601 (325) 673-47374511968 1023095932 UNITED PHARMACY 3301 SOUTH 14TH ABILENE TX 79605 (325) 698-78014583806 1407834088 UNITED PHARMACY 920 N WILLIS ABILENE TX 79603 (325) 677-13625906358 1194080267 WALGREENS 1005 N JUDGE ELY BLVD ABILENE TX 79601 (325) 672-18424507096 1952316929 WALGREENS #4875 3033 S 14TH ST ABILENE TX 79605 (325) 795-14404507921 1689689655 WALGREENS #4899 5201 BUFFALO GAP RD ABILENE TX 79606 (325) 695-86644532912 1194730259 WALGREENS #7937 991 N WILLIS ST ABILENE TX 79603 (325) 676-23924596714 1386661569 WAL-MART PHARMACY 10-0535 4350 SOUTHWEST DR ABILENE TX 79606 (325) 695-92504503745 1578580684 WAL-MART PHARMACY 10-0536 1650 STATE HWY 351 ABILENE TX 79601 (325) 677-21915915953 1477935021 A-SCRIPT PHARMACY 17051 DALLAS PKWY # 110 ADDISON TX 75001 (214) 643-62875914800 1538553847 SKYLINE PHARMACY 16051 ADDISON RD ADDISON TX 75001 (972) 290-11264517819 1043249006 TOM THUMB PHARMACY #2643 14280 MARSH LANE ADDISON TX 75001 (972) 241-45324501765 1235248642 HEB PHARMACY 1211 E FRONTAGE RD ALAMO TX 78516 (956) 702-75504553043 1578792073 WALGREENS #12837 510 N ALAMO RD ALAMO TX 78516 (956) 782-47794532671 1194742247 WAL-MART PHARMACY 1421 WEST FRONTAGE ROAD ALAMO TX 78516 (956) 782-21564569806 1699884031 HEB PHARMACY 1115 E MAIN STREET ALICE TX 78332 (361) 664-13444512162 1346366374 RUSHING GONZALEZ LEGEND DRUG 301 E MAIN ALICE TX 78332 (361) 664-43684544107 1164557443 WALGREENS #10231 1055 E MAIN ST ALICE TX 78332 (361) 664-24984587739 1619994886 WAL-MART PHARMACY 10-0791 2701 EAST MAIN ALICE TX 78332 (361) 668-05044547189 1508042946 MARKET STREET PHARMACY 985 BETHANY DRIVE ALLEN TX 75013 (972) 908-38404512073 1164451126 TOM THUMB PHARMACY #3579 900 W MCDERMOTT DRIVE ALLEN TX 75013 (214) 495-37184508505 1760497739 WALGREENS #4787 1226 W MCDERMOTT DR ALLEN TX 75013 (972) 396-07534507957 1215942289 WALGREENS #4860 510 E MAIN ALLEN TX 75002 (972) 727-65094529624 1295746436 WALGREENS #6829 1819 E BETHANY DR ALLEN TX 75002 (972) 359-2884

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association6129 TX 8/16 1

4507957 1215942289 WALGREENS #4860 510 E MAIN ALLEN TX 75002 (972) 727-65094529624 1295746436 WALGREENS #6829 1819 E BETHANY DR ALLEN TX 75002 (972) 359-28844554778 1659601011 WALGREENS #9121 500 STACY RD ALLEN TX 75002 (469) 342-20244526729 1669499711 WAL-MART PHARMACY 1520 EXCHANGE PARKWAY ALLEN TX 75002 (214) 547-86715901663 1285934901 WAL-MART PHARMACY 730 W EXCHANGE PKWY ALLEN TX 75013 (972) 649-03645901714 1699086447 CITY DRUG STORE 202 E AVE E ALPINE TX 79830 (432) 837-22524548852 1881857407 RICHARDS PHARMACY 3509 E MAIN AVE ALTON TX 78573 (956) 584-77724509076 1023023090 WALGREENS #4113 1620 S GORDON ST ALVIN TX 77511 (281) 585-24044567612 1306864178 WAL-MART PHARMACY 10-0462 400 HIGHWAY 35 BYP S ALVIN TX 77511 (281) 585-34514586725 1922088830 ADC PHARMACY 6700 W 9TH AMARILLO TX 79106 (806) 358-03315917173 1982076147 AMARILLO PHARMACY 6010 S WESTERN ST STE 100 AMARILLO TX 79110 (806) 803-94014585898 1063499929 AMIGOS PHARMACY 3300 I-40 E AMARILLO TX 79103 (806) 373-87224512364 1457494353 CATCHINGS PRESCRIPTIONS LTD 1900 S COULTER AMARILLO TX 79106 (806) 355-29245908403 1730421975 GRAND PHARMACY 3500 NE 24TH AVE AMARILLO TX 79107 (806) 350-74554510548 1669459558 MARKET STREET PHARMACY 2530 S GEORGIA AMARILLO TX 79109 (806) 468-99114512489 1942215587 MARTIN TIPTON PHARMACY LLC 1501 S TYLER ST AMARILLO TX 79101 (806) 373-28125912995 1881019826 MEDICAL SQUARE PHARMACY 1215 S COULTER ST STE 101 AMARILLO TX 79106 (806) 350-74515916462 1770969990 SAM'S CLUB PHARMACY 10-7676 8952 WESTGATE PKWY WEST AMARILLO TX 79124 (806) 513-64874534702 1730106899 SAMS PHARMACY 2201 ROSS OSAGE DRIVE AMARILLO TX 79103 (806) 374-0622

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association6129 TX 8/16 1

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4578906 1477530368 UNITED PHARMACY 1501 E AMARILLO BLVD AMARILLO TX 79107 (806) 373-70574577966 1831176734 UNITED PHARMACY 3400 RIVER RD AMARILLO TX 79107 (806) 383-33454578893 1881732816 UNITED PHARMACY 4701 S WASHINGTON AMARILLO TX 79110 (806) 373-33414524345 1124019542 UNITED PHARMACY 5601 AMARILLO BLVD W AMARILLO TX 79106 (806) 352-66504585444 1235116161 UNITED PHARMACY 5807 SW 45TH #100 AMARILLO TX 79109 (806) 353-72015910903 1770907776 UNITED PHARMACY #530 3552 S SONCY RD AMARILLO TX 79119 (806) 467-68154553586 1174754345 WALGREENS #13010 2205 SE 34TH AVE AMARILLO TX 79103 (806) 373-14524535273 1538174610 WALGREENS #1304 5709 W AMARILLO BLVD AMARILLO TX 79106 (806) 355-72094553865 1083847313 WALGREENS #13124 4504 S WESTERN ST AMARILLO TX 79109 (806) 353-13714512922 1396750378 WALGREENS #5611 801 NORTH FILLMORE ST AMARILLO TX 79107 (806) 371-81164521868 1699782573 WALGREENS #5612 3320 BELL ST AMARILLO TX 79109 (806) 468-61504510663 1851306831 WALGREENS #5613 5921 HILLSIDE RD AMARILLO TX 79109 (806) 463-10574511615 1730196650 WALGREENS #5614 1600 S WESTERN ST AMARILLO TX 79106 (806) 463-30674518657 1730196619 WALGREENS #6501 2601 S GEORGIA AMARILLO TX 79109 (806) 468-86164569654 1487672275 WAL-MART PHARMACY 3700 I 40 EAST AMARILLO TX 79103 (806) 373-26114538368 1093732166 WAL-MART PHARMACY 4215 CANYON DRIVE AMARILLO TX 79110 (806) 352-86274532683 1922025089 WAL-MART PHARMACY 5730 WEST AMARILLO BLVD AMARILLO TX 79106 (806) 354-95914572699 1043237290 WAL-MART PHARMACY 10-0755 4610 SOUTH COULTER AMARILLO TX 79121 (806) 353-95545916296 1164800330 WALMART PHARMACY 10-4464 2711 SW 58TH AVE AMARILLO TX 79110 (806) 513-65055915042 1801281068 WALMART PHARMACY 10-7349 7251 ARDEN RD AMARILLO TX 79109 (806) 513-64015913694 1306249107 WALMART PHARMACY 10-7362 2035 SE 34TH AVE AMARILLO TX 79118 (806) 513-63914512706 1790760056 PRESCRIPTION SHOP 813 HOSPITAL DR ANDREWS TX 79714 (432) 523-48615905091 1952673873 ANGLETON HEALTH MART PHARMACY 1104 EAST MULBERRY ST STE E ANGLETON TX 77515 (979) 848-88784554196 1316952419 WALGREENS #4373 1001 LOOP 274 ANGLETON TX 77515 (979) 849-23474589769 1558388728 WAL-MART PHARMACY 10-0527 1801 N VELASCO ANGLETON TX 77515 (979) 849-30285912755 1477953719 ANNA FAMILY PHARMACY 813 W WHITE ST STE 200 ANNA TX 75409 (972) 895-24504550491 1144474701 WALGREENS #12376 1432 ANTONIO ST ANTHONY TX 79821 (915) 886-24134521464 1457460875 HEB PHARMACY 101 E GOODNIGHT ARANSAS PASS TX 78336 (361) 758-95654573805 1770644734 JERRYS PHARMACY 105 S AVE A ARANSAS PASS TX 78336 (361) 758-1404

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4521464 1457460875 HEB PHARMACY 101 E GOODNIGHT ARANSAS PASS TX 78336 (361) 758-95654573805 1770644734 JERRYS PHARMACY 105 S AVE A ARANSAS PASS TX 78336 (361) 758-14044545262 1457558801 WALGREENS #10680 2702 WEST WHEELER ARANSAS PASS TX 78336 (361) 758-21354594342 1487671665 WAL-MART PHARMACY 10-0458 2501 WEST WHEELER ARANSAS PASS TX 78336 (361) 758-28675916145 1619375961 A-CLASS PHARMACY 4907 S COLLINS ST STE 141 ARLINGTON TX 76018 (817) 466-74205907576 1417291469 KVN PHARMACY 4860 MATLOCK RD STE 120 ARLINGTON TX 76018 (817) 962-04175917488 1770955239 M & A PHARMACY 8200 MATLOCK ROAD STE 150 ARLINGTON TX 76002 (682) 222-78305916335 1205216462 MI DOCTOR ARLINGTON 941 E. PARK ROW ARLINGTON TX 76010 (817) 522-02214539170 1790842144 PHARMACIA HENRIQUE 4201 INTERWAY PLACE ARLINGTON TX 76018 (817) 701-19304583250 1902900970 RANDOL MILL PHARMACY 1014 N FIELDER RD ARLINGTON TX 76012 (817) 274-18834584923 1013955145 SAVON PHARMACY 301 SW PLAZA SHOPPING CTR ARLINGTON TX 76016 (817) 478-42384525513 1366489825 SAVON PHARMACY 6220 US HIGHWAY 287 ARLINGTON TX 76017 (817) 478-13134589973 1689611139 SAVON PHARMACY #4163 5950 S COOPER ST ARLINGTON TX 76017 (817) 472-64584589834 1467481432 TOM THUMB PHARMACY #3617 2611 WEST PARK ROW ARLINGTON TX 76013 (817) 459-41244547658 1689603649 TOM THUMB PHARMACY #3658 2755 N COLLINS ST ARLINGTON TX 76006 (817) 276-53705905940 1346509619 WALGREENS 4400 W GREEN OAKS BLVD ARLINGTON TX 76016 (817) 563-01424536516 1982619060 WALGREENS #2537 1020 N COLLINS ST ARLINGTON TX 76011 (817) 303-32754597603 1922013952 WALGREENS #3846 2408 BALL PARK WAY ARLINGTON TX 76006 (817) 861-76614598629 1912912940 WALGREENS #3909 3400 MATLOCK ROAD ARLINGTON TX 76015 (817) 419-0569

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4599049 1467467498 WALGREENS #3910 100 SE GREEN OAKS BLVD ARLINGTON TX 76018 (817) 419-05854598124 1659386688 WALGREENS #3941 2200 E PIONEER PKWY ARLINGTON TX 76010 (817) 860-95104501424 1396750345 WALGREENS #4099 4208 SW GREEN OAKS BLVD ARLINGTON TX 76001 (817) 483-83684504379 1568479509 WALGREENS #4291 617 W PARK ROW DR ARLINGTON TX 76010 (817) 274-02144510170 1710994645 WALGREENS #4859 5600 NEW YORK AVE ARLINGTON TX 76018 (817) 465-50484520347 1588679476 WALGREENS #6758 2420 W ARKANSAS LN ARLINGTON TX 76013 (817) 795-81664523468 1205841103 WALGREENS #6876 1116 W LAMAR BLVD ARLINGTON TX 76012 (817) 460-57194523709 1114932019 WALGREENS #6998 8100 MATLOCK RD ARLINGTON TX 76002 (817) 473-86745907704 1891039715 WAL-MART PHARMACY 2121 N COLLINS ST ARLINGTON TX 76011 (817) 505-13894548129 1386825990 WAL-MART PHARMACY 4800 US 287 HIGHWAY ARLINGTON TX 76017 (817) 563-62324576623 1245257401 WAL-MART PHARMACY 4801 SOUTH COOPER STREET ARLINGTON TX 76017 (817) 465-24744546656 1376722835 WAL-MART PHARMACY 5401 PARK SPRINGS BLVD ARLINGTON TX 76017 (817) 466-06774515132 1013936020 WAL-MART PHARMACY 735 WEST SUBLETT ROAD ARLINGTON TX 76017 (817) 557-80934538433 1720005895 WAL-MART PHARMACY 915 EAST RANDOL MILL ROAD ARLINGTON TX 76011 (817) 274-10904538267 1427063510 WALGREENS #9410 1007 E TYLER ST ATHENS TX 75751 (903) 675-02354565238 1922025154 WAL-MART PHARMACY 10-0412 1405 EAST TYLER ATHENS TX 75751 (903) 677-25015908845 1487093662 RED RIVER PHARMACY OF ATLANTA 102 E ALLDAY ST ATLANTA TX 75551 (903) 799-77374573829 1124045372 WAL-MART PHARMACY 100226 201 US HWY 59 LOOP ATLANTA TX 75551 (903) 796-82314539194 1326053927 AUBREY PHARMACY 701 S HIGHWAY 377 AUBREY TX 76227 (940) 440-04005916842 1427426196 SAVANNAH PHARMACY 26795 E HIGHWAY AUBREY TX 76227 (940) 366-83805919177 1285084467 A.E. PHARMACY 220 INDUSTRIAL BOULEVARD SUITE 100 AUSTIN TX 78745 (512) 537-32055914418 1699166389 CHILDREN'S HEALTH EXPRESS 2900 MUELLER BLVD AUSTIN TX 78723 (512) 324-01495918606 1467814319 COMMUNITY, A WALGREENS PHARMACY 3701 GUADALUPE ST AUSTIN TX 78705 (512) 219-91094550198 1255598876 COMMUNITYCARE CENTRAL PHARMACY 2901 MONTOPOLIS DR AUSTIN TX 78741 (512) 978-90115916905 1154790376 EAST AUSTIN MEDICINE SHOP 2115 E MARTIN LUTHER KING JR BLVD AUSTIN TX 78702 (512) 643-09995914937 1831584242 ECO PHARMACY OF SOUTH AUSTIN LLC 2555 WESTERN TRAILS BLVD AUSTIN TX 78745 (512) 519-92484513443 1396884540 FORTY ACRES PHARMACY 100 F W DEAN KEETON SSB 1 110 AUSTIN TX 78712 (512) 471-18245912666 1508280652 GENORITE PHARMACY 4544 S LAMAR BLVD STE 730 AUSTIN TX 78745 (512) 351-91604567662 1073622411 HEB PHARMACY 1000 EAST 41ST STREET AUSTIN TX 78751 (512) 459-8308

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5912666 1508280652 GENORITE PHARMACY 4544 S LAMAR BLVD STE 730 AUSTIN TX 78745 (512) 351-91604567662 1073622411 HEB PHARMACY 1000 EAST 41ST STREET AUSTIN TX 78751 (512) 459-83084579605 1205945649 HEB PHARMACY 10710 RESEARCH BLVD STE 200 AUSTIN TX 78759 (512) 794-82274537239 1063521037 HEB PHARMACY 11521 N FM 620 BLDG A AUSTIN TX 78726 (512) 249-05774569010 1336258771 HEB PHARMACY 12407 NORTH MOPAC EXWY AUSTIN TX 78758 (512) 339-66444546416 1750562427 HEB PHARMACY 12860 N HIGHWAY 183 AUSTIN TX 78750 (512) 506-92504560214 1629187059 HEB PHARMACY 14028 NORTH US 183 AUSTIN TX 78717 (512) 249-98865908554 1881038297 HEB PHARMACY 1801 E 51ST ST AUSTIN TX 78723 (512) 474-26624571748 1144339581 HEB PHARMACY 2110 NEW SLAUGHTER LN AUSTIN TX 78748 (512) 282-09904559033 1366551798 HEB PHARMACY 2400 SOUTH CONGRESS AUSTIN TX 78704 (512) 442-15784566658 1700995149 HEB PHARMACY 2508 E RIVERSIDE DRIVE AUSTIN TX 78741 (512) 448-33534572497 1780793125 HEB PHARMACY 2701 E SEVENTH AUSTIN TX 78702 (512) 478-80864520272 1649389065 HEB PHARMACY 500 CANYON RIDGE DRIVE AUSTIN TX 78753 (512) 973-87534540731 1396854725 HEB PHARMACY 5800 W SLAUGHTER LANE AUSTIN TX 78749 (512) 301-97724563094 1700995131 HEB PHARMACY 5808 BURNET ROAD AUSTIN TX 78756 (512) 454-66914597918 1891804241 HEB PHARMACY 6001 W PARMER LANE AUSTIN TX 78727 (512) 249-83164544361 1114036548 HEB PHARMACY 6607 IH 35 AUSTIN TX 78744 (512) 441-36924558687 1902915333 HEB PHARMACY 6900 BRODIE LN AUSTIN TX 78745 (512) 891-89064570683 1417066853 HEB PHARMACY 7010 HIGHWAY 71 W AUSTIN TX 78735 (512) 288-5713

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4593338 1174632517 HEB PHARMACY 7025 VILLAGE CENTER DR AUSTIN TX 78731 (512) 502-88014582385 1730298175 HEB PHARMACY 7112 ED BLUESTEIN AUSTIN TX 78723 (512) 926-05864508632 1043329469 HEB PHARMACY 7301 NORTH FM 620 AUSTIN TX 78726 (512) 336-77064549804 1346359312 HEB PHARMACY 9414 NORTH LAMAR AUSTIN TX 78753 (512) 837-95805917907 1760847560 LAMAR FAMILY PHARMACY 8738 N LAMAR BLVD STE C AUSTIN TX 78753 (512) 765-58314556366 1407979685 PEOPLES PHARMACY 3801 B S LAMAR BLVD AUSTIN TX 78704 (512) 444-88664556354 1750509709 PEOPLES PHARMACY 4018 N LAMAR BLVD AUSTIN TX 78756 (512) 459-90904559095 1114040391 PEOPLES PHARMACY 4201 WESTBANK DR AUSTIN TX 78746 (512) 327-88774525993 1952330912 RANDALLS PHARMACY #1850 9911 BRODIE LANE AUSTIN TX 78748 (512) 280-12014593554 1184656910 RANDALLS PHARMACY #2475 5311 BALCONES DRIVE AUSTIN TX 78731 (512) 302-25044593869 1154350122 RANDALLS PHARMACY #2480 6600 MOPAC EXPRESSWAY S AUSTIN TX 78749 (512) 891-43604590421 1285663252 RANDALLS PHARMACY #2481 1500 W 35TH ST AUSTIN TX 78703 (512) 458-51824517530 1336178391 RANDALLS PHARMACY #2482 8040 MESA DRIVE AUSTIN TX 78731 (512) 345-72384590433 1467484295 RANDALLS PHARMACY #2483 715 S EXPOSITION AUSTIN TX 78703 (512) 477-90454590457 1073542049 RANDALLS PHARMACY #2485 2025 W BEN WHITE AUSTIN TX 78704 (512) 441-78654590534 1609805670 RANDALLS PHARMACY #2490 10900D RESEARCH BLVD AUSTIN TX 78759 (512) 338-22415905306 1477827673 RANDALLS PHARMACY #2987 5145 N FM 620 AUSTIN TX 78732 (512) 266-13925909188 1790127264 RITE-AWAY PHARMACY #4 2410 E RIVERSIDE DR STE D4 AUSTIN TX 78741 (512) 827-22505906853 1902156516 RITE-AWAY PHARMACY & MEDICAL SUPPLY 730 W STASSNEY LN STE 160 AUSTIN TX 78745 (512) 827-26005914014 1497158174 SAM'S CLUB PHARMACY 10-6188 10901 LAKELINE MALL DR AUSTIN TX 78717 (512) 872-84504521010 1578580619 SAMS PHARMACY 4970 HWY 290 WEST AUSTIN TX 78735 (512) 358-87344515916 1851318984 SAMS PHARMACY 9700 N CAPITAL OF TX HWY AUSTIN TX 78759 (512) 349-97535903198 1831482389 SAMS PHARMACY 9900 S INTERSTATE 35 AUSTIN TX 78748 (512) 582-48835905801 1124386354 SETON CENTRAL OUTPATIENT PHARMACY 601 E 15TH ST # L.201A AUSTIN TX 78701 (512) 324-73935907893 1801132873 SOUTH AUSTIN PHARMACY 4203A JAMES CASEY ST AUSTIN TX 78745 (512) 383-90004513392 1942384078 TARRYTOWN PHARMACY 2727 EXPOSITION BLVD AUSTIN TX 78703 (512) 478-64194523759 1225173560 VINA PHARMACY 11207 N LAMAR BLVD STE A AUSTIN TX 78753 (512) 977-88445900774 1750696076 WALGREENS 120 W SLAUGHTER LN AUSTIN TX 78748 (512) 687-96864573196 1558376566 WALGREENS 12550 METRIC BLVD AUSTIN TX 78727 (512) 835-4963

4

5900774 1750696076 WALGREENS 120 W SLAUGHTER LN AUSTIN TX 78748 (512) 687-96864573196 1558376566 WALGREENS 12550 METRIC BLVD AUSTIN TX 78727 (512) 835-49635900825 1710293121 WALGREENS 13435 N HIGHWAY 183 BLDG 8 AUSTIN TX 78750 (512) 687-04274569565 1386659399 WALGREENS 2501 S LAMAR BLVD AUSTIN TX 78704 (512) 443-75344554362 1912914987 WALGREENS 5600 S 1ST ST AUSTIN TX 78745 (512) 441-47474568830 1700893708 WALGREENS 9307 NORTH LAMAR BLVD AUSTIN TX 78753 (512) 339-86664500650 1225043276 WALGREENS #10615 5345 N IH 35 AUSTIN TX 78723 (512) 452-94524551330 1710126164 WALGREENS #11097 5829 BURNET RD AUSTIN TX 78756 (512) 687-22124547204 1902089667 WALGREENS #11271 2525 W ANDERSON N BLD 2 AUSTIN TX 78757 (512) 323-61274547519 1285810218 WALGREENS #11513 5011 W SLAUGHTER LN AUSTIN TX 78749 (512) 292-13404588781 1821003849 WALGREENS #15672 1920 E RIVERSIDE DR AUSTIN TX 78741 (512) 326-52284535146 1184639262 WALGREENS #1970 3407 WELLS BRANCH PKWY AUSTIN TX 78728 (512) 388-15394586244 1801801816 WALGREENS #2462 1144 AIRPORT BLVD AUSTIN TX 78702 (512) 929-06914593249 1720093743 WALGREENS #3092 8104 MESA DRIVE AUSTIN TX 78759 (512) 346-95984598100 1740295773 WALGREENS #3724 9801 MANCHACA ROAD AUSTIN TX 78748 (512) 292-10664507161 1477560365 WALGREENS #4134 11724 RESEARCH BLVD AUSTIN TX 78759 (512) 250-20704570429 1619984614 WALGREENS #4458 3601 WILLIAM CANNON DR AUSTIN TX 78749 (512) 892-09304516312 1932114923 WALGREENS #4632 1910 2 W BRAKER LN AUSTIN TX 78758 (512) 837-08194509949 1689689663 WALGREENS #4704 4501 GUADALUPE ST AUSTIN TX 78751 (512) 323-6098

4

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4568222 1336154335 WALGREENS #4761 6200 W WILLIAM CANNON DR AUSTIN TX 78749 (512) 892-19334502616 1215942271 WALGREENS #4836 11810 RR 620 AUSTIN TX 78750 (512) 258-24594511211 1760497747 WALGREENS #5159 7410 MCNEIL DR AUSTIN TX 78729 (512) 219-63964571510 1912912924 WALGREENS #5160 6812 N LAMAR BLVD AUSTIN TX 78752 (512) 458-42694521375 1124033022 WALGREENS #6649 6911 RR 620 N AUSTIN TX 78732 (512) 219-85334521488 1881601763 WALGREENS #6734 3921 W PARMER LANE AUSTIN TX 78727 (512) 832-10924530843 1851306914 WALGREENS #7187 6721 S CONGRESS AVE AUSTIN TX 78745 (512) 707-82454532859 1477568533 WALGREENS #7673 10600 W PARMER LN AUSTIN TX 78717 (512) 238-71244537746 1982619078 WALGREENS #9679 12601 TECH RIDGE BLVD AUSTIN TX 78753 (512) 491-60514576192 1497773204 WAL-MART PHARMACY 1030 NORWOOD PARK BD AUSTIN TX 78753 (512) 339-20504530437 1831116987 WAL-MART PHARMACY 12900 N I 35 SVC RD SB AUSTIN TX 78753 (512) 837-95304577310 1881611044 WAL-MART PHARMACY 13201 RANCH ROAD 620 N AUSTIN TX 78729 (512) 335-52755901170 1306153366 WAL-MART PHARMACY 2525 W ANDERSON LN AUSTIN TX 78757 (512) 354-89044591310 1326066168 WAL-MART PHARMACY 5017 US HWY 290 WEST AUSTIN TX 78735 (512) 892-61754577803 1699792853 WAL-MART PHARMACY 710 EAST BEN WHITE BLVD AUSTIN TX 78704 (512) 443-65884535071 1376560433 WALMART PHARMACY 10-5317 9300 S INTERSTATE 35 STE B AUSTIN TX 78748 (512) 292-03465908833 1811336738 LAURA'S PHARMACY 605 NORTHWEST PKWY STE 150 AZLE TX 76020 (817) 406-45464506501 1598702045 SAVON PHARMACY 480 NW PKWY AZLE TX 76020 (817) 270-11204538875 1063427151 WALGREENS #9500 705 BOYD RD AZLE TX 76020 (817) 444-29844539726 1396762522 WALMART PHARMACY 10-5359 721 BOYD RD AZLE TX 76020 (817) 270-58384580052 1053497982 MINYARD PHARMACY 4202 PIONEER BALCH SPRINGS TX 75180 (972) 557-35354574895 1396762548 WAL-MART PHARMACY 12300 LAKE JUNE RD BALCH SPRINGS TX 75180 (972) 286-01804573831 1730107533 WAL-MART PHARMACY 2005 HUTCHINGS AVE BALLINGER TX 76821 (325) 365-57415917159 1922470483 BANDERA DRUG, LLC 1100 MULBERRY STREET BANDERA TX 78003 (830) 796-31114513607 1639283625 RIPPETOE PHARMACY 205 E HALL ST BANGS TX 76823 (325) 752-61334528418 1427167857 HEB PHARMACY 104 HASLER BLVD BASTROP TX 78602 (512) 321-10334513633 1699819995 LOCK DRUG STORE 103 HWY 71 WEST BASTROP TX 78602 (512) 321-24224537619 1255346342 WALGREENS #9143 504 STATE HWY 71 W BASTROP TX 78602 (512) 321-40084573386 1497772644 WAL-MART PHARMACY 488 HWY 71 WEST BASTROP TX 78602 (512) 321-1020

5

4537619 1255346342 WALGREENS #9143 504 STATE HWY 71 W BASTROP TX 78602 (512) 321-40084573386 1497772644 WAL-MART PHARMACY 488 HWY 71 WEST BASTROP TX 78602 (512) 321-10204580379 1104935543 HEB PHARMACY 2700 SEVENTH BAY CITY TX 77414 (979) 245-19914537087 1174538268 WALGREENS #9440 3018 7TH ST BAY CITY TX 77414 (979) 323-78624580418 1275550436 WAL-MART PHARMACY 4600 7TH STREET BAY CITY TX 77414 (979) 245-00955906029 1922368257 SOUTHSIDE PHARMACY 10 2802 GARTH RD STE 101 BAYTOWN TX 77521 (832) 831-80104559514 1447265442 WALGREENS 3920 GARTH ROAD BAYTOWN TX 77521 (281) 420-55294541442 1700801503 WALGREENS #10138 4849 N HWY 146 BAYTOWN TX 77520 (281) 420-98274551809 1134361918 WALGREENS #12715 7216 GARTH RD BAYTOWN TX 77521 (281) 421-92424585266 1346257342 WALGREENS #2725 100 N ALEXANDER DR BAYTOWN TX 77520 (281) 427-32524509901 1801803739 WALGREENS #5389 2000 GARTH RD BAYTOWN TX 77520 (281) 427-71264567939 1558388785 WAL-MART PHARMACY 10-0194 4900 GARTH ROAD BAYTOWN TX 77520 (281) 421-30245912123 1760898464 WALMART PHARMACY 10-2439 8700 N HWY 146 BAYTOWN TX 77523 (281) 918-30674542696 1144328311 HEB PHARMACY 3025 N DOWLEN BEAUMONT TX 77706 (409) 860-42125915105 1831584663 HEB PHARMACY 3590 COLLEGE ST BEAUMONT TX 77701 (409) 813-84524520082 1023035169 SAMS PHARMACY 1615 INTERSTATE 10 S BEAUMONT TX 77701 (409) 840-97765907982 1184963860 WALGREENS 3080 COLLEGE ST BEAUMONT TX 77701 (409) 813-12064500674 1134134182 WALGREENS 3605 COLLEGE ST BEAUMONT TX 77701 (409) 832-73744503505 1114932175 WALGREENS 3990 EAST LUCAS DRIVE BEAUMONT TX 77708 (409) 898-2990

5

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4554172 1407861503 WALGREENS 6795 CALDER RD BEAUMONT TX 77706 (409) 860-39094522050 1508873480 WALGREENS #6583 3885 N DOWLEN ROAD BEAUMONT TX 77706 (409) 924-75704565911 1740207976 WAL-MART PHARMACY 10-0651 4145 NORTH DOWLEN ROAD BEAUMONT TX 77706 (409) 899-36154568032 1528005089 SAVON PHARMACY 1300 AIRPORT FWY BEDFORD TX 76022 (817) 354-09914598097 1831104868 WALGREENS #3881 2253 CENTRAL DRIVE BEDFORD TX 76021 (817) 868-92024525638 1588671473 WALGREENS #7299 4121 HARWOOD RD BEDFORD TX 76021 (817) 571-69954512427 1487673497 WAL-MART PHARMACY 2108 BEDFORD ROAD BEDFORD TX 76021 (817) 283-75294575974 1982621140 WAL-MART PHARMACY 4101 HWY 121 BEDFORD TX 76021 (817) 571-62224503240 1780793190 HEB PHARMACY 12400 STATE HWY 71 WEST BEE CAVE TX 78738 (512) 253-05614547533 1760669287 WALGREENS #11272 12200 BEE CAVE PARKWAY BEE CAVES TX 78738 (512) 263-05704514142 1023127446 HEB PHARMACY 100 E HOUSTON ST BEEVILLE TX 78102 (361) 358-37374544323 1093836959 WALGREENS #10689 300 E HOUSTON ST BEEVILLE TX 78102 (361) 362-04694591992 1902823180 WAL-MART PHARMACY 10-0463 502 EAST FM 351 BEEVILLE TX 78102 (361) 362-06614590407 1376572347 RANDALLS PHARMACY #3064 5130 BELLAIRE BLVD BELLAIRE TX 77401 (713) 667-39124571851 1821003831 WALGREENS #5835 5002 BELLAIRE BLVD BELLAIRE TX 77401 (713) 663-66364525917 1336258755 HEB PHARMACY 801 N IH 35 BELLMEAD TX 76705 (254) 799-02194577815 1992723795 WAL-MART PHARMACY 1521 I 35 EAST BELLMEAD TX 76705 (254) 867-02114543371 1124176136 WALTER'S PHARMACY, INC. 250 W PALM ST BELLVILLE TX 77418 (979) 865-36964568880 1518076959 HEB PHARMACY 2509 NORTH MAIN ST. BELTON TX 76513 (254) 939-08434541404 1134167034 WALGREENS #10392 100 LAKE RD BELTON TX 76513 (254) 939-56284594568 1295752475 WAL-MART PHARMACY 2604 NORTH MAIN ST BELTON TX 76513 (254) 939-76644520359 1497760391 WALGREENS #6593 8651 BENBROOK HWY BENBROOK TX 76126 (817) 249-54345901132 1205143260 WAL-MART PHARMACY 8840 BENBROOK BLVD BENBROOK TX 76126 (682) 233-68274532621 1013922178 WALGREENS #4607 1520 S VALLEY MILLS BEVERLY HILLS TX 76711 (254) 752-39864592881 1023035201 WAL-MART PHARMACY 10-0513 201 WEST MARCY BIG SPRING TX 79720 (432) 267-15854586294 1366551707 HEB PHARMACY 2000 SOUTH GREGG BIG SPRINGS TX 79720 (432) 263-30204571988 1962511303 HEB PHARMACY 420 WEST BANDERA BOERNE TX 78006 (830) 816-97695905495 1124394283 ROCK PHARMACY 1201 SOUTH MAIN STREET BOERNE TX 78006 (830) 357-50524512186 1679588651 WALGREENS #5765 1223 S MAIN ST BOERNE TX 78006 (830) 249-9565

6

5905495 1124394283 ROCK PHARMACY 1201 SOUTH MAIN STREET BOERNE TX 78006 (830) 357-50524512186 1679588651 WALGREENS #5765 1223 S MAIN ST BOERNE TX 78006 (830) 249-95654574910 1114944360 WAL-MART PHARMACY 1381 S MAIN STREET BOERNE TX 78006 (830) 816-35874598807 1871510065 WAL-MART PHARMACY 10-0158 2021 N HIGHWAY 121 BONHAM TX 75418 (903) 583-55644586345 1346227253 UNITED PHARMACY 1414 W WILSON BORGER TX 79007 (806) 273-64274580420 1184641342 WAL-MART PHARMACY 1501 ROOSEVELT ST BORGER TX 79007 (806) 274-72434588123 1336167170 WAL-MART PHARMACY 10-0271 1341 HIGHWAY 287 N BOWIE TX 76230 (940) 872-30034514647 1265593339 CITY DRUG OF BRADY INC 704 W 17TH ST BRADY TX 76825 (325) 597-23254571382 1093732232 WAL-MART PHARMACY 2207 S BRIDGE ST BRADY TX 76825 (325) 597-44574529270 1881605434 UNITED PHARMACY 2802 W WALKER ST BRECKENRIDGE TX 76424 (254) 559-40804590837 1629187067 HEB PHARMACY 2508 S DAY STREET BRENHAM TX 77833 (979) 277-09064544854 1245446665 WALGREENS #10944 2411 S DAY ST BRENHAM TX 77833 (979) 251-75144592564 1316965155 WAL-MART PHARMACY 10-0321 203 HIGHWAY 290 W BRENHAM TX 77833 (979) 830-10234549842 1598914616 WALGREENS #12355 1790 TEXAS AVE BRIDGE CITY TX 77611 (409) 792-05974567941 1467479691 WAL-MART PHARMACY 10-0283 795 TX AVE BRIDGE CITY TX 77611 (409) 735-24694514849 1588734834 CLINIC PHARMACY 901 TAHOKA RD BROWNFIELD TX 79316 (806) 637-70494585432 1811974728 UNITED PHARMACY 1401 TAHOKA HWY BROWNFIELD TX 79316 (806) 637-75974540654 1053332023 COMPLETE RX PHARMACY 1885 E PRICE BROWNSVILLE TX 78521 (956) 554-35324579617 1023127461 HEB PHARMACY 1628 CENTRAL BLVD BROWNSVILLE TX 78520 (956) 542-0934

6

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4508961 1770692196 HEB PHARMACY 2155 PAREDES LINE RD BROWNSVILLE TX 78526 (956) 574-97074563979 1306955380 HEB PHARMACY 2250 BOCA CHICA BLVD BROWNSVILLE TX 78520 (956) 541-03844592552 1659480648 HEB PHARMACY 2950 SOUTHMOST RD BROWNSVILLE TX 78521 (956) 541-86024554475 1235466467 LAS PALMAS PHARMACY 864 CENTRAL BLVD STE 1200 BROWNSVILLE TX 78520 (956) 542-74004521921 1740207885 SAMS PHARMACY 3570 W ALTON GLOOR B BROWNSVILLE TX 78520 (956) 350-99384547266 1598941510 THE FRIENDLY PHARMACY 3302 BOCA CHICA BLVD BROWNSVILLE TX 78526 (956) 544-12005910179 1780013680 THE NEIGHBORHOOD PHARMACY 95 E PRICE RD BLDG F BROWNSVILLE TX 78521 (956) 550-89085917058 1770950339 THE PHARMACY AT UPTOWN 100 UPTOWN AVE # 110-B BROWNSVILLE TX 78520 (956) 544-02374545313 1528287752 UNITED CARE PHARMACY 1755 W PRICE RD BROWNSVILLE TX 78521 (956) 546-04444542773 1366515132 WALGREENS #10465 2105 E RUBEN TORRES BROWNSVILLE TX 78526 (956) 504-31424588440 1447265459 WALGREENS #10826 1525 N CENTRAL AVE BROWNSVILLE TX 78521 (956) 546-04764588464 1003821026 WALGREENS #2896 4490 E 14TH ST BROWNSVILLE TX 78521 (956) 542-38914573108 1770500928 WAL-MART PHARMACY 2721 BOCA CHICA BLVD BROWNSVILLE TX 78521 (956) 544-75164517972 1831116961 WAL-MART PHARMACY 10-0456 3500 W ALTON GLOOR BLVD BROWNSVILLE TX 78520 (956) 350-34555914355 1093106411 WALMART PHARMACY 10-4112 2205 RUBEN TORRES BLVD BROWNSVILLE TX 78526 (956) 509-20784540375 1518983477 DOCS DRUGSTORE 3800 HWY 377 S BROWNWOOD TX 76801 (325) 643-38004583717 1689788671 LIVE OAK PHARMACY 3707 AUSTIN AVE BROWNWOOD TX 76801 (325) 643-26485915523 1881071512 UNITED PHARMACY #554 300 E COMMERCE ST BROWNWOOD TX 76801 (325) 510-34004549450 1922254846 WALGREENS #11926 200 W COMMERCE ST BROWNWOOD TX 76801 (325) 646-89234569589 1740207984 WAL-MART PHARMACY 10-0813 401 W COMMERCE BROWNWOOD TX 76801 (325) 643-20295903972 1316235005 HEB PHARMACY 1609 NORTH TEXAS AVENUE BRYAN TX 77803 (979) 778-20744505915 1780793109 HEB PHARMACY 725 EAST VILLA MARIA BRYAN TX 77802 (979) 822-18504552053 1093958233 WALGREENS #12838 2350 BOONVILLE RD BRYAN TX 77808 (979) 731-14014517883 1003823980 WALGREENS #6145 3312 E 29TH ST BRYAN TX 77802 (979) 776-91284539156 1417962507 WALGREENS #9574 610 EAST VILLA MARIA RD BRYAN TX 77802 (979) 779-20064589757 1417975251 WAL-MART PHARMACY 10-0322 2200 BRIARCREST DRVE BRYAN TX 77802 (979) 776-03755910876 1255755393 WALMART PHARMACY 10-4183 643 N HARVEY MITCHELL PARKWAY BRYAN TX 77807 (979) 599-92085903770 1316226178 WALGREENS 4201 HWY 71 E BSTROP TX 78602 (512) 308-12394516540 1013026434 HEB PHARMACY 15300 S IH 35 BUDA TX 78610 (512) 312-0907

7

5903770 1316226178 WALGREENS 4201 HWY 71 E BSTROP TX 78602 (512) 308-12394516540 1013026434 HEB PHARMACY 15300 S IH 35 BUDA TX 78610 (512) 312-09074546226 1700073368 WALGREENS #10841 1660 MAIN ST BUDA TX 78610 (512) 295-25644541694 1205944592 WAL-MART PHARMACY 690 OLD SAN ANTONIO ROAD BUDA TX 78610 (512) 312-22565915395 1457738213 WALGREENS 20744 STATE HWY 46 BULVERDE TX 78070 (830) 438-11234576344 1912998378 UNITED PHARMACY 311 SOUTH AVE D BURKBURNETT TX 76354 (940) 569-33195900483 1417277260 HEB PHARMACY 165 NW JOHN JONES DR. BURLESON TX 76028 (817) 447-32134516057 1679590707 SAMS PHARMACY 600 N BURLESON BLVD BURLESON TX 76028 (817) 568-96524577904 1336186899 SAVON PHARMACY 833 NE ALSBURY BLVD BURLESON TX 76028 (817) 447-80604509090 1932114907 WALGREENS #5377 833 SW WILSHIRE BLVD BURLESON TX 76028 (817) 447-41724572132 1407873656 WAL-MART PHARMACY 10-0220 951 SW WILSHIRE BLVD BURLESON TX 76028 (817) 447-23075913783 1285037085 WALMART PHARMACY 10-3653 965 NW JOHN JONES DR BURLESON TX 76028 (817) 840-46094505612 1962511386 HEB PHARMACY 105 S BOUNDARY BURNET TX 78611 (512) 715-07014515271 1932119674 LAKE AREA PHARMACY 608 BUCHANAN DR BURNET TX 78611 (512) 756-85504552130 1134363617 WALGREENS #12449 100 N WATER ST BURNET TX 78611 (512) 756-10944585305 1710904982 WAL-MART PHARMACY 10-0567 475 STATE HIGHWAY 36 N CALDWELL TX 77836 (979) 567-02344569147 1922025162 WAL-MART PHARMACY 10-0827 603 HWY 243 EAST CANTON TX 75103 (903) 567-65784564731 1962687251 MEDI DRIVE PHARMACY 507 23RD ST CANYON TX 79015 (806) 655-10244531061 1396722294 UNITED PHARMACY 201 N 23RD ST CANYON TX 79015 (806) 655-5757

7

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4569628 1477570612 WAL-MART PHARMACY 10-0793 1701 NORTH 23RD ST CANYON TX 79015 (806) 655-25815908035 1518206846 HEB PHARMACY 2030 N. 1ST STREET CARRIZO SPRINGS TX 78834 (830) 876-91094573398 1306863550 WAL-MART PHARMACY 2214 N 1ST ST CARRIZO SPRINGS TX 78834 (830) 876-35064571837 1427095983 SAVON PHARMACY 2150 N JOSEY LN CARROLLTON TX 75006 (972) 446-82314594873 1063441038 TOM THUMB PHARMACY #2590 4112 N JOSEY CARROLLTON TX 75007 (972) 394-39804535057 1205054517 TRINITY PHARMACY 1925 E ROSEMEADE PKY CARROLLTON TX 75007 (972) 492-44114545387 1417156308 WALGREENS #10816 1919 E FRANKFORD RD CARROLLTON TX 75007 (972) 394-92734598655 1649285677 WALGREENS #3803 2141 N JOSEY LANE CARROLLTON TX 75006 (972) 323-50964505092 1104831163 WALGREENS #4014 1804 E HEBRON PKWY CARROLLTON TX 75007 (972) 939-19774576990 1154348316 WAL-MART PHARMACY 1213 E TRINITY MILLS ROAD CARROLLTON TX 75006 (972) 245-23235906752 1346598323 WAL-MART PHARMACY 4025 OLD DENTON RD CARROLLTON TX 75007 (469) 557-77194500369 1215956222 WAL-MART PHARMACY 10-2625 1025 W TRINITY MILLS RD CARROLLTON TX 75006 (800) 273-34554504850 1679591333 WAL-MART PHARMACY 10-0523 4609 NW LOOP 436 CARTHAGE TX 75633 (903) 693-65024584024 1558477380 QRC HEALTHMART PHARMACY 408 US HIGHWAY 90 W STE B CASTROVILLE TX 78009 (830) 931-21165905990 1932469590 MORNING STAR PHARMACY 329 N HIGHWAY 67 STE 150 CEDAR HILL TX 75104 (972) 291-25254510221 1831136399 SAVON PHARMACY 427 E FM 1382 CEDAR HILL TX 75104 (972) 291-02414508290 1851306823 WALGREENS #5210 501 E BELTLINE RD CEDAR HILL TX 75104 (972) 291-27874524977 1114944261 WAL-MART PHARMACY 621 UPTOWN BLVD CEDAR HILL TX 75104 (469) 272-73805917200 1770963738 WALMART PHARMACY 10-3204 820 E BELT LINE RD CEDAR HILL TX 75104 (469) 523-12134578312 1508975590 HEB PHARMACY 170 E WHITESTONE CEDAR PARK TX 78613 (512) 259-57554529535 1326157751 HEB PHARMACY 2800 E WHITESTONE CEDAR PARK TX 78613 (512) 528-01504520424 1356387971 RANDALLS PHARMACY #1896 1400 CYPRESS CREEK ROAD CEDAR PARK TX 78613 (512) 506-91124592879 1811902836 WALGREENS #3342 710 N BELL BLVD CEDAR PARK TX 78613 (512) 250-08674518140 1821005703 WALGREENS #6517 1495 CYPRESS CREEK RD CEDAR PARK TX 78613 (512) 401-21514523482 1407863384 WALGREENS #7061 1505 WHITESTONE BLVD CEDAR PARK TX 78613 (512) 335-57654519988 1205853348 WAL-MART PHARMACY 201 WALTON WAY CEDAR PARK TX 78613 (512) 528-87945911145 1033535992 WALMART PHARMACY 10-4163 2801 E WHITESTONE BLVD CEDAR PARK TX 78613 (512) 690-93454504723 1487671590 WAL-MART PHARMACY 10-0364 810 HURST STREET CENTER TX 75935 (936) 598-29214584276 1366457376 WALGREENS #2692 14806 WOODFOREST CHANNELVIEW TX 77530 (281) 457-5665

8

4504723 1487671590 WAL-MART PHARMACY 10-0364 810 HURST STREET CENTER TX 75935 (936) 598-29214584276 1366457376 WALGREENS #2692 14806 WOODFOREST CHANNELVIEW TX 77530 (281) 457-56654594140 1073504460 UNITED PHARMACY 2105 AVE F NW CHILDRESS TX 79201 (940) 937-82424571407 1811914054 WAL-MART PHARMACY 2801 AVENUE F CHILDRESS TX 79201 (940) 937-61685916032 1679951016 WALMART PHARMACY 10-4115 602 CIBOLO VALLEY DR CIBOLO TX 78108 (479) 204-85504578007 1215046651 HEB PHARMACY 600 W HENDERSON CLEBURNE TX 76033 (817) 641-40364517693 1467499921 SAVON PHARMACY 210 W KATHERINE P RAINES CLEBURNE TX 76033 (817) 641-60304509937 1861407843 WALGREENS #5434 1621 W HENDERSON ST CLEBURNE TX 76031 (817) 641-67024575342 1649298449 WAL-MART PHARMACY 10-0228 1616 WEST HENDERSON CLEBURNE TX 76031 (817) 558-99945903580 1669760492 CLEVELAND PHARMACY 111 SOUTH WILIIAM BARNETT AVE. CLEVELAND TX 77327 (281) 593-38004547660 1902084114 WALGREENS #11814 101 S WASHINGTON AVE CLEVELAND TX 77327 (281) 592-04914591877 1275550444 WAL-MART PHARMACY 10-0249 831 HWY 59 SOUTH CLEVELAND TX 77327 (281) 592-26364564945 1124185574 ALBRECHTS PHARMACY 506 W 5TH ST CLIFTON TX 76634 (254) 675-83984557279 1497760599 WALGREENS #4100 51 DIXIE DRIVE CLUTE TX 77531 (979) 265-25174515966 1932287737 UNITED PHARMACY 505 S ACCESS RD CLYDE TX 79510 (325) 893-42974515992 1346354727 TYSON PHARMACY 215 W PECAN ST COLEMAN TX 76834 (325) 625-41364521995 1992814313 HEB PHARMACY 1900 TEXAS AVENUE COLLEGE STATION TX 77840 (979) 693-12385900673 1831402577 HEB PHARMACY 949 WILLIAM D. FITCH PKWY COLLEGE STATION TX 77845 (979) 690-46904545173 1285830281 SAMS PHARMACY 1405 EARL RUDDER FREEWAY COLLEGE STATION TX 77845 (979) 696-0128

8

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5910725 1962823351 WALGREENS 998 WILLIAM D FITCH PKWY COLLEGE STATION TX 77845 (979) 690-05234521503 1033124938 WALGREENS #6822 2322 TEXAS AVE S COLLEGE STATION TX 77840 (979) 696-59084527707 1952316853 WALGREENS #7378 1751 ROCK PRAIRIE RD COLLEGE STATION TX 77845 (979) 764-18054576077 1518984772 WAL-MART PHARMACY 1815 BROTHERS BLVD COLLEGE STATION TX 77845 (979) 693-38414529799 1073651162 MARKET STREET PHARMACY 5605 COLLEYVILLE BLVD COLLEYVILLE TX 76034 (817) 577-50304585571 1053358515 SAVON PHARMACY #0070 4000 GLADE RD COLLEYVILLE TX 76034 (817) 354-01094599190 1376558304 WALGREENS #4085 4403 COLLEYVILLE BLVD COLLEYVILLE TX 76034 (817) 514-94584501448 1497762413 WALGREENS #4634 3830 GLADE RD COLLEYVILLE TX 76034 (817) 283-37865907033 1558611442 WAL-MART PHARMACY 4904 COLLEYVILLE BLVD COLLEYVILLE TX 76034 (817) 770-83394570164 1669557955 CORNER DRUG 1001 HICKORY COLORADO CITY TX 79512 (325) 728-80304597639 1730106915 WAL-MART PHARMACY 10-0503 2103 MILAM STREET COLUMBUS TX 78934 (979) 732-83195911981 1346544616 COMANCHE COUNTY MEDIAL CENTER PHARM 10201 HIGHWAY 16 NORTH COMANCHE TX 76442 (254) 879-49614585975 1356368526 WAL-MART PHARMACY 10-0240 2701 HWY 50 COMMERCE TX 75428 (903) 886-77324534790 1497864821 HEB PHARMACY 2108 N FRAZIER CONROE TX 77301 (936) 756-14355908201 1316288426 HEB PHARMACY 3875 W DAVIS ST CONROE TX 77304 (936) 760-68104515310 1124045257 SAMS PHARMACY 2000 WESTVIEW BLVD CONROE TX 77304 (936) 539-94294569971 1376641936 VILLAGE PHARMACY 404 RIVER POINTE CONROE TX 77304 (936) 756-74564549575 1003063355 WALGREENS #12165 3901 E DAVIS ST CONROE TX 77301 (936) 760-66004512097 1649287566 WALGREENS #5269 420 N FRAZIER ST CONROE TX 77301 (936) 494-04244524244 1417963869 WALGREENS #6782 19215 I 45 SOUTH CONROE TX 77385 (281) 419-62474566595 1528073525 WALGREENS #7287 1120 N LOOP 336 W CONROE TX 77301 (936) 760-41164530918 1588679641 WALGREENS #9161 4870 W DAVIS ST CONROE TX 77304 (936) 760-38834567472 1649297870 WAL-MART PHARMACY 10-0400 1407 LOOP 336 WEST CONROE TX 77304 (936) 760-21124535855 1700891884 WALGREENS #1194 8530 FM 78 CONVERSE TX 78109 (210) 662-77644590279 1689681694 WALGREENS #3083 10650 TOEPPERWEIN CONVERSE TX 78109 (210) 659-81774530641 1659398709 WAL-MART PHARMACY 8315 FM 78 CONVERSE TX 78109 (210) 666-65075900712 1790099653 MILLERS PHARMACY 102 E DALLAS AVE COOPER TX 75432 (903) 395-21614512275 1346271160 TOM THUMB PHARMACY #1781 106 N DENTON TAP RD COPPELL TX 75019 (972) 304-55644581624 1518903137 TOM THUMB PHARMACY #2588 820 S MACARTHUR SUITE 130 COPPELL TX 75019 (972) 393-1242

9

4512275 1346271160 TOM THUMB PHARMACY #1781 106 N DENTON TAP RD COPPELL TX 75019 (972) 304-55644581624 1518903137 TOM THUMB PHARMACY #2588 820 S MACARTHUR SUITE 130 COPPELL TX 75019 (972) 393-12424550667 1104062280 UNITED MARKET STREET PHARMACY 700 NORTH DENTON TAP ROAD COPPELL TX 75019 (469) 322-68154503238 1588679542 WALGREENS #4418 313 N DENTON TAPP RD COPPELL TX 75019 (972) 393-98484594493 1992814347 HEB PHARMACY 2990 EAST HWY 190 COPPERAS COVE TX 76522 (254) 547-97554545779 1124211065 WALGREENS #11273 527 E HIGHWAY 190 COPPERAS COVE TX 76522 (254) 547-16304595700 1659398832 WAL-MART PHARMACY 10-0381 2720 EAST HWY 190 COPPERAS COVE TX 76522 (254) 542-76974503618 1043257470 SAVON PHARMACY 4351 FM 2181 CORINTH TX 76210 (940) 321-43614529129 1316952229 WALGREENS #6759 4001 FM 2181 CORINTH TX 76210 (940) 498-00454550922 1104935535 HEB PHARMACY 11158 LEOPARD ST CORPUS CHRISTI TX 78410 (361) 241-03784560808 1356450787 HEB PHARMACY 1145 WALDRON CORPUS CHRISTI TX 78418 (361) 939-55554516235 1669581088 HEB PHARMACY 3033 S PORT ST CORPUS CHRISTI TX 78405 (361) 883-08754577877 1497864839 HEB PHARMACY 3133 SOUTH ALAMEDA CORPUS CHRISTI TX 78404 (361) 852-16964577865 1770692113 HEB PHARMACY 3500 LEOPARD ST CORPUS CHRISTI TX 78408 (361) 883-71964567167 1346359783 HEB PHARMACY 4320 S ALAMEDA CORPUS CHRISTI TX 78412 (361) 993-85154542987 1912020025 HEB PHARMACY 4444 KOSTORYZ RD CORPUS CHRISTI TX 78415 (361) 855-61214549602 1699884668 HEB PHARMACY 5313 SARATOGA CORPUS CHRISTI TX 78413 (361) 993-13514559057 1801905237 HEB PHARMACY 5425 S PADRE ISLAND DR CORPUS CHRISTI TX 78411 (361) 992-69964548585 1932218369 HEB PHARMACY 5801 WEBER RD CORPUS CHRISTI TX 78413 (361) 854-8441

9

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4508884 1659468858 RC PHARMACY 5633 S STAPLES ST CORPUS CHRISTI TX 78411 (361) 334-34934520462 1669499703 SAMS PHARMACY 4833 S PADRE ISLAND DR CORPUS CHRISTI TX 78411 (361) 855-79954525929 1023023645 SUNRISE PHARMACY INC 2601 HOSPITAL BLVD 107 CORPUS CHRISTI TX 78405 (361) 887-92264542266 1528157419 WALGREENS #10449 7163 S PADRE ISLAND DR CORPUS CHRISTI TX 78412 (361) 994-15144544664 1932311529 WALGREENS #10945 11133 LEOPARD ST CORPUS CHRISTI TX 78410 (361) 241-04064597223 1104831130 WALGREENS #15931 4161 S STAPLES ST CORPUS CHRISTI TX 78411 (361) 814-58064596334 1710992730 WALGREENS #3637 5702 WEBER ROAD CORPUS CHRISTI TX 78413 (361) 855-44404595407 1992710917 WALGREENS #3638 5601 SARATOGA BLVD CORPUS CHRISTI TX 78414 (361) 980-05014595673 1801801824 WALGREENS #3639 2101 MORGAN AVENUE CORPUS CHRISTI TX 78405 (361) 887-07894505446 1922013986 WALGREENS #4424 4501 AYERS ST CORPUS CHRISTI TX 78416 (361) 852-03384500648 1316952369 WALGREENS #4744 1301 AIRLINE RD CORPUS CHRISTI TX 78412 (361) 980-92034581408 1801813068 WAL-MART PHARMACY 4109 S STAPLES ST CORPUS CHRISTI TX 78411 (361) 994-90154576611 1336166594 WAL-MART PHARMACY 10-0464 3829 US HWY 77 CORPUS CHRISTI TX 78410 (361) 387-49204576041 1790702959 WAL-MART PHARMACY 10-0470 1821 S PADRE ISLAND DR CORPUS CHRISTI TX 78416 (361) 854-58044576609 1427075688 WAL-MART PHARMACY 10-0490 1250 FLOUR BLUFF DR CORPUS CHRISTI TX 78418 (361) 937-26265903833 1639459803 WALMART PHARMACY 10-5898 6101 SARATOGA RD CORPUS CHRISTI TX 78412 (361) 445-33074572651 1225147663 HEB PHARMACY 201 S 15TH STREET CORSICANA TX 75110 (903) 874-65464587931 1194742361 WAL-MART PHARMACY 10-0565 3801 WEST HWY 31 CORSICANA TX 75110 (903) 874-82394592259 1639196819 WAL-MART PHARMACY 10-0236 1225 E LOOP 304 CROCKETT TX 75835 (936) 544-56614505345 1013922079 WALGREENS #1518 14402 FM 2100 CROSBY TX 77532 (281) 328-80974587828 1528085792 WAL-MART PHARMACY 10-0522 14215 FM 2100 CROSBY TX 77532 (281) 328-35294516069 1710990387 REGIONAL LEGEND PHARMACY 622 W MAIN ST CROSBYTON TX 79322 (806) 675-20015909051 1790125508 WALMART PHARMACY 10-5707 11700 US HIGHWAY 380 CROSS ROADS TX 76227 (940) 488-70115918858 1356795678 GATEWAY PHARMACY 921 FM 1187 E STE A CROWLEY TX 76036 (817) 297-20004535944 1437164514 WALGREENS #9023 901 S CROWLEY ROAD CROWLEY TX 76036 (817) 297-17345904936 1346510914 WAL-MART PHARMACY 1221 FM 1187 E CROWLEY TX 76036 (682) 233-78415915686 1649658279 HEB PHARMACY #712 909 E BROADWAY ST CUERO TX 77954 (361) 275-89345915218 1164817540 REUSS PHARMACY 515 N ESPLANADE ST CUERO TX 77954 (361) 275-34114594582 1104843382 WAL-MART PHARMACY 10-0385 1202 E BROADWAY CUERO TX 77954 (361) 275-9260

10

5915218 1164817540 REUSS PHARMACY 515 N ESPLANADE ST CUERO TX 77954 (361) 275-34114594582 1104843382 WAL-MART PHARMACY 10-0385 1202 E BROADWAY CUERO TX 77954 (361) 275-92604551900 1619119914 CYPRESS PHARMACY 17330 SPRING CYPRESS ROAD CYPRESS TX 77429 (281) 213-34905912022 1003220898 HEB PHARMACY 14100 SPRING CYPRESS RD. CYPRESS TX 77429 (281) 320-37004545945 1619164498 HEB PHARMACY 24224 NORTHWEST FREEWAY CYPRESS TX 77429 (281) 758-11555907184 1386995777 HEB PHARMACY 28550 HIGHWAY 290 CYPRESS TX 77433 (281) 256-64905916107 1558749184 HEB PHARMACY #709 9722 FRY RD CYPRESS TX 77433 (281) 373-21024519166 1538105150 RANDALLS PHARMACY #1857 12312 BARKER CYPRESS ROAD CYPRESS TX 77429 (281) 373-25074564402 1891700894 WALGREENS 12025 HUFFMEISTER RD CYPRESS TX 77429 (281) 955-83445915408 1194102574 WALGREENS 15110 MASON RD CYPRESS TX 77433 (832) 349-72524567446 1184631186 WALGREENS #4901 12407 GRANT RD CYPRESS TX 77429 (281) 655-04784528684 1710994629 WALGREENS #7101 16211 SPRING CYPRESS RD CYPRESS TX 77429 (281) 213-36754529131 1790792612 WALGREENS #7560 8207 BARKER CYPRESS RD CYPRESS TX 77433 (281) 858-05734532924 1912912072 WALGREENS #7561 11803 BARKER CYPRESS RD CYPRESS TX 77433 (281) 304-50974542191 1538253315 WALGREENS #9946 14127 CYPRESS ROSEHILL RD CYPRESS TX 77429 (281) 256-07234521135 1922025063 WAL-MART PHARMACY 13742 NORTH ELDRIDGE PKWY CYPRESS TX 77429 (281) 655-87584534423 1851318349 WAL-MART PHARMACY 26270 NORTHWEST FREEWAY CYPRESS TX 77429 (281) 304-96645917274 1336519818 WALMART PHARMACY 10-4465 11425 BARKER CYPRESS RD CYPRESS TX 77433 (832) 349-71895913531 1023411824 WALMART PHARMACY 10-7357 8208 BARKER CYPRESS RD CYPRESS TX 77433 (281) 500-7991

10

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4598869 1902883804 UNITED PHARMACY 1601 TENNESSEE DALHART TX 79022 (806) 249-47725902261 1679877435 AC PHARMACY 5728 LYNDON B JOHNSON FWY DALLAS TX 75240 (855) 254-34675915181 1659768141 AMERICAN SPECIALTY PHARMACY 7125 MARVIN D LOVE FWY STE 105 DALLAS TX 75237 (469) 779-20445904063 1962784900 AVITA DRUGS 219 SUNSET AVE STE 118-A DALLAS TX 75208 (214) 943-51875905609 1861765240 COMMUNITY, A WALGREENS PHARMACY #15 3826 CEDAR SPRINGS RD DALLAS TX 75219 (214) 522-40064501195 1508922873 GENPHARM PHARMACY 3920 W. WHEATLAND RD DALLAS TX 75237 (972) 572-90065910244 1013345156 MD KIDS PEDIATRICS PHARMACY 3201 W SANER AVE DALLAS TX 75233 (214) 331-05675905938 1932478112 MEDFONT PHARMACY 4041 W WHEATLAND RD STE 204 DALLAS TX 75237 (972) 709-21905900344 1396056313 MEDPHARMA PHARMACY 2600 N STEMMONS FWY DALLAS TX 75207 (469) 331-82905904328 1346527983 MI DOCTOR PHARMACY 655 W. ILLINOIS AVE, BLDG 900 DALLAS TX 75224 (214) 845-40005907502 1780936674 MI DOCTOR PHARMACY- SPRING VALLEY 8112 SPRING VALLEY RD DALLAS TX 75240 (214) 884-17055907514 1891047700 MI DOCTOR PHARMACY-WEBB CHAPEL 9753 WEBB CHAPEL RD DALLAS TX 75220 (214) 622-60485916397 1184008807 MI DOCTOR WESTMORELAND 3247 DAWES DR DALLAS TX 75211 (214) 330-77674596156 1639255565 MINYARD PHARMACY 10121 E LAKE JUNE ROAD DALLAS TX 75217 (972) 289-90834583197 1467539288 MINYARD PHARMACY 1201 W CAMP WISDOM DALLAS TX 75232 (214) 376-27094598174 1841376761 MINYARD PHARMACY 2130 E LEDBETTER DR DALLAS TX 75216 (214) 374-35594595368 1316023880 MINYARD PHARMACY 3230 MARTIN LUTHER KING DALLAS TX 75210 (214) 421-10674584822 1437197894 MINYARD PHARMACY #32 6464 E MOCKINGBIRD LN DALLAS TX 75214 (214) 827-42304584973 1295772630 MINYARD PHARMACY #34 4349 W NW HWY DALLAS TX 75220 (214) 357-81954584834 1346288701 MINYARD PHARMACY #40 7007 ARAPAHO RD DALLAS TX 75248 (972) 387-89774529573 1356388813 MINYARD PHARMACY #41 3630 FOREST LN DALLAS TX 75229 (214) 351-00074590192 1497792949 MINYARD PHARMACY #68 3524 MCKINNEY AVE DALLAS TX 75204 (214) 528-05164579883 1700824166 MINYARD PHARMACY #97 10203 E NW HWY DALLAS TX 75238 (214) 221-50075903201 1861785370 PLAZA MEDICAL PHARMACY 700 N PEARL ST STE N208 DALLAS TX 75201 (214) 855-06064541632 1861405540 PRESTON ROAD APOTHECARY INC 9301 N CENTRAL PKWY DALLAS TX 75231 (214) 361-61724517908 1477662427 PRESTON ROAD PHARMACY 6901 PRESTON RD DALLAS TX 75205 (214) 521-99914516071 1588681613 SAMS PHARMACY 12000 MCCREE ROAD DALLAS TX 75238 (214) 461-87774516615 1114944246 SAMS PHARMACY 2900 WEST WHEATLAND ROAD DALLAS TX 75237 (972) 283-10594515891 1942227079 SAMS PHARMACY 4062 LBJ FREEWAY DALLAS TX 75244 (972) 759-6492

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4516615 1114944246 SAMS PHARMACY 2900 WEST WHEATLAND ROAD DALLAS TX 75237 (972) 283-10594515891 1942227079 SAMS PHARMACY 4062 LBJ FREEWAY DALLAS TX 75244 (972) 759-64924537277 1720005887 SAMS PHARMACY 5555 S BUCKNER BLVD DALLAS TX 75228 (214) 321-95744516716 1932126067 SAMS PHARMACY 9461 WEBB CHAPEL RD DALLAS TX 75220 (214) 530-54514513405 1023035144 SAMS PHARMACY 10-6372 6185 RETAIL RD DALLAS TX 75231 (214) 382-25254585583 1962449421 SAVON PHARMACY 320 CASA LINDA PLZ DALLAS TX 75218 (214) 319-82214588159 1922046341 SAVON PHARMACY #4105 4625 FRANKFORD RD DALLAS TX 75287 (972) 732-68634570481 1295764264 TOM THUMB PHARMACY #1540 3757 FOREST LANE DALLAS TX 75234 (972) 241-74424517768 1629014246 TOM THUMB PHARMACY #2534 6333 EAST MOCKINGBIRD LANE DALLAS TX 75214 (214) 823-99164591170 1366474199 TOM THUMB PHARMACY #2544 10455 N CENTRAL EXPRESSWAY DALLAS TX 75231 (214) 369-73284595077 1972532943 TOM THUMB PHARMACY #2642 5809 E LOVERS LANE DALLAS TX 75206 (214) 750-32104568664 1477582435 TOM THUMB PHARMACY #2990 7117 INWOOD DALLAS TX 75209 (214) 350-35834559538 1326084104 TOM THUMB PHARMACY #3560 8698 SKILLMAN DALLAS TX 75243 (214) 340-13684511134 1346279304 TOM THUMB PHARMACY #3582 18212 PRESTON ROAD DALLAS TX 75252 (972) 985-22504578398 1386673358 TOM THUMB PHARMACY #3597 11920 PRESTON ROAD DALLAS TX 75230 (972) 980-49154500206 1083643043 TOM THUMB PHARMACY #3608 7700 NW HWY DALLAS TX 75225 (214) 346-10304502060 1619906674 TOM THUMB PHARMACY #3614 315 S HAMPTON DALLAS TX 75208 (214) 331-01694542470 1215973813 TOM THUMB PHARMACY #3650 14999 PRESTON ROAD DALLAS TX 75240 (972) 661-04925904126 1154604130 WALGREENS 11700 PRESTON RD DALLAS TX 75230 (214) 750-4502

11

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4545010 1285844605 WALGREENS #11401 7777 FOREST LANE DALLAS TX 75230 (972) 661-08354545034 1255540720 WALGREENS #11402 7777 FOREST LN DALLAS TX 75230 (972) 386-05724551582 1750522546 WALGREENS #11514 9807 WALNUT HILL LN DALLAS TX 75238 (469) 341-39084550578 1033364450 WALGREENS #11645 10152 LAKE JUNE RD DALLAS TX 75217 (469) 341-39005903718 1841588399 WALGREENS #15011 221 W COLORADO BLVD DALLAS TX 75208 (214) 941-43984597209 1487669412 WALGREENS #15967 750 W WHEATLAND RD DALLAS TX 75116 (972) 572-24234598631 1821003856 WALGREENS #3879 3732 WEST NW HIGHWAY DALLAS TX 75220 (214) 956-01134598136 1568477594 WALGREENS #3956 1104 S WESTMORELAND DALLAS TX 75211 (214) 467-35404599455 1902811938 WALGREENS #3957 5101 S LANCASTER ROAD DALLAS TX 75241 (214) 375-71034507933 1497760466 WALGREENS #4012 6707 W NORTHWEST HWY DALLAS TX 75225 (214) 361-46374501587 1205841251 WALGREENS #4013 18207 MIDWAY ROAD DALLAS TX 75287 (972) 307-75564507034 1043225014 WALGREENS #4203 438 W ILLINOIS AVE DALLAS TX 75224 (214) 941-11974506234 1225043292 WALGREENS #4459 8120 COCKRELL HILL RD DALLAS TX 75236 (972) 283-14734500193 1306851340 WALGREENS #4624 1461 ROBERT B CULLUM DALLAS TX 75215 (214) 421-07504502008 1750396701 WALGREENS #4705 2060 S BUCKNER BLVD DALLAS TX 75217 (214) 398-87544500686 1043225097 WALGREENS #4747 3211 LANCASTER DALLAS TX 75216 (214) 371-18914502717 1124033188 WALGREENS #4817 6515 ABRAMS RD DALLAS TX 75231 (214) 341-08614508808 1205841277 WALGREENS #5092 3418 MCKINNEY AVE DALLAS TX 75204 (214) 922-92834508529 1588679559 WALGREENS #5093 1306 N BECKLEY AVE DALLAS TX 75203 (214) 948-35594509355 1952316937 WALGREENS #5162 8310 ABRAMS RD DALLAS TX 75243 (214) 503-62864513265 1023023009 WALGREENS #5710 18410 PRESTON RD DALLAS TX 75252 (972) 599-10044513140 1932116852 WALGREENS #5826 7930 BELTLINE RD DALLAS TX 75240 (972) 716-09374517061 1205841194 WALGREENS #5920 1060 W CAMP WISDOM RD DALLAS TX 75232 (972) 228-67384515219 1588679575 WALGREENS #6120 9937 GARLAND RD DALLAS TX 75218 (214) 328-49714515550 1023023017 WALGREENS #6197 2401 W LEDBETTER DR DALLAS TX 75233 (214) 337-21264522276 1760497663 WALGREENS #6660 5742 E MOCKINGBIRD LN DALLAS TX 75206 (214) 826-71364523456 1598772477 WALGREENS #6891 11403 E NORTHWEST HWY DALLAS TX 75218 (214) 341-29214528456 1477560381 WALGREENS #7334 5001 ROSS AVE DALLAS TX 75206 (214) 370-87474535689 1174538250 WALGREENS #7783 2311 LAKELAND DR DALLAS TX 75228 (214) 321-0197

12

4528456 1477560381 WALGREENS #7334 5001 ROSS AVE DALLAS TX 75206 (214) 370-87474535689 1174538250 WALGREENS #7783 2311 LAKELAND DR DALLAS TX 75228 (214) 321-01974532760 1922013085 WALGREENS #7839 3802 CEDAR SPRINGS RD DALLAS TX 75219 (214) 443-51604536249 1164437240 WALGREENS #9015 4702 N JIM MILLER RD DALLAS TX 75227 (214) 388-49514504800 1386651321 WALGREENS #9126 2602 FORT WORTH AVE DALLAS TX 75211 (214) 941-09264537099 1083629174 WALGREENS #9647 5201 BELT LINE RD DALLAS TX 75254 (972) 386-62545904380 1033493143 WALGREENS 15288 5959 HARRY HINES BLVD DALLAS TX 75235 (214) 630-62525904582 1790052298 WALMART PHARMACY 13739 N CENTRAL EXPRESSWAY DALLAS TX 75243 (972) 656-28214526957 1720007735 WAL-MART PHARMACY 12789 MIDWAY ROAD DALLAS TX 75244 (972) 488-89824529484 1922025071 WAL-MART PHARMACY 1521 NORTH COCKRELL HILL ROAD DALLAS TX 75211 (214) 337-80924539815 1114944345 WAL-MART PHARMACY 15220 MONTFORT DRIVE DALLAS TX 75248 (972) 233-87644517946 1013934140 WAL-MART PHARMACY 18121 MARSH LANE DALLAS TX 75287 (972) 862-63604526743 1902825912 WAL-MART PHARMACY 2275 GUS THOMASSON ROAD DALLAS TX 75228 (214) 660-97294509773 1831116946 WAL-MART PHARMACY 2305 NORTH CENTRAL EXPRESSWAY DALLAS TX 75204 (214) 953-01655908489 1386985414 WAL-MART PHARMACY 2827 S BUCKNER BLVD DALLAS TX 75227 (214) 388-57034571647 1548287782 WAL-MART PHARMACY 3155 W WHEATLAND ROAD DALLAS TX 75237 (972) 709-15004501854 1841217957 WAL-MART PHARMACY 7401 SAMUELL BLVD DALLAS TX 75228 (214) 319-08574595697 1740207927 WAL-MART PHARMACY 9301 FOREST LN DALLAS TX 75243 (972) 437-68584590217 1093732265 WALMART PHARMACY 10-2105 4122 LBJ FRWY DALLAS TX 75244 (972) 239-4297

12

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5909152 1942640412 WAL-MART PHARMACY 10-3014 200 SHORT ST DALLAS TX 75232 (972) 232-64075910989 1952725665 WALMART PHARMACY 10-5810 7075 W WHEATLAND RD DALLAS TX 75249 (469) 608-62235903390 1497040554 WALMART PHARMACY 10-5823 6185 RETAIL RD DALLAS TX 75231 (972) 656-22155907728 1053655837 WAL-MART PHARMACY 10-5889 9410 WEBB CHAPEL RD DALLAS TX 75220 (972) 629-00294526983 1578580627 WALMART PHARMACY 10-8930 15757 COIT RD DALLAS TX 75248 (972) 235-06194537241 1528073616 WALGREENS #7878 209 W HWY 90 DAYTON TX 77535 (936) 258-73954518227 1194829168 DE LEON PHARMACY 309 S TEXAS DE LEON TX 76444 (254) 893-26664594316 1184642936 WAL-MART PHARMACY 10-0421 800 S US HWY 81 287 DECATUR TX 76234 (940) 627-30385916688 1194103739 HEB PHARMACY #715 4701 EAST BLVD DEER PARK TX 77536 (210) 938-27154501842 1932114980 WALGREENS 3300 CENTER STREET DEER PARK TX 77536 (281) 479-34884522757 1427052000 DEKALB PHARMACY 120 W FRONT ST DEKALB TX 75559 (903) 667-08804567016 1528177961 HEB PHARMACY 200 VETERANS BLVD DEL RIO TX 78840 (830) 774-45794583705 1356368518 WAL-MART PHARMACY 10-0447 2410 DODSON ST DEL RIO TX 78840 (830) 775-40004544993 1437350824 MED CHOICE PHARMACY 2300 W MORTON ST DENISON TX 75020 (903) 463-69794584997 1104863547 SAVON PHARMACY 200 W CRAWFORD DENISON TX 75020 (903) 465-61824590039 1285651455 WAL-MART PHARMACY 10-0147 401 NORTH US HWY 75 DENISON TX 75020 (903) 465-80354560670 1487696050 DENTON PRESCRIPTION SHOP 2501 W OAK ST STE 100 DENTON TX 76201 (940) 382-67585901118 1407162498 SAMS PHARMACY 2850 W UNIVERSITY DR DENTON TX 76201 (940) 898-87804584896 1699712158 SAVON PHARMACY 2321 W UNIVERSITY DR DENTON TX 76201 (940) 383-16964551986 1588807440 WALGREENS #11515 5000 TEASLEY LN DENTON TX 76210 (940) 382-50784508733 1396750360 WALGREENS #5161 101 W UNIVERSITY DENTON TX 76201 (940) 384-02404535499 1447265525 WALGREENS #7542 1700 S LOOP 288 DENTON TX 76208 (940) 220-05745901156 1760799712 WAL-MART PHARMACY 2750 W UNIVERSITY DR DENTON TX 76201 (940) 566-38424564907 1487671616 WAL-MART PHARMACY 10-0467 1515 SOUTH LOOP 288 DENTON TX 76208 (940) 891-29005916400 1982008629 WALMART PHARMACY 10-4104 3930 TEASLY LN DENTON TX 76210 (940) 783-41515904001 1821379587 DENVER CITY PHARMACY 105 E BROADWAY ST DENVER CITY TX 79323 (806) 592-33334595837 1215974761 SAVON PHARMACY #4166 1300 W BELTLINE RD DESOTO TX 75115 (972) 223-31344596473 1083650618 TOM THUMB PHARMACY #3623 210 E PLEASANT RUN ROAD DESOTO TX 75115 (972) 274-70084542127 1285718890 WALGREENS #10193 731 W BELT LINE RD DESOTO TX 75115 (972) 230-3748

13

4596473 1083650618 TOM THUMB PHARMACY #3623 210 E PLEASANT RUN ROAD DESOTO TX 75115 (972) 274-70084542127 1285718890 WALGREENS #10193 731 W BELT LINE RD DESOTO TX 75115 (972) 230-37484502224 1497760458 WALGREENS #4293 734 E PLEASANT RUN RD DESOTO TX 75115 (972) 274-21784541086 1659313492 WAL-MART PHARMACY 951 WEST BELT LINE ROAD DESOTO TX 75115 (972) 223-19305913529 1396148193 WALMART PHARMACY 10-7232 108 W PARKERVILLE RD DESOTO TX 75115 (469) 643-50174518568 1396964607 CONOLY DRUG HEALTHMART 200 S TEEL DEVINE TX 78016 (830) 663-22245912363 1205244068 WALMART PHARMACY 10-4103 175 IH 35 N DEVINE TX 78016 (830) 663-59644554184 1003823071 WALGREENS 4016 HWY 3 DICKINSON TX 77539 (281) 337-35954527113 1679580583 WALGREENS #7178 100 FM 646 DICKINSON TX 77539 (281) 337-68404538736 1245245331 WALGREENS #9165 1832 FM 646 ROAD W DICKINSON TX 77539 (281) 614-57854543054 1982783650 O K PHARMACY INC 122 S MAIN ST DONNA TX 78537 (956) 464-22005914406 1740671981 WALMART PHARMACY 10-2763 900 N SALINAS BLVD DONNA TX 78537 (956) 461-29535900192 1912227786 HEB PHARMACY 598 E. HWY 290 DRIPPING SPRINGS TX 78620 (512) 858-01414551657 1487895710 WALGREENS #12029 27495 RANCH ROAD 12 DRIPPING SPRINGS TX 78620 (512) 858-19844546567 1821101932 ROGERS PHARMACY 1021 E 1ST ST DUMAS TX 79029 (806) 935-74944568690 1295752434 WAL-MART PHARMACY 10/0812 2003 SOUTH DUMAS AVENUE DUMAS TX 79029 (806) 935-92284550338 1356337117 BEN FRANKLIN APOTHECARY 302 N MAIN ST DUNCANVILLE TX 75116 (972) 298-49364557685 1417993296 TOM THUMB PHARMACY #3563 633 WHEATLAND ROAD DUNCANVILLE TX 75116 (972) 780-11534585761 1639288079 HEB PHARMACY 2135 E MAIN EAGLE PASS TX 78852 (830) 773-0420

13

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5912589 1639578370 WALGREENS 2341 E MAIN ST EAGLE PASS TX 78852 (830) 872-33164584480 1174540330 WAL-MART PHARMACY 10-0461 496 SOUTH BIBB ST EAGLE PASS TX 78852 (830) 773-90014547672 1093990830 DOCS DRUGSTORE OF EARLY INC 1210 C C WOODSON RD EARLY TX 76802 (325) 646-25004518835 1619067691 SAVON DRUGS 123 LEVERIDGE EAST BERNARD TX 77435 (979) 335-48104501981 1750308862 WAL-MART PHARMACY 10-0561 1410 E MAIN ST EASTLAND TX 76448 (254) 629-33475904621 1649557737 CCH PHARMACY 614 EAKER ST. SUITE 100 EDEN TX 76837 (325) 869-87604560238 1972687614 EDGEWOOD LEGEND DRUG 115 N HOUSTON EDGEWOOD TX 75117 (903) 896-14734539257 1306928361 CONQUEST PLAZA PHARMACY 316 CONQUEST EDINBURG TX 78539 (956) 287-28824580141 1952410946 HEB PHARMACY 1212 S CLOSNER EDINBURG TX 78539 (956) 380-62194504189 1508975921 HEB PHARMACY 2700 W FREDDY GONZALEZ EDINBURG TX 78539 (956) 383-41654548371 1679731004 JUNIOR'S PHARMACY 1313 S. CLOSNER AVE EDINBURG TX 78539 (956) 383-44414541923 1841201431 RICHARDS PHARMACY 4630 S. CLOSNER BLVD EDINBURG TX 78539 (956) 289-18804539586 1306973532 SAENZ MEDICAL PHARMACY AT RENAISSAN 2821 MICHAEL ANGELO EDINBURG TX 78539 (956) 618-45005918428 1841650314 SOUTH TEXAS VALLEY PHARMACY 2717 MICHAELANGELO DR STE 200 EDINBURG TX 78539 (956) 217-70005900762 1841505161 WALGREENS 1418 E UNIVERSITY DR EDINBURG TX 78539 (956) 380-65514545200 1699979575 WALGREENS #11148 1520 S MCCOLL RD EDINBURG TX 78539 (956) 380-05404513013 1114932191 WALGREENS #5734 1520 W FREDDY GONZALEZ DR EDINBURG TX 78539 (956) 287-91834559021 1669499893 WAL-MART PHARMACY 1724 W UNIVERSITY DRIVE EDINBURG TX 78539 (956) 381-18914542848 1720178791 WAL-MART PHARMACY 4101 SOUTH MCCOLL ROAD EDINBURG TX 78539 (956) 618-58165911157 1932525987 WALMART PHARMACY 10-5809 2812 S EXPRESSWAY 281 EDINBURG TX 78542 (956) 252-20504585292 1801813076 WAL-MART PHARMACY 10-0474 1002 NORTH WELLS EDNA TX 77957 (361) 782-35714504999 1144339565 HEB PHARMACY 306 N MECHANIC EL CAMPO TX 77437 (979) 578-86094540755 1700830940 WALGREENS #9739 203 N MECHANIC ST EL CAMPO TX 77437 (979) 543-89024591865 1366469538 WAL-MART PHARMACY 10-0344 3413 WEST LOOP EL CAMPO TX 77437 (979) 543-62804502173 1194887349 ALAMEDA THRIFTY PHARMACY 4900 ALAMEDA AVE EL PASO TX 79905 (915) 772-53314529080 1093730848 GRACE PHARMACY 11140 LA QUINTA PL STE 101 EL PASO TX 79936 (915) 593-06034546315 1306027388 MED TIME PHARMACY 641 N RESLER EL PASO TX 79912 (915) 584-63375913454 1669875340 SAM'S CLUB PHARMACY 10-6246 9498 GATEWAY BLVD N EL PASO TX 79924 (915) 730-60924513342 1114944238 SAMS PHARMACY 11360 PELLICANO DRIVE EL PASO TX 79936 (915) 591-4090

14

5913454 1669875340 SAM'S CLUB PHARMACY 10-6246 9498 GATEWAY BLVD N EL PASO TX 79924 (915) 730-60924513342 1114944238 SAMS PHARMACY 11360 PELLICANO DRIVE EL PASO TX 79936 (915) 591-40904526705 1750308805 SAMS PHARMACY 7001 GATEWAY BLVD WEST EL PASO TX 79925 (915) 775-09604513330 1205853322 SAMS PHARMACY 7970 NORTH MESA EL PASO TX 79932 (915) 587-06264528759 1538106091 SAVON PHARMACY 10765 KENWORTHY EL PASO TX 79924 (915) 821-30314528014 1710924279 SAVON PHARMACY 11320 MONTWOOD DR EL PASO TX 79936 (915) 855-97724584769 1528006988 SAVON PHARMACY 2200 YARBROUGH DR EL PASO TX 79925 (915) 591-56374525501 1457398919 SAVON PHARMACY 3100 MESA ST EL PASO TX 79902 (915) 351-11834527997 1801833363 SAVON PHARMACY 5200 MONTANA AVE EL PASO TX 79903 (915) 778-06804517376 1649217100 SAVON PHARMACY 5630 N DESERT BLVD EL PASO TX 79912 (915) 845-14224584846 1578502357 SAVON PHARMACY 7022 N MESA ST EL PASO TX 79912 (915) 584-94814584872 1487693263 SAVON PHARMACY 9111 DYER ST EL PASO TX 79924 (915) 751-88085910737 1982026811 THE FAMILY PHARMACY 3660 JOE BATTLE BLVD STE 10 EL PASO TX 79938 (915) 857-55104500559 1881601805 WALGREENS 1100 GERONIMO DR EL PASO TX 79925 (915) 778-93014500597 1699782615 WALGREENS 1210 WEDGEWOOD DR EL PASO TX 79925 (915) 591-94965903883 1871873042 WALGREENS 12201 MONTWOOD DR EL PASO TX 79938 (915) 856-02784550706 1508871609 WALGREENS 1831 LEE TREVINO DR EL PASO TX 79936 (915) 594-11294510601 1912914839 WALGREENS 5900 N MESA ST EL PASO TX 79912 (915) 584-11534547165 1063427169 WALGREENS 8045 N LOOP DRIVE EL PASO TX 79915 (915) 592-5849

14

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5909772 1164858015 WALGREENS 8889 GATEWAY BLVD W EL PASO TX 79925 (915) 599-85714580088 1811902828 WALGREENS #10414 10090 RUSHING RD EL PASO TX 79924 (915) 755-95104548612 1295993939 WALGREENS #11516 1329 GEORGE DIETER DR EL PASO TX 79936 (915) 594-38384576584 1285649293 WALGREENS #11749 10600 MONTANA AVE EL PASO TX 79935 (915) 591-46554589288 1952318966 WALGREENS #15036 5401 MONTANA AVE EL PASO TX 79903 (915) 779-88254500585 1851306898 WALGREENS #15371 302 OREGON ST EL PASO TX 79901 (915) 532-43444594265 1548275563 WALGREENS #3236 800 N ZARAGOZA ROAD EL PASO TX 79907 (915) 860-16704594037 1033126040 WALGREENS #3542 1607 ZARAGOSA ROAD EL PASO TX 79936 (915) 856-00714594671 1457366478 WALGREENS #3570 890 NORTH RESLER DR EL PASO TX 79912 (915) 584-13594596815 1699783142 WALGREENS #3826 11685 MONTWOOD EL PASO TX 79936 (915) 855-77044576394 1376558387 WALGREENS #4679 2879 MONTANA EL PASO TX 79903 (915) 566-44644500573 1942215983 WALGREENS #5274 2800 N MESA ST EL PASO TX 79902 (915) 533-68834510182 1629085550 WALGREENS #5477 100 N AMERICAS EL PASO TX 79927 (915) 790-04114518936 1578574711 WALGREENS #6498 2950 GEORGE DIETER DR EL PASO TX 79936 (915) 856-70404524155 1528074960 WALGREENS #6543 10780 KENWORTHY EL PASO TX 79924 (915) 821-26984527137 1740297654 WALGREENS #7328 9428 DYER ST EL PASO TX 79924 (915) 751-44154585557 1184639197 WALGREENS #9173 8050 N MESA ST EL PASO TX 79932 (915) 585-04914540616 1316952401 WALGREENS #9368 12390 EDGEMERE EL PASO TX 79938 (915) 849-68495911842 1003226093 WALMART PHARMACY 101 E REDD RD EL PASO TX 79932 (915) 206-61405901079 1497061485 WAL-MART PHARMACY 12236 MONTANA AVE EL PASO TX 79936 (915) 921-68794534966 1174542187 WAL-MART PHARMACY 1551 N ZARAGOZA RD EL PASO TX 79936 (915) 855-27454526755 1811916828 WAL-MART PHARMACY 3000 SAUL KLEINFELD DRIVE EL PASO TX 79936 (915) 849-78044591322 1720005994 WAL-MART PHARMACY 7101 GATEWAY BLVD EL PASO TX 79925 (915) 779-67684573285 1689691834 WAL-MART PHARMACY 7555 N MESA EL PASO TX 79912 (915) 833-43324544183 1639203573 WAL-MART PHARMACY 8115 NORTH LOOP EL PASO TX 79907 (915) 629-09034573083 1952328106 WAL-MART PHARMACY 9441 ALAMEDA AVE EL PASO TX 79907 (915) 858-10714546668 1063693638 WAL-MART PHARMACY 951 NORTH RESLER EL PASO TX 79912 (915) 875-01964566139 1568489797 WAL-MART PHARMACY 10-0500 4530 WOODROW BEAN EL PASO TX 79924 (915) 757-25384566127 1659398881 WAL-MART PHARMACY 10-0512 10727 GATEWAY BLVD WEST EL PASO TX 79935 (915) 593-3164

15

4566139 1568489797 WAL-MART PHARMACY 10-0500 4530 WOODROW BEAN EL PASO TX 79924 (915) 757-25384566127 1659398881 WAL-MART PHARMACY 10-0512 10727 GATEWAY BLVD WEST EL PASO TX 79935 (915) 593-31644505458 1013934124 WAL-MART PHARMACY 10-2612 1850 NORTH ZARAGOZA RD EL PASO TX 79936 (915) 855-65975905469 1023383981 WALMART PHARMACY 10-5947 5631 DYER ST EL PASO TX 79904 (915) 245-35175905483 1831464791 WALMART PHARMACY 105962 4716 HONDO PASS DR EL PASO TX 79904 (915) 245-35805915030 1184019358 WALMART PHARMACY 10-6587 10840 MARTIN LUTHE KING BLVD EL PASO TX 79934 (915) 730-61955913517 1760885560 WALMART PHARMACY 10-6813 3590 N ZARAGOZA RD EL PASO TX 79938 (915) 342-98674519508 1699867853 GOLDSMITHS DRUG 111 W CLEVELAND ELECTRA TX 76360 (940) 495-23355910509 1013347905 ELGIN MEDICINE SHOP 199 HIGHWAY 290 E STE A ELGIN TX 78621 (512) 285-63084520258 1821107244 HEB PHARMACY 1080 WEST HWY 290 ELGIN TX 78621 (512) 285-47195910547 1205257110 WAL-MART PHARMACY 10-3170 1320 W HWY 290 ELGIN TX 78621 (512) 285-36495909227 1497197693 HEB PHARMACY 512 E. EDINBURG AVE ELSA TX 78543 (956) 262-97195912058 1306250196 WALMART PHARMACY 10-5808 411 S BROADWAY ST. ELSA TX 78543 (956) 262-94504584000 1811006257 HEB PHARMACY 101 SOUTH CLAY ENNIS TX 75119 (972) 875-83134536326 1073528154 WALGREENS #9448 606 W ENNIS AVE ENNIS TX 75119 (972) 875-59964587929 1255358420 WAL-MART PHARMACY 10-0286 700 EAST ENNIS AVE ENNIS TX 75119 (972) 875-96364598895 1740228162 SAVON PHARMACY #0106 1155 N MAIN ST EULESS TX 76039 (817) 354-24275916119 1982083341 HEB PHARMACY #200 800 S SAINT MARYS ST FALFURRIAS TX 78355 (361) 325-29104571914 1780601930 WAL-MART PHARMACY 2535 S US HIGHWAY 281 FALFURRIAS TX 78355 (361) 325-2411

15

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5907742 1154665768 SYWELL PHARMACY 12895 JOSEY LN STE 111 FARMERS BRANCH TX 75234 (972) 993-73704516968 1578578563 WALGREENS #5509 13260 JOSEY LANE FARMERS BRANCH TX 75234 (972) 247-34215905178 1376815464 WAL-MART PHARMACY 13100 JOSEY LN FARMERS BRANCH TX 75234 (972) 656-22874504420 1326157744 HEB PHARMACY 925 10TH STREET FLORESVILLE TX 78114 (830) 393-80984594734 1013934298 WAL-MART PHARMACY 10-0465 305 10TH STREET FLORESVILLE TX 78114 (830) 393-31194504812 1043253206 FLOWER MOUND PHY AND HERBAL ALTS 1001 CROSSTIMBERS RD FLOWER MOUND TX 75028 (972) 355-46145907259 1013269273 TOM THUMB PHARMACY #1854 4301 CROSS TIMBERS RD FLOWER MOUND TX 75022 (972) 691-21514597805 1699701474 TOM THUMB PHARMACY #3572 2600 FLOWER MOUND RD FLOWER MOUND TX 75028 (972) 355-57594503288 1437180254 TOM THUMB PHARMACY #3575 2301 JUSTIN RD FLOWER MOUND TX 75028 (972) 539-32224535704 1306882907 TOM THUMB PHARMACY #3652 745 CROSS TIMBERS FLOWER MOUND TX 75028 (972) 539-68305909087 1205277555 WALGREENS 4021 CROSS TIMBERS RD FLOWER MOUND TX 75028 (972) 355-83424500408 1124033162 WALGREENS #4171 2050 LONG PRAIRIE RD FLOWER MOUND TX 75028 (972) 355-48314506171 1316952385 WALGREENS #4578 1101 CROSS TIMBERS RD FLOWER MOUND TX 75028 (972) 355-51495904405 1447537949 WAL-MART PHARMACY 2800 FLOWER MOUND RD FLOWER MOUND TX 75022 (972) 538-04444504672 1487669446 WALGREENS #4395 6551 FOREST HILL BLVD FOREST HILLS TX 76119 (817) 478-29524545630 1427240746 WALGREENS #10817 451 N FM 548 FORNEY TX 75126 (972) 552-16334535019 1558388611 WAL-MART PHARMACY 802 EAST HIGHWAY 80 FORNEY TX 75126 (972) 564-91604587171 1962576538 BAGGETT PHARMACY 509 N MAIN ST FORT STOCKTON TX 79735 (432) 336-22974570758 1730106972 WAL-MART PHARMACY 2610 W DICKSON ST FORT STOCKTON TX 79735 (432) 336-75314587854 1700984358 A AND P PHARMACY 2329 N RIVERSIDE DR FORT WORTH TX 76111 (817) 838-23194554134 1114251774 ALBERTSONS PHARMACY #0232 3563 ALTON RD FORT WORTH TX 76109 (817) 923-35025916284 1700269198 INDUSTRIAL & FAMILY PHARMACY 2301 NE 28TH ST FORT WORTH TX 76106 (817) 625-62654521072 1295752335 SAMS PHARMACY 4400 BRYANT IRVIN ROAD FORT WORTH TX 76132 (817) 989-19314511449 1396762415 SAMS PHARMACY 8351 ANDERSON BLVD FORT WORTH TX 76120 (817) 459-49844534257 1265479729 SAVON PHARMACY 10800 N BEACH ST FORT WORTH TX 76248 (817) 431-89854575897 1477590800 SAVON PHARMACY 3525 SYCAMORE SCHOOL RD FORT WORTH TX 76133 (817) 346-44574585141 1609814060 SAVON PHARMACY 4400 WESTERN BLVD FORT WORTH TX 76137 (817) 232-10234515106 1912944471 SAVON PHARMACY 7400 OAKMONT BLVD FORT WORTH TX 76132 (817) 423-95694578324 1972540433 SAVON PHARMACY 850 E LOOP 820 FORT WORTH TX 76112 (817) 451-1637

16

4515106 1912944471 SAVON PHARMACY 7400 OAKMONT BLVD FORT WORTH TX 76132 (817) 423-95694578324 1972540433 SAVON PHARMACY 850 E LOOP 820 FORT WORTH TX 76112 (817) 451-16374524016 1811934375 SAVON PHARMACY 9300 CLIFFORD ST FORT WORTH TX 76108 (817) 246-49094587474 1871530337 SAVON PHARMACY #4286 6700 W FREEWAY FORT WORTH TX 76116 (817) 377-80784500636 1891724852 TOM THUMB PHARMACY #2574 3000 S HULEN FORT WORTH TX 76109 (817) 570-29604579794 1790721314 TOM THUMB PHARMACY #3622 6377 CAMP BOWIE FORT WORTH TX 76116 (817) 731-29775907134 1144571266 WALGREENS 12450 TIMBERLAND BLVD FORT WORTH TX 76244 (817) 431-83304509103 1841205812 WALGREENS 3100 MILLER AVE FORT WORTH TX 76105 (817) 536-45934552407 1932334711 WALGREENS #13073 1325 PENNSYLVANIA AVE FORT WORTH TX 76104 (817) 882-86704596839 1184631194 WALGREENS #3878 3401 SYCAMORE SCHOOL FORT WORTH TX 76123 (817) 370-05054504038 1750396719 WALGREENS #4268 3809 E BELKNAP FORT WORTH TX 76111 (817) 834-72834505117 1184631129 WALGREENS #4314 6346 CAMP BOWIE BLVD FORT WORTH TX 76116 (817) 377-90954504103 1669487625 WALGREENS #4417 8600 HWY 80 W FORT WORTH TX 76116 (817) 244-04654507248 1770598740 WALGREENS #4785 2400 JACKSBORO HWY FORT WORTH TX 76114 (817) 624-31334501905 1841205895 WALGREENS #4857 4921 BRYANT IRVIN FORT WORTH TX 76132 (817) 292-58064500852 1215942263 WALGREENS #4858 6205 WESTCREEK DR FORT WORTH TX 76113 (817) 263-09624508288 1942215918 WALGREENS #5211 4350 OAK PARK LN FORT WORTH TX 76109 (817) 920-06004508896 1114932183 WALGREENS #5270 3100 MCCART AVE FORT WORTH TX 76110 (817) 924-51264515497 1396750386 WALGREENS #5922 108 NE 28TH ST FORT WORTH TX 76106 (817) 378-0527

16

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4513760 1669487641 WALGREENS #5961 921 HENDERSON ST FORT WORTH TX 76102 (817) 885-85634528216 1770598674 WALGREENS #6996 4200 E LANCASTER AVE FORT WORTH TX 76103 (817) 413-74424528836 1538176441 WALGREENS #7391 6048 S HULEN ST FORT WORTH TX 76132 (817) 423-53264532049 1750396818 WALGREENS #7898 9625 WHITE SETTLEMENT RD FORT WORTH TX 76108 (817) 367-34694537253 1437164522 WALGREENS #9235 8600 S HULEN ST FORT WORTH TX 76123 (817) 346-09104540476 1780699876 WALGREENS #9763 4515 CAMP BOWIE BLVD FORT WORTH TX 76107 (817) 735-81855907716 1598009375 WAL-MART PHARMACY 2900 RENAISSANCE SQUARE FORT WORTH TX 76105 (817) 900-19124529054 1104843259 WAL-MART PHARMACY 6513 MEADOWBROOK DR FORT WORTH TX 76112 (817) 492-05324538306 1366469421 WAL-MART PHARMACY 6756 WEST VICKERY BLVD FORT WORTH TX 76116 (817) 732-21955907994 1275872756 WAL-MART PHARMACY 717 W BERRY ST FORT WORTH TX 76110 (817) 840-02634515144 1215954342 WAL-MART PHARMACY 7401 PARK VISTA BLVD FORT WORTH TX 76137 (817) 605-04044517617 1578580601 WAL-MART PHARMACY 7451 MCCART AVENUE FORT WORTH TX 76133 (817) 361-72844580280 1780601948 WAL-MART PHARMACY 8401 ANDERSON ST FORT WORTH TX 76120 (817) 276-90414534360 1780601278 WAL-MART PHARMACY 8520 NORTH BEACH STREET FORT WORTH TX 76137 (817) 514-95244540882 1962420729 WAL-MART PHARMACY 9500 CLIFFORD STREET FORT WORTH TX 76108 (817) 367-08184592502 1407874241 WAL-MART PHARMACY 10-0590 6300 OAKMONT BLVD FORT WORTH TX 76132 (817) 263-65725913341 1265835060 WALMART PHARMACY 10-3043 4536 HERITAGE TRACE PKWY FORT WORTH TX 76244 (817) 898-60765912375 1184032955 WALMART PHARMACY 10-4165 2245 JACKSBORO HWY FORT WORTH TX 76114 (817) 569-62414535639 1902823065 WALMART PHARMACY 105312 3851 AIRPORT FREEWAY FORT WORTH TX 76111 (817) 759-19265909013 1285073346 WALMART PHARMACY 10-5764 2401 AVONDALE HASLET ROAD FORT WORTH TX 76052 (817) 302-17315918694 1225498538 WALMART PHARMACY 10-7251 7800 SUMMER CREEK DR FORT WORTH TX 76123 (682) 312-19935901409 1083923312 WEDGWOOD PHARMACY 5324 WEDGMONT CIR N FORT WORTH TX 76133 (817) 263-57004505953 1225046105 PRESCRIPTION LABORATORY 205 W WINDCREST FREDERICKSBURG TX 78624 (830) 997-21634544575 1689893067 WALGREENS #10839 704 S ADAMS ST FREDERICKSBURG TX 78624 (830) 990-50894576065 1609893866 WAL-MART PHARMACY 1435 EAST MAIN ST FREDERICKSBURG TX 78624 (830) 997-30474524648 1700995123 HEB PHARMACY 407 S ADAMS FREDRICKSBURG TX 78624 (830) 997-88095908441 1013351972 FREEPORT PHARMACY 323 SOUTH BRAZOSPORT BLVD FREEPORT TX 77541 (979) 871-91894532114 1295740355 WALGREENS #7774 12225 STATE HWY 6 FRESNO TX 77545 (281) 431-42484525905 1518076934 HEB PHARMACY 701 WEST PARKWOOD FRIENDSWOOD TX 77546 (281) 996-9971

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4532114 1295740355 WALGREENS #7774 12225 STATE HWY 6 FRESNO TX 77545 (281) 431-42484525905 1518076934 HEB PHARMACY 701 WEST PARKWOOD FRIENDSWOOD TX 77546 (281) 996-99714519128 1033136171 SAMS PHARMACY 155 WEST EL DORADO BLVD FRIENDSWOOD TX 77546 (281) 286-45174509925 1164438552 WALGREENS #5416 3201 FM 528 RD FRIENDSWOOD TX 77546 (281) 316-93004523711 1760499651 WALGREENS #7020 104 E PARKWOOD AVE FRIENDSWOOD TX 77546 (281) 482-21984587018 1710992722 WALGREENS #9507 102 N FRIENDSWOOD DR FRIENDSWOOD TX 77546 (281) 992-34314574857 1679590822 WAL-MART PHARMACY 150 W EL DORADO BLVD FRIENDSWOOD TX 77546 (281) 480-61644528874 1477571404 CYSTIC FIBROSIS SERVICES INC 10530 JOHN W ELLIOTT DR STE 200 FRISCO TX 75033 (800) 541-49594509230 1366488983 TOM THUMB PHARMACY #2581 4848 PRESTON ROAD FRISCO TX 75035 (972) 377-18125909467 1922431386 TOM THUMB PHARMACY #2963 5550 F.M. 423 FRISCO TX 75034 (214) 494-62264548989 1821253147 UNITED MARKET STREET PHARMACY 11999 NORTH DALLAS PARKWAY FRISCO TX 75034 (214) 872-15154549474 1235385535 WALGREENS #10920 5775 FM 423 FRISCO TX 75043 (214) 469-14864552356 1619101185 WALGREENS #12292 7255 COIT RD FRISCO TX 75035 (214) 705-11954518013 1912914896 WALGREENS #4786 5049 PRESTON RD FRISCO TX 75034 (214) 387-95054533053 1730194895 WALGREENS #7645 3030 W MAIN ST FRISCO TX 75034 (214) 387-87434591055 1851463087 WALGREENS SPECIALTY PHARMACY 10530 JOHN ELLIOTT DR FRISCO TX 75033 (800) 424-90024544195 1821122755 WAL-MART PHARMACY 12220 FM 423 FRISCO TX 75034 (469) 362-86415903895 1952681710 WAL-MART PHARMACY 4268 LEGACY DR FRISCO TX 75034 (972) 624-68185902867 1164711073 WALMART PHARMACY 10-5866 8555 PRESTON RD FRISCO TX 75034 (214) 436-5142

17

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4551710 1366502338 FRITCH DRUG AND GIFT SHOPPE 105 BROADWAY FRITCH TX 79036 (806) 857-31764551443 1467445569 PLAZA PHARMACY 411 N GRAND AVE GAINESVILLE TX 76240 (940) 665-84014520626 1346286127 TOM THUMB PHARMACY #2557 200 N GRAND AVE GAINESVILLE TX 76240 (940) 665-76224501020 1003833104 WAL-MART PHARMACY 10-0185 1800 LAWRENCE ST GAINESVILLE TX 76240 (940) 665-28394567294 1568491520 RANDALLS PHARMACY #1031 2931 CENTRAL CITY AVENUE GALVESTON TX 77551 (409) 740-24885903643 1093005589 SOUTHSIDE PHARMACY 8 707 23RD ST STE F GALVESTON TX 77550 (409) 497-27674557231 1770598872 WALGREENS #3420 308 SEAWALL BLVD GALVESTON TX 77550 (409) 763-35884568068 1427063429 WALGREENS #9062 2501 61ST ST GALVESTON TX 77551 (409) 744-81524594328 1669499844 WAL-MART PHARMACY 10-0504 6702 SEAWALL BLVD GALVESTON TX 77551 (409) 744-22384522632 1568489607 SAMS PHARMACY 5150 NORTH GARLAND AVENUE GARLAND TX 75040 (972) 530-84964568979 1073550539 SAVON PHARMACY 5710 BROADWAY BLVD GARLAND TX 75043 (972) 240-74384513998 1790714756 TOM THUMB PHARMACY #1783 2645 ARAPAHO GARLAND TX 75044 (972) 495-98154562864 1831128891 TOM THUMB PHARMACY #2561 925 NORTHWEST HWY GARLAND TX 75041 (972) 271-24584508923 1457397077 TOM THUMB PHARMACY #2578 2535 FIREWHEEL PKWY GARLAND TX 75040 (972) 675-17424504026 1841205804 WALGREENS #4267 1902 N JUPITER RD GARLAND TX 75042 (972) 487-64504503997 1932114998 WALGREENS #4340 2614 LAVON DR GARLAND TX 75040 (972) 530-14384502022 1578578522 WALGREENS #4662 3045 BROADWAY BLVD GARLAND TX 75041 (972) 864-16084530778 1942215009 WALGREENS #7586 5950 BROADWAY BLVD GARLAND TX 75043 (972) 303-31914575378 1164449328 WAL-MART PHARMACY 1801 MARKETPLACE DR GARLAND TX 75041 (972) 279-87284516653 1023035151 WAL-MART PHARMACY 3959 BROADWAY BLVD GARLAND TX 75043 (972) 926-61554574542 1760409916 WAL-MART PHARMACY 5302 N GARLAND AVE. GARLAND TX 75044 (972) 495-25154517655 1740209758 WAL-MART PHARMACY 555 WEST I 30 GARLAND TX 75043 (972) 303-54145910092 1154758027 WAL-MART PHARMACY 10-2433 101 W BUCKINGHAM RD GARLAND TX 75040 (469) 304-34275910054 1366870024 WAL-MART PHARMACY 10-4046 1855 S GARLAND AVE GARLAND TX 75043 (972) 535-14294599140 1437268885 HEB PHARMACY 1207 MAIN STREET GATESVILLE TX 76528 (254) 248-17814546252 1427245083 WALGREENS #11274 2735 S HIGHWAY 36 GATESVILLE TX 76528 (254) 865-20894591283 1902823172 WAL-MART PHARMACY 10-0476 2805 S STATE HIGHWAY 36 GATESVILLE TX 76528 (254) 248-11304520993 1730291642 GUS'S DRUG STORE 702 E UNIVERSITY GEORGETOWN TX 78626 (512) 863-25064579162 1679682017 HEB PHARMACY 1101 S IH 35 GEORGETOWN TX 78626 (512) 869-4287

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4520993 1730291642 GUS'S DRUG STORE 702 E UNIVERSITY GEORGETOWN TX 78626 (512) 863-25064579162 1679682017 HEB PHARMACY 1101 S IH 35 GEORGETOWN TX 78626 (512) 869-42874520284 1467561886 HEB PHARMACY 4500 FM 2338 GEORGETOWN TX 78628 (512) 763-12435915852 1891175212 MCCLURE'S COMPOUNDING PHARMACY 105 WILDWOOD DR STE 101 GEORGETOWN TX 78633 (512) 819-98485906601 1831445873 WALGREENS 5317 WILLIAMS DR GEORGETOWN TX 78633 (512) 868-28184551607 1164663787 WALGREENS #12569 1220 W UNIVERSITY AVE GEORGETOWN TX 78628 (512) 863-46714522531 1588679484 WALGREENS #6912 3204 WILLIAMS DR GEORGETOWN TX 78628 (512) 869-01574578994 1629096425 WAL-MART PHARMACY 620 SOUTH IH 35 GEORGETOWN TX 78626 (512) 869-49664581434 1457379281 WAL-MART PHARMACY 10-0473 2374 E AUSTIN ST GIDDINGS TX 78942 (979) 542-05894599087 1982622734 WAL-MART PHARMACY 10-0146 1923 N WOOD ST GILMER TX 75644 (903) 797-62375902095 1578866182 WALKER PHARMACY 402B W UPSHUR GLADEWATER TX 75647 (903) 845-25734548876 1831100320 GLEN ROSE DISCOUNT DRUG 906 N E.BIG BEND TRAIL GLEN ROSE TX 76043 (254) 897-27115905039 1598035651 HEB PHARMACY #641 1841 CHURCH ST GONZALES TX 78629 (830) 672-61514521173 1538203807 MOHRMANN'S DRUG STORE LLC 2405 WINDING WAY DR GONZALES TX 78629 (830) 672-23174593934 1477576544 WAL-MART PHARMACY 10-0290 1114 E SARAH DEWITT DR GONZALES TX 78629 (830) 672-28114548953 1265695266 UNITED PHARMACY 1229 HIGHWAY 16 SOUTH GRAHAM TX 76450 (940) 549-30004501361 1912924010 WAL-MART PHARMACY 10-0353 2121 HWY 16 SOUTH GRAHAM TX 76450 (940) 549-77635903655 1417242926 HEB PHARMACY 3804 E HIGHWAY 377 GRANBURY TX 76049 (817) 579-25124540351 1285655241 PECAN DISCOUNT DRUG 9203 PLANTATION DRIVE, STE 1 GRANBURY TX 76049 (817) 573-9344

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4513001 1205841285 WALGREENS #5921 1050 E HWY 377 GRANBURY TX 76048 (817) 578-31204592285 1366469546 WAL-MART PHARMACY 10-0371 735 E HIGHWAY 377 GRANBURY TX 76048 (817) 573-88644525537 1841217999 SAMS PHARMACY 2325 WEST INTERSTATE 20 GRAND PRAIRIE TX 75052 (972) 660-15274518998 1376580837 SAVON PHARMACY 215 N CARRIER PKWY GRAND PRAIRIE TX 75050 (972) 642-88884576849 1386681716 SAVON PHARMACY 4126 S CARRIER PKWY GRAND PRAIRIE TX 75052 (972) 642-04884517542 1134158199 TOM THUMB PHARMACY #1786 4215 SOUTH CARRIER GRAND PRAIRIE TX 75052 (972) 266-70564597792 1992712905 WALGREENS #3885 507 S CARRIER PKWY GRAND PRAIRIE TX 75051 (972) 237-21214598112 1801803812 WALGREENS #3886 4202 S CARRIER PKWY GRAND PRAIRIE TX 75052 (972) 266-79094529686 1861407926 WALGREENS #7592 802 E PIONEER PKWY GRAND PRAIRIE TX 75051 (972) 262-09844541048 1568409951 WALGREENS #9720 4103 S GREAT SW PKWY GRAND PRAIRIE TX 75052 (972) 602-81564571902 1871510024 WAL-MART PHARMACY 2225 W INTERSTATE 20 GRAND PRAIRIE TX 75052 (972) 660-85004503303 1528097581 MINYARD PHARMACY #76 4000 WILLIAM D TATE GRAPEVINE TX 76051 (817) 684-92114530463 1740207893 SAMS PHARMACY 1701 WEST STATE HIGHWAY 114 GRAPEVINE TX 76051 (817) 416-05614585646 1841222676 TOM THUMB PHARMACY #3625 302 S PARK BLVD GRAPEVINE TX 76051 (817) 481-25984535172 1992710073 WALGREENS #2020 912 W NORTHWEST HWY GRAPEVINE TX 76051 (817) 310-30724568967 1104843341 WAL-MART PHARMACY 10-10266 1601 WEST STATE HIGHWAY 114 GRAPEVINE TX 76051 (817) 488-66824539017 1881609972 WALGREENS #9123 6905 WESLEY ST GREENVILLE TX 75402 (903) 454-72314567624 1578581344 WAL-MART PHARMACY 7401 INTERSTATE HIGHWAY 30 GREENVILLE TX 75402 (903) 454-66465915751 1093109589 WALMART PHARMACY 10-4453 4715 WESLEY ST GREENVILLE TX 75401 (903) 259-52924545654 1285827782 WALGREENS #11275 4746 TWIN CITY HWY GROVES TX 77619 (409) 960-63944586826 1083631253 WAL-MART PHARMACY 10-0516 1200 WEST MAIN GUN BARREL CITY TX 75156 (903) 887-21334574338 1942227194 WAL-MART PHARMACY 1506 NORTH TEXANA HALLETTSVILLE TX 77964 (361) 798-43794501412 1588679534 WALGREENS #4131 4520 WESTERN CENTER BLVD HALTOM CITY TX 76137 (817) 514-80634503923 1023023082 WALGREENS #4437 3301 DENTON HWY HALTOM CITY TX 76117 (817) 222-92474594962 1629187075 HEB PHARMACY 601 INDIAN TRAIL HARKER HEIGHTS TX 76548 (254) 699-88105908908 1033559927 SAM'S PHARMACY 10-6245 600 WEST CENTRAL TEXAS EXPRESSWAY HARKER HEIGHTS TX 76548 (254) 415-48924543559 1013055938 WALGREENS #10730 400 E FM 2410 HARKER HEIGHTS TX 76549 (254) 680-34994534396 1912924077 WAL-MART PHARMACY 2020 HEIGHTS DRIVE HARKER HEIGHTS TX 76548 (254) 699-32225912351 1558779314 WALMART PHARMACY 10-6459 960 E FM 2410 HARKER HEIGHTS TX 76548 (254) 698-6011

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4534396 1912924077 WAL-MART PHARMACY 2020 HEIGHTS DRIVE HARKER HEIGHTS TX 76548 (254) 699-32225912351 1558779314 WALMART PHARMACY 10-6459 960 E FM 2410 HARKER HEIGHTS TX 76548 (254) 698-60115918276 1962861336 AMERICAN SPECIALTY PHARMACY 1113 SOUTH F STREET, STE C HARLINGEN TX 78550 (956) 622-32734597122 1265541247 HEB PHARMACY 1103 MORGAN HARLINGEN TX 78550 (956) 440-17874569539 1154430593 HEB PHARMACY 1213 SOUTH COMMERCE HARLINGEN TX 78550 (956) 425-44234581369 1588773576 HEB PHARMACY 613 S EPWY 83 HARLINGEN TX 78550 (956) 428-96475910888 1851715999 SAM'S CLUB PHARMACY 10-6269 621 N EXPRESSWAY 77 HARLINGEN TX 78550 (956) 507-73055908756 1790123628 WALGREENS 1921 S 77 SUNSHINE STRIP HARLINGEN TX 78550 (956) 365-30354546757 1386827046 WALGREENS #11211 1810 W TYLER AVE HARLINGEN TX 78550 (956) 364-02494502010 1669487617 WALGREENS #4690 1406 E HARRISON HARLINGEN TX 78550 (956) 412-83624575330 1023035276 WAL-MART PHARMACY 10-0595 1801 WEST LINCOLN AVE HARLINGEN TX 78552 (956) 425-77535908047 1780923904 WAL-MART PHARMACY 12550 LESLIE RD HELOTES TX 78023 (210) 507-49824571659 1962429118 WAL-MART PHARMACY 625 HWY 290 EAST HEMPSTEAD TX 77445 (979) 826-33784545212 1205033057 WALGREENS #11212 2126 US HWY 79 S HENDERSON TX 75654 (903) 655-75614581410 1639197460 WAL-MART PHARMACY 10-0165 2121 HWY 79 SOUTH HENDERSON TX 75654 (903) 657-27574548939 1174782825 HEREFORD HEALTH MART PHARMACY 809 S 25 MILE AVE HEREFORD TX 79045 (806) 364-34004510245 1386661494 WAL-MART PHARMACY 300 WEST 15TH STREET HEREFORD TX 79045 (806) 364-44594519990 1114944253 WAL-MART PHARMACY 1035 HICKORY CREEK BLVD HICKORY CREEK/DENTO TX 75065 (940) 321-56865911424 1225455504 WALMART PHARMACY 10-3567 3000 N JACKSON RD HIDALGO TX 78557 (956) 904-4829

19

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4500763 1952316903 WALGREENS #4587 2360 JUSTIN RD HIGHLAND VILLAGE TX 75077 (972) 966-05264546149 1851591713 WAL-MART PHARMACY 3060 FM 407 HIGHLAND VILLAGE TX 75077 (972) 317-19474582816 1538186796 WAL-MART PHARMACY 10-0211 401 COKE STREET HILLSBORO TX 76645 (254) 582-74354501690 1417066820 HEB PHARMACY 609 19TH STREET HONDO TX 78861 (830) 426-53124581422 1548288376 WAL-MART PHARMACY 10-0443 109 22ND STREET HONDO TX 78861 (830) 426-33054547521 1952588469 WALGREENS #11518 14300 HORIZON BLVD HORIZON CITY TX 79928 (915) 852-15615909164 1699114603 WAL-MART PHARMACY 13900 HORIZON BLVD HORIZON CITY TX 79928 (915) 206-62155905584 1588936850 COMMUNITY, A WALGREENS PHARMACY 4101 GREENBRIAR HOUSTON TX 77098 (713) 521-17005914658 1679965396 ECO PHARMACY OF KATY WEST 19255 PARK ROW STE 103 HOUSTON TX 77084 (281) 206-73884525880 1790894111 HEB PHARMACY 10100 BEECHNUT HOUSTON TX 77072 (281) 564-52094528987 1881703213 HEB PHARMACY 10251 KEMPWOOD HOUSTON TX 77043 (713) 996-04494546048 1780872051 HEB PHARMACY 10919 LOUETTA RD HOUSTON TX 77070 (281) 257-46554520804 1639288053 HEB PHARMACY 11815 WESTHEIMER HOUSTON TX 77077 (281) 497-84795900685 1174836886 HEB PHARMACY 12680 W. LAKE HOUSTON PKWY HOUSTON TX 77044 (281) 436-07484517352 1659480077 HEB PHARMACY 1550 FRY ROAD HOUSTON TX 77084 (281) 829-25655904265 1851674436 HEB PHARMACY 1701 WEST ALABAMA ST. HOUSTON TX 77098 (713) 807-72934522682 1710096136 HEB PHARMACY 3111 WOODRIDGE SUITE 500 HOUSTON TX 77087 (713) 847-00714529004 1508975939 HEB PHARMACY 4303 KINGWOOD HOUSTON TX 77339 (281) 361-00834520323 1275642241 HEB PHARMACY 4955 HWY 6 N HOUSTON TX 77084 (281) 463-91484549905 1457501108 HEB PHARMACY 5225A BUFFALO SPEEDWAY HOUSTON TX 77005 (713) 664-34264516259 1578672994 HEB PHARMACY 5895 SAN FELIPE ST HOUSTON TX 77057 (713) 278-84745906904 1760747752 HEB PHARMACY 9503 JONES RD. HOUSTON TX 77065 (281) 894-52374549892 1639329881 HEB PHARMACY 9710 KATY FREEWAY HOUSTON TX 77055 (713) 647-59604538988 1306963699 HEB PHARMACY 9828 BLACKHAWK BLVD HOUSTON TX 77075 (713) 991-13515917490 1700262821 HEB PHARMACY #713 3501 CLEAR LAKE CITY BLVD HOUSTON TX 77059 (210) 938-27134543864 1699814962 J & J PHARMACY 13415 WOODFOREST BLVD HOUSTON TX 77015 (713) 330-44004509862 1164563532 JACINTO PHARMACY INC 10805 MARKET ST RD HOUSTON TX 77029 (713) 455-13615903287 1568755791 LYONS PHARMACY 5602 LYONS AVE HOUSTON TX 77020 (713) 675-96674538774 1821152323 MAIN MEDICAL PLAZA PHARMACY 10019 S MAIN HOUSTON TX 77025 (713) 667-5003

20

5903287 1568755791 LYONS PHARMACY 5602 LYONS AVE HOUSTON TX 77020 (713) 675-96674538774 1821152323 MAIN MEDICAL PLAZA PHARMACY 10019 S MAIN HOUSTON TX 77025 (713) 667-50035908162 1104167774 MCA PHARMACY, LLC 1201 DAIRY ASHFORD, SUITE 200 HOUSTON TX 77079 (713) 482-44445900039 1407182488 MED VALT PHARMACY LLC 9117 STELLA LINK RD HOUSTON TX 77025 (713) 349-98824534663 1326186313 MEDICINE SHOPPE 5910 SCOTT STREET HOUSTON TX 77021 (713) 741-51045908100 1477893733 MEDWORLD PHARMACY INC 12390 KINGSRIDE LN HOUSTON TX 77024 (713) 647-02004551051 1093856726 MERCURY DRIVE PHARMACY 918 MERCURY DR HOUSTON TX 77029 (713) 674-61224537304 1649374612 PAVILION PHARMACY 1740 W 27TH ST HOUSTON TX 77008 (713) 868-16014512984 1629064480 PUBLIC PHARMACY 6510 HILLCROFT ST # STE.100 HOUSTON TX 77081 (713) 663-78004560012 1497784458 RANDALLS PHARMACY #1011 14610 MEMORIAL DRIVE HOUSTON TX 77079 (281) 589-36004560024 1235175019 RANDALLS PHARMACY #1012 5219 FM 1960 WEST HOUSTON TX 77069 (281) 440-98864573449 1740219716 RANDALLS PHARMACY #1041 4800 W BELLFORT HOUSTON TX 77035 (713) 721-00524593857 1245269216 RANDALLS PHARMACY #1061 3131 W HOLCOMBE BLVD HOUSTON TX 77025 (713) 349-21604598441 1881623858 RANDALLS PHARMACY #1066 12850 MEMORIAL DRIVE HOUSTON TX 77024 (713) 365-67044525878 1699711473 RANDALLS PHARMACY #1773 2225 LOUISIANA STREET HOUSTON TX 77002 (713) 331-10534576786 1568491538 RANDALLS PHARMACY #1774 5346 W 34TH STREET HOUSTON TX 77092 (713) 684-05274523266 1972549756 RANDALLS PHARMACY #2672 18322 CLAY ROAD HOUSTON TX 77084 (281) 858-90264560036 1144266925 RANDALLS PHARMACY #2961 9660 WESTHEIMER RD STE B4 HOUSTON TX 77063 (713) 706-37254579516 1003845074 RANDALLS PHARMACY #3048 2075 WESTHEIMER HOUSTON TX 77098 (713) 284-1204

20

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4598453 1699704668 RANDALLS PHARMACY #3067 5161 SAN FELIPE HOUSTON TX 77056 (713) 964-31544571039 1013946086 RANDALLS PHARMACY #4033 5586 WESLAYAN HOUSTON TX 77005 (713) 668-98204590647 1427087493 RANDALLS PHARMACY #4062 2323 CLEAR LAKE BLVD HOUSTON TX 77062 (281) 280-31044519217 1851318992 SAMS PHARMACY 10488 OLD KATY ROAD HOUSTON TX 77043 (713) 468-70474511172 1588681605 SAMS PHARMACY 11101 FUQUA STREET HOUSTON TX 77089 (713) 378-95844510031 1568489672 SAMS PHARMACY 12205 WEST ROAD HOUSTON TX 77065 (281) 807-51944511122 1679590798 SAMS PHARMACY 13600 EAST FREEWAY HOUSTON TX 77015 (713) 330-85814510423 1760409882 SAMS PHARMACY 1615 S LOOP WEST HOUSTON TX 77054 (713) 791-93454510017 1659398766 SAMS PHARMACY 325 EAST RICHEY ROAD HOUSTON TX 77073 (281) 821-10964524511 1396762449 SAMS PHARMACY 5310 SOUTH RICE AVENUE HOUSTON TX 77081 (832) 778-98074519192 1942227087 SAMS PHARMACY 7950 FM 1960 HOUSTON TX 77070 (832) 237-82984510396 1396763058 SAMS PHARMACY 10-6346 13331 WESTHEIMER RD HOUSTON TX 77082 (281) 829-91215915511 1588041602 SENA RX PHARMACY, INC. 5050 FM 1960 RD W STE 125 HOUSTON TX 77069 (281) 440-00184554487 1538496443 SOUTHSIDE PHARMACY 3 7700 MAIN ST STE 260 HOUSTON TX 77030 (832) 553-13745902413 1396041802 SOUTHSIDE PHARMACY II 1200 BINZ ST STE 260 HOUSTON TX 77004 (832) 553-13155911967 1518370808 TEXAS UNICARE PHARMACY 2424 W HOLCOMBE BLVD STE 101 HOUSTON TX 77030 (832) 834-32225911917 1811308950 VILLAGE FAMILY PHARMACY 9055 KATY FWY STE 101 HOUSTON TX 77024 (713) 373-33005914026 1740678184 VINTAGE PHARMACY PLUS 11550 LOUETTA RD. HOUSTON TX 77070 (281) 251-39114555883 1134134232 WALGREENS 105 WEST RD HOUSTON TX 77037 (281) 445-13084589707 1861409872 WALGREENS 107 W RANKIN RD HOUSTON TX 77090 (281) 872-06124586220 1164439162 WALGREENS 10997 FUQUA ST HOUSTON TX 77089 (713) 943-92895901093 1386951226 WALGREENS 11445 COMPAQ CENTER DRIVE WEST HOUSTON TX 77070 (281) 251-23844577423 1093720005 WALGREENS 12097 VETERANS MEMORIAL DR HOUSTON TX 77067 (281) 444-63044567345 1346255346 WALGREENS 1215 W 43RD ST HOUSTON TX 77018 (713) 956-18274557356 1902813900 WALGREENS 12550 WESTHEIMER RD HOUSTON TX 77077 (281) 870-11305906219 1851652259 WALGREENS 1315 ST JOSEPH PKWY HOUSTON TX 77002 (713) 658-00224557382 1710992714 WALGREENS 16185 SPACE CENTER BLVD HOUSTON TX 77062 (281) 486-18724549931 1194732164 WALGREENS 1710 N FRY ROAD HOUSTON TX 77084 (281) 492-70335906978 1811247646 WALGREENS 18400 KATY FWY STE 100 HOUSTON TX 77094 (281) 578-8884

21

4549931 1194732164 WALGREENS 1710 N FRY ROAD HOUSTON TX 77084 (281) 492-70335906978 1811247646 WALGREENS 18400 KATY FWY STE 100 HOUSTON TX 77094 (281) 578-88844502907 1679588636 WALGREENS 1919 W GRAY ST HOUSTON TX 77019 (713) 526-36214557015 1205843208 WALGREENS 3317 MONTROSE BLVD HOUSTON TX 77006 (713) 520-77774510613 1942215926 WALGREENS 3403 MANGUM RD HOUSTON TX 77092 (713) 683-81254510132 1497760474 WALGREENS 390 EDGEBROOK DRIVE HOUSTON TX 77034 (713) 943-18104557318 1275548273 WALGREENS 3900 REVEILLE ST HOUSTON TX 77087 (713) 644-18484502161 1184631103 WALGREENS 4841 MOUNT HOUSTON RD HOUSTON TX 77093 (281) 442-63924549652 1477560449 WALGREENS 4995 HIGHWAY 6 NORTH HOUSTON TX 77084 (281) 463-63584509329 1598772493 WALGREENS 5003 FM 1960 RD W HOUSTON TX 77069 (281) 440-16044502058 1275540296 WALGREENS 530 W LITTLE YORK RD HOUSTON TX 77091 (281) 448-63644561583 1265447262 WALGREENS 6600 AIRLINE DR HOUSTON TX 77076 (713) 699-51574500787 1861407819 WALGREENS 6610 TIDWELL RD HOUSTON TX 77016 (713) 633-22304563878 1083629083 WALGREENS 6768 HIGHWAY 6 SOUTH HOUSTON TX 77083 (281) 530-97684500838 1306851357 WALGREENS 6895 GRIGGS RD HOUSTON TX 77023 (713) 921-21664553598 1598770695 WALGREENS 6926 ANTOINE DR HOUSTON TX 77091 (713) 957-81854500799 1770598724 WALGREENS 8590 LONG POINT RD HOUSTON TX 77055 (713) 468-78134557332 1992710990 WALGREENS 9150 S DAIRY ASHFORD ST HOUSTON TX 77099 (281) 498-37344552192 1235144338 WALGREENS 9450 HAMMERLY BLVD HOUSTON TX 77080 (713) 468-4018

21

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4520171 1376550251 WALGREENS 9600 WESTHEIMER HOUSTON TX 77063 (713) 952-99164540224 1053326140 WALGREENS #10259 10660 EASTEX FWY HOUSTON TX 77093 (713) 691-42504539853 1144235235 WALGREENS #10522 7777 SOUTHWEST FWY STE 104 HOUSTON TX 77074 (713) 270-06324546214 1063609568 WALGREENS #10818 7929 KIRBY DR HOUSTON TX 77054 (713) 383-02924543927 1225230840 WALGREENS #10846 6400 FANNIN HOUSTON TX 77030 (713) 799-24594543016 1083789796 WALGREENS #10847 7400 FANNIN HOUSTON TX 77030 (713) 795-41114543028 1275601650 WALGREENS #10848 7900 FANNIN HOUSTON TX 77054 (713) 791-94264545438 1134319577 WALGREENS #11216 11914 ASTORIA BLVD HOUSTON TX 77089 (281) 481-24344500826 1497760441 WALGREENS #11465 3822 OLD SPANISH TRL HOUSTON TX 77023 (713) 741-73234548028 1023291150 WALGREENS #11752 915 GESSNER RD HOUSTON TX 77024 (713) 827-01464549525 1649427766 WALGREENS #11854 1301 NASA PARKWAY HOUSTON TX 77058 (281) 990-80244500802 1689689630 WALGREENS #12015 747 E CROSSTIMBERS ST HOUSTON TX 77022 (713) 695-24274588452 1194730119 WALGREENS #12069 2221 FULTON ST HOUSTON TX 77009 (713) 221-17744551342 1376782508 WALGREENS #12377 13631 TIDWELL AVE HOUSTON TX 77044 (281) 810-52044548179 1992973291 WALGREENS #13142 929 GESSNER RD STE 100 HOUSTON TX 77024 (713) 468-40404554273 1225363054 WALGREENS #13778 6624 FANNIN ST STE 120 HOUSTON TX 77030 (713) 795-01994567395 1073528071 WALGREENS #13786 200 W 20TH ST HOUSTON TX 77008 (713) 861-21615903299 1811297187 WALGREENS #15086 6560 FANNIN ST HOUSTON TX 77030 (713) 797-14104540971 1013924075 WALGREENS #15277 1415 CALIFORNIA ST STE 100 HOUSTON TX 77006 (713) 807-71544567383 1164437166 WALGREENS #1580 6730 HILLCROFT ST HOUSTON TX 77081 (713) 988-64074567410 1790790798 WALGREENS #1583 9329 KATY FREEWAY HOUSTON TX 77024 (713) 461-36074567408 1982619987 WALGREENS #16293 3745 WESTHEIMER RD HOUSTON TX 77027 (713) 629-07034537051 1265447353 WALGREENS #1953 8800 RICHMOND AVE HOUSTON TX 77063 (713) 784-81304539322 1235144320 WALGREENS #2116 6107 HIGHWAY 6 N HOUSTON TX 77084 (281) 856-82934529888 1497760557 WALGREENS #2428 2717 FM 1960 RD HOUSTON TX 77073 (281) 443-25914585406 1275548281 WALGREENS #2686 1515 LOCKWOOD DR HOUSTON TX 77020 (713) 674-74654589719 1558376574 WALGREENS #2809 220 SOUTH WAYSIDE HOUSTON TX 77011 (713) 924-69634590281 1376558395 WALGREENS #2844 5202 ALMEDA HOUSTON TX 77004 (713) 529-59224533813 1548275621 WALGREENS #2862 14531 WESTHEIMER RD HOUSTON TX 77077 (832) 379-0541

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4590281 1376558395 WALGREENS #2844 5202 ALMEDA HOUSTON TX 77004 (713) 529-59224533813 1548275621 WALGREENS #2862 14531 WESTHEIMER RD HOUSTON TX 77077 (832) 379-05414588779 1912912932 WALGREENS #2981 8106 MLKING BLVD HOUSTON TX 77033 (713) 738-80784590748 1497762405 WALGREENS #3160 6280 BARKER CYPRESS HOUSTON TX 77084 (281) 859-48984594683 1275548299 WALGREENS #3198 7634 BELLAIRE BLVD HOUSTON TX 77036 (713) 774-21804598679 1710994728 WALGREENS #3328 12850 MEMORIAL DRIVE HOUSTON TX 77024 (713) 722-72474592336 1902811920 WALGREENS #3370 13714 TOMBALL PKWY HOUSTON TX 77086 (281) 448-70054534459 1558377903 WALGREENS #3691 20500 FM 529 HOUSTON TX 77433 (281) 859-21064532835 1740295807 WALGREENS #4021 8808 ANTOINE DR HOUSTON TX 77088 (281) 272-25924598287 1194730127 WALGREENS #4027 5200 WESTHEIMER HOUSTON TX 77056 (713) 623-06434533077 1558376616 WALGREENS #4105 12611 S GESSNER DR HOUSTON TX 77071 (713) 266-18534599417 1629085634 WALGREENS #4114 510 CHIMNEY ROCK ROAD HOUSTON TX 77056 (713) 781-44404567268 1366459364 WALGREENS #4161 8206 HIGHWAY 6 NORTH HOUSTON TX 77095 (281) 550-21694500888 1134136153 WALGREENS #4316 10800 S POST OAK RD HOUSTON TX 77035 (713) 723-47744502262 1306853346 WALGREENS #4328 8413 STELLA LINK HOUSTON TX 77025 (713) 666-80574561797 1174538177 WALGREENS #4396 10850 SCARSDALE BLVD HOUSTON TX 77089 (281) 484-61184557267 1689689788 WALGREENS #4513 1403 FM 1960 W HOUSTON TX 77090 (281) 444-12014557344 1093722092 WALGREENS #4514 8535 S BRAESWOOD BLVD HOUSTON TX 77071 (713) 988-87644506183 1942217831 WALGREENS #4515 6520WESTHEIMER RD HOUSTON TX 77057 (713) 781-4314

22

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4504393 1477560415 WALGREENS #4538 1180 CLEAR LAKE CITY BLVD HOUSTON TX 77062 (281) 218-01844501739 1023023074 WALGREENS #4605 9200 CULLEN BLVD HOUSTON TX 77051 (713) 733-24064567333 1437164431 WALGREENS #4647 388 UVALDE RD HOUSTON TX 77015 (713) 455-99444506436 1568479459 WALGREENS #4745 5280 BUFFALO SPEEDWAY HOUSTON TX 77005 (713) 838-77044500915 1770590796 WALGREENS #489 5560 WESLAYAN HOUSTON TX 77005 (713) 667-93494547153 1154336253 WALGREENS #4927 6675 W BELLFORT ST HOUSTON TX 77035 (713) 728-12024502832 1760497721 WALGREENS #5035 8301 BROADWAY ST HOUSTON TX 77061 (713) 641-03894567369 1275540270 WALGREENS #5085 10965 FM 1960 RD W HOUSTON TX 77070 (281) 890-33464567434 1609881606 WALGREENS #5094 14616 MEMORIAL DR HOUSTON TX 77079 (281) 493-30434508149 1386651271 WALGREENS #5101 11220 LOUETTA RD HOUSTON TX 77070 (281) 376-98464516336 1477560357 WALGREENS #5313 1506 ELDRIDGE PKWY HOUSTON TX 77077 (281) 558-45654509088 1083620470 WALGREENS #5314 9375 VETERANS MEMORIAL DR HOUSTON TX 77088 (281) 591-14304567357 1255346250 WALGREENS #5390 8300 WILCREST DR HOUSTON TX 77072 (281) 530-62104509278 1881601771 WALGREENS #5423 1413 WIRT RD HOUSTON TX 77055 (713) 467-45854502779 1033124094 WALGREENS #553 5300 N BRAESWOOD HOUSTON TX 77096 (713) 721-15164511603 1821005745 WALGREENS #5536 2808 N GESSNER HOUSTON TX 77080 (713) 460-05354500751 1225045248 WALGREENS #5709 16590 EL CAMINO REAL HOUSTON TX 77062 (281) 488-34244514015 1487669461 WALGREENS #5834 12445 FM 1960 RD W HOUSTON TX 77065 (281) 477-37924519229 1649287525 WALGREENS #5871 1838 S KIRKWOOD RD HOUSTON TX 77077 (281) 759-93474515500 1740297621 WALGREENS #5965 9350 HIGHWAY 6 HOUSTON TX 77083 (281) 575-18394517225 1023023918 WALGREENS #6148 3833 FM 1960 W HOUSTON TX 77068 (281) 866-96744514938 1104831189 WALGREENS #6182 15111 WALLISVILLE RD HOUSTON TX 77049 (281) 458-63424517047 1487669479 WALGREENS #6401 8942 W SAM HOUSTON PKWY N HOUSTON TX 77040 (832) 237-53744522454 1326055203 WALGREENS #6643 6360 SAN FELIPE ST HOUSTON TX 77057 (713) 278-26164519584 1558378430 WALGREENS #6857 950 STUDEMONT ST HOUSTON TX 77007 (713) 863-76634528937 1447267356 WALGREENS #6909 4007 BARKER CYPRESS RD HOUSTON TX 77084 (281) 550-98044524167 1679580567 WALGREENS #7071 13196 BELLAIRE BLVD HOUSTON TX 77072 (281) 530-49184523949 1932114832 WALGREENS #7213 16244 S POST OAK RD HOUSTON TX 77053 (281) 835-34204557027 1861407967 WALGREENS #7251 11038 WESTHEIMER RD HOUSTON TX 77042 (713) 789-4847

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4523949 1932114832 WALGREENS #7213 16244 S POST OAK RD HOUSTON TX 77053 (281) 835-34204557027 1861407967 WALGREENS #7251 11038 WESTHEIMER RD HOUSTON TX 77042 (713) 789-48474527694 1043225949 WALGREENS #7289 500 MAXEY RD HOUSTON TX 77013 (713) 330-45524527048 1851308761 WALGREENS #7348 8910 JONES RD HOUSTON TX 77065 (281) 955-24804528696 1629085535 WALGREENS #7381 17150 FM 529 HOUSTON TX 77095 (281) 345-93334535918 1619982790 WALGREENS #7492 6402 FM 1960 RD W HOUSTON TX 77069 (281) 631-97364583995 1437166436 WALGREENS #7530 1770 W T C JESTER BLVD HOUSTON TX 77008 (713) 864-51964530475 1215942370 WALGREENS #7722 11994 RICHMOND AVE HOUSTON TX 77082 (281) 556-59184532075 1487669545 WALGREENS #7725 14625 FM 529 HOUSTON TX 77095 (281) 463-90884534170 1457366536 WALGREENS #7773 12959 ALDINE WESTFIELD RD HOUSTON TX 77039 (281) 442-36044535932 1528073608 WALGREENS #9002 6320 N ELDRIDGE PKWY HOUSTON TX 77041 (713) 937-94634531453 1255478699 WALGREENS #9163 9885 BLACKHAWK BLVD HOUSTON TX 77075 (713) 991-27524532481 1104831262 WALGREENS #9291 12702 BAMMEL NORTH HOUSTON HOUSTON TX 77066 (281) 587-18394531299 1932114097 WALGREENS #9293 9733 BUFFALO SPEEDWAY HOUSTON TX 77025 (713) 218-78564539029 1699780783 WALGREENS #9294 415 SHEPHERD DR HOUSTON TX 77007 (713) 868-15204536023 1346255429 WALGREENS #9471 5501 WEST OREM DR HOUSTON TX 77085 (713) 728-94064538128 1518972603 WALGREENS #9473 12300 JONES RD HOUSTON TX 77070 (281) 955-56194539334 1184631145 WALGREENS #9696 2605 W HOLCOMBE BLVD HOUSTON TX 77025 (832) 778-81064540349 1871508960 WALGREENS #9808 2612 SMITH ST HOUSTON TX 77006 (713) 529-2969

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4578538 1710905518 WAL-MART PHARMACY 10411 N FREEWAY 45 HOUSTON TX 77037 (281) 999-99634580103 1871510032 WAL-MART PHARMACY 10750 WESTVIEW DRIVE HOUSTON TX 77043 (713) 984-80355906877 1528317344 WAL-MART PHARMACY 111 YALE ST HOUSTON TX 77007 (713) 860-07075902641 1083911333 WAL-MART PHARMACY 1118 SIBLER RD HOUSTON TX 77055 (713) 797-24224521109 1932127628 WAL-MART PHARMACY 11242 SOUTH GESSNER ROAD HOUSTON TX 77071 (713) 771-83164521060 1487671525 WAL-MART PHARMACY 11755 BEECHNUT STREET HOUSTON TX 77072 (832) 328-16534519813 1396762431 WAL-MART PHARMACY 12353 FM 1960 WEST HOUSTON TX 77065 (832) 912-73315904570 1053688556 WAL-MART PHARMACY 13003 TOMBALL PKWY HOUSTON TX 77086 (281) 668-28834593679 1841217023 WAL-MART PHARMACY 13484 NORTHWEST FREEWAY HOUSTON TX 77040 (713) 690-69664576053 1326066135 WAL-MART PHARMACY 13750 I-10 EAST HOUSTON TX 77015 (713) 453-23164574388 1851318000 WAL-MART PHARMACY 15955 FM 529 ROAD HOUSTON TX 77095 (281) 855-13054521111 1104843242 WAL-MART PHARMACY 2700 SOUTH KIRKWOOD DRIVE HOUSTON TX 77077 (281) 558-57034592158 1811914096 WAL-MART PHARMACY 2727 DUNVALE ROAD HOUSTON TX 77063 (713) 977-25704574883 1588681738 WAL-MART PHARMACY 3450 FM 1960 WEST HOUSTON TX 77068 (281) 440-07415901144 1679880637 WAL-MART PHARMACY 4412 NORTH FWY HOUSTON TX 77022 (713) 300-05184519801 1588681621 WAL-MART PHARMACY 4810 HWY 6 NORTH HOUSTON TX 77084 (281) 859-68504524991 1023035177 WAL-MART PHARMACY 5655 EAST SAM HOUSTON PKWY N HOUSTON TX 77015 (713) 450-36814548232 1710163167 WAL-MART PHARMACY 6060 NORTH FRY ROAD HOUSTON TX 77449 (281) 550-98004538356 1184641243 WAL-MART PHARMACY 9460 W SAM HOUSTON PKWY S HOUSTON TX 77099 (281) 568-31344510118 1477570588 WAL-MART PHARMACY 9555 SO POST OAK ROAD HOUSTON TX 77096 (713) 551-91544539827 1023035250 WAL-MART PHARMACY 9598 ROWLETT ROAD HOUSTON TX 77075 (832) 386-01604527000 1639198641 WAL-MART PHARMACY 9700 HILLCROFT STREET HOUSTON TX 77096 (713) 283-74374569630 1386661528 WAL-MART PHARMACY 10-0772 3506 S HWY 6 SOUTH HOUSTON TX 77082 (281) 561-08465915434 1205220787 WALMART PHARMACY 10-3584 5405 S RICE AVE HOUSTON TX 77081 (713) 860-92455910129 1528495496 WALMART PHARMACY 10-5612 2391 S WAYSIDE DR HOUSTON TX 77023 (713) 300-36625903631 1467740654 WESTLAKE PHARMACY 255 WESTLAKE PARK BLVD STE 200 HOUSTON TX 77079 (281) 496-17514598617 1093875254 WESTVIEW PHARMACY 2323 WIRT RD HOUSTON TX 77055 (713) 365-93934550908 1689810103 WALGREENS #12356 130 N OAKRIDGE DR HUDSON OAKS TX 76087 (817) 594-71144536908 1811914971 WAL-MART PHARMACY 2801 EAST INTERSTATE 20 HUDSON OAKS TX 76087 (817) 599-3750

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4550908 1689810103 WALGREENS #12356 130 N OAKRIDGE DR HUDSON OAKS TX 76087 (817) 594-71144536908 1811914971 WAL-MART PHARMACY 2801 EAST INTERSTATE 20 HUDSON OAKS TX 76087 (817) 599-37505911688 1619388345 GREATER TEXAS PHARMACY 1485 FM 1960 BYPASS RD E HUMBLE TX 77338 (832) 644-98954521779 1275642696 HEB PHARMACY 7405 FM 1960 EAST HUMBLE TX 77346 (281) 812-47294515928 1760409890 SAMS PHARMACY 9665 FM 1960 BYPASS HUMBLE TX 77338 (281) 540-70164589961 1467467480 WALGREENS 7440 FM 1960 RD E HUMBLE TX 77346 (281) 852-80884547711 1922015981 WALGREENS #496 19639 EASTEX FRWY HUMBLE TX 77338 (281) 446-10064532063 1578578639 WALGREENS #7681 8505 FM 1960 W HUMBLE TX 77338 (281) 446-42094537708 1164437257 WALGREENS #9203 9510 N SAM HOUSTON PKWY E HUMBLE TX 77396 (281) 454-52144538281 1275540239 WALGREENS #9601 3755 ATASCOCITA RD HUMBLE TX 77396 (281) 812-47784544905 1518175421 WAL-MART PHARMACY 9235 NORTH SAM HOUSTON PKWY E HUMBLE TX 77396 (281) 441-26704586369 1174540348 WAL-MART PHARMACY 9451 FM 1960 BYPASS HUMBLE TX 77338 (281) 540-88614587842 1437176609 WAL-MART PHARMACY 10-0744 6626 FM 1960 EAST HUMBLE TX 77346 (281) 852-44665913668 1043613847 WALMART PHARMACY 10-7309 12312 WILL CLAYTON PKWY HUMBLE TX 77346 (281) 318-21075917010 1821468273 WELLCARE SPECIALTY PHARMACY, LLC 18321 W LAKE HOUSTON PKWY STE 280 HUMBLE TX 77346 (281) 973-47314596029 1215973680 MCNEASE DRUGS 103 MEDICAL PARK LANE HUNTSVILLE TX 77340 (936) 293-83334558992 1538174537 WALGREENS #4999 1570 11TH ST HUNTSVILLE TX 77340 (936) 291-67644578576 1235156498 WAL-MART PHARMACY 10-0285 141 INTERSTATE 45 S HUNTSVILLE TX 77340 (936) 295-30415909049 1124469945 MIDCITIES PHARMACY 2000 PRECINCT LINE RD STE 102 HURST TX 76054 (817) 605-3500

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4557116 1508802380 TOM THUMB PHARMACY #2609 612 GRAPEVINE HWY HURST TX 76054 (817) 281-04564505840 1831104892 WALGREENS #4132 780 W BEDFORD EULESS HURST TX 76053 (817) 282-03084528723 1295752343 WAL-MART PHARMACY 1732 PRECINCT LINE ROAD HURST TX 76054 (817) 503-77315918187 1710357942 WALMART PHARMACY 10-7347 720 W PIPELINE RD HURST TX 76053 (817) 799-35254549094 1548424906 WALGREENS #11566 119 ED SCHMIDT BLVD HUTTO TX 78634 (512) 759-37394536807 1225199292 JERRYS PHARMACY 2793 MAIN ST INGLESIDE TX 78362 (361) 776-25774500155 1184639783 IOWA PARK PHARMACY 405 SE ACCESS RD IOWA PARK TX 76367 (940) 592-27314506549 1376647339 BROWNS PHARMACY 2021 N MCARTHUR IRVING TX 75061 (972) 254-81564504610 1477630333 MINYARD PHARMACY 2200 W SHADY GROVE IRVING TX 75060 (972) 790-37535906738 1144586207 PHARMACIA SANA 1901 W IRVING BLVD STE 101 IRVING TX 75061 (469) 647-52914517097 1518985209 SAMS PHARMACY 1213 MARKET PLACE BLVD IRVING TX 75063 (972) 401-02304567155 1659300614 TOM THUMB PHARMACY #2559 3535 BELTLINE ROAD IRVING TX 75062 (972) 255-71664583870 1730118704 TOM THUMB PHARMACY #3621 4010 N MACARTHUR SUITE 10 IRVING TX 75038 (972) 650-20904598150 1386659316 WALGREENS #3847 5310 MACARTHUR IRVING TX 75038 (972) 753-65064598465 1003821034 WALGREENS #3921 10001 N MACARTHUR BLVD IRVING TX 75063 (972) 501-92024598643 1730194762 WALGREENS #4054 1050 W SHADY GROVE RD IRVING TX 75060 (972) 254-03054503466 1205841269 WALGREENS #4746 3400 N BELTLINE RD IRVING TX 75061 (972) 594-16484527050 1760499677 WALGREENS #7354 1330 BELTLINE RD IRVING TX 75061 (469) 417-03584511451 1336167097 WAL-MART PHARMACY 1635 MARKET PLACE BLVD IRVING TX 75063 (214) 574-45224572245 1316964562 WAL-MART PHARMACY 4100 WEST AIRPORT FREEWAY IRVING TX 75061 (972) 313-07015913339 1669876306 WALMART PHARMACY 10-2345 721 DALE EVANS DR ITALY TX 76651 (972) 483-12584549385 1699780791 WALGREENS 11107 MARKET ST JACINTO CITY TX 77029 (713) 451-90054585850 1447277611 WAL-MART PHARMACY 10-0180 1311 SOUTH JACKSON JACKSONVILLE TX 75766 (903) 586-11644529410 1134134042 WALGREENS #7638 1250 S WHEELER ST JASPER TX 75951 (409) 381-83964591889 1184641359 WAL-MART PHARMACY 10-0214 800 WEST GIBSON JASPER TX 75951 (409) 384-71084553651 1801026638 JOHNSON CITY PHARMACY 405 HWY 281 SOUTH JOHNSON CITY TX 78636 (830) 868-71854540200 1699814483 JOSHUA PHARMACY 504 NORTH BROADWAY JOSHUA TX 76058 (817) 295-85314524422 1780624569 CITY PHARMACY OF JUNCTION 1610 MAIN ST JUNCTION TX 76849 (325) 446-25114559259 1770647497 JUSTIN FAMILY PHARMACY 120 W 4TH ST JUSTIN TX 76247 (940) 648-2222

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4524422 1780624569 CITY PHARMACY OF JUNCTION 1610 MAIN ST JUNCTION TX 76849 (325) 446-25114559259 1770647497 JUSTIN FAMILY PHARMACY 120 W 4TH ST JUSTIN TX 76247 (940) 648-22224559172 1841375136 JAYS CITY PHARMACY 214 E CALVERT AVE KARNES CITY TX 78118 (830) 780-22245917868 1245695055 CARECOM PHARMACY & COMPOUNDING 6630 FM 1463 ROAD. SUITE 400- A KATY TX 77494 (832) 437-33974504305 1679584254 FULTON PHARMACY 1331 W GRAND PKWY N STE 111 KATY TX 77493 (832) 437-84255918707 1043674518 GREENBUSCH PHARMACY 25757 WESTHEIMER PKWY STE 150 KATY TX 77494 (832) 437-11304517770 1477662898 HEB PHARMACY 1621 MASON ROAD KATY TX 77450 (281) 599-09585900243 1427378264 HEB PHARMACY 25675 NELSON WAY KATY TX 77494 (281) 574-18044541719 1073613394 HEB PHARMACY 6711 SOUTH FRY RD KATY TX 77449 (281) 392-11884565997 1740219708 RANDALLS PHARMACY #1772 3050 FRY ROAD KATY TX 77449 (281) 578-37244523254 1982640769 RANDALLS PHARMACY #2671 525 SOUTH FRY ROAD KATY TX 77450 (281) 579-12704565098 1720015704 RANDALLS PHARMACY #3070 1525 S MASON ROAD KATY TX 77450 (281) 578-96174522745 1003833146 SAMS PHARMACY 20424 KATY FREEWAY KATY TX 77449 (281) 578-55935912957 1215339445 WALGREENS 9423 SPRING GREEN BLVD KATY TX 77494 (281) 712-40844553790 1548493646 WALGREENS #13062 25620 KINGSLAND BLVD KATY TX 77494 (281) 371-23604537114 1891700985 WALGREENS #4078 5161 FRANZ RD KATY TX 77493 (281) 391-34104569882 1194730101 WALGREENS #4696 411 S MASON RD KATY TX 77450 (281) 579-09104506222 1851308746 WALGREENS #4839 2010 S FRY RD KATY TX 77450 (281) 398-96284507541 1124034582 WALGREENS #5100 22202 WESTHEIMER PKWY KATY TX 77450 (281) 693-6808

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4525676 1598770497 WALGREENS #7019 3120 N FRY RD KATY TX 77449 (281) 829-50804533089 1467467522 WALGREENS #7491 6802 S FRY RD KATY TX 77494 (281) 392-00774517922 1295752327 WAL-MART PHARMACY 25108 MARKET PLACE DRIVE KATY TX 77494 (281) 644-64124567030 1912924143 WAL-MART PHARMACY 10-0768 1313 FRY ROAD KATY TX 77449 (281) 578-12725916450 1861878084 WALMART PHARMACY 10-4468 20903 HIGHLAND KNOLLS DR KATY TX 77450 (832) 772-99705914393 1417348608 WALMART PHARMACY 10-7310 24919 WESTHEIMER PKWY KATY TX 77494 (281) 769-42105910977 1851715569 WALMART PHARMACY 10-4164 300 KINGS FORT PARKWAY KAUFMAN TX 75142 (469) 595-70764511184 1255360210 TOM THUMB PHARMACY #1780 1000 KELLER PARKWAY KELLER TX 76248 (817) 337-80404513568 1841205820 WALGREENS #5476 1470 FM 1709 KELLER TX 76244 (817) 431-53054532847 1568477628 WALGREENS #7112 4500 N TARRANT PKWY KELLER TX 76248 (817) 485-25474551152 1407094501 WALGREENS #9224 4324 GOLDEN TRIANGLE BLVD KELLER TX 76248 (817) 431-06164518253 1740207877 WAL-MART PHARMACY 2130 RUF SNOW DRIVE KELLER TX 76248 (817) 427-92374538077 1609881796 WALGREENS #9604 156 FM 518 KEMAH TX 77565 (281) 538-39894521919 1831116979 WAL-MART PHARMACY 255 FM 518 KEMAH TX 77565 (281) 538-99785911816 1881014314 HEB PHARMACY 107 N. SUNSET STRIP KENEDY TX 78119 (830) 583-91554550592 1265525950 THE PRESCRIPTION SHOP 143 CRAIG ST KENEDY TX 78119 (830) 583-96524598530 1073531828 WALMART PHARMACY 100524 200 BUSINESS PARK DR KENEDY TX 78119 (830) 583-98324548256 1851591200 KERMIT PHARMACY 810 MYER LANE KERMIT TX 79745 (432) 586-25564565290 1982713319 HEB PHARMACY 300 MAIN STREET KERRVILLE TX 78028 (830) 896-02275904164 1134402720 HEB PHARMACY 313 SIDNEY BAKER SOUTH KERRVILLE TX 78028 (830) 792-54654524624 1972595486 KERRVILLE DRUG COMPANY 1050 JUNCTION HWY KERRVILLE TX 78028 (830) 895-37845913199 1790180800 MEDICAL ARTS PHARMACY 200 WESLEY DR KERRVILLE TX 78028 (830) 896-01674596625 1578578506 WALGREENS #3730 628 JEFFERSON ST KERRVILLE TX 78028 (830) 792-65574594330 1578580759 WAL-MART PHARMACY 10-0508 1216 JUNCTION HWY KERRVILLE TX 78028 (830) 896-55114547886 1821268731 WALGREENS #11130 3802 E ELMS RD KILEEN TX 76542 (254) 680-40094545414 1295925741 WALGREENS #11175 701 US HWY 259 N KILGORE TX 75662 (903) 983-28924565644 1497773261 WAL-MART PHARMACY 10-0572 1201 STONE STREET KILGORE TX 75662 (903) 983-10564528608 1245349679 HEB PHARMACY 2511 TRIMMIER RD KILLEEN TX 76541 (254) 634-23704545957 1245426600 WALGREENS #10711 1000 E CENTRAL TEXAS EXPY KILLEEN TX 76541 (254) 526-4258

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4528608 1245349679 HEB PHARMACY 2511 TRIMMIER RD KILLEEN TX 76541 (254) 634-23704545957 1245426600 WALGREENS #10711 1000 E CENTRAL TEXAS EXPY KILLEEN TX 76541 (254) 526-42584570328 1003833245 WAL-MART PHARMACY 10-0407 1400 LOWES BLVD KILLEEN TX 76542 (254) 526-44335917539 1841662970 WALMART PHARMACY 10-3449 3801 W STAN SCHLUETER LOOP KILLEEN TX 76549 (254) 669-61335918529 1346600657 WALMART PHARMACY 10-3450 2900 CLEAR CREEK ROAD KILLEEN TX 76549 (254) 669-68085914456 1326439134 WALMART PHARMACY 10-6286 3404 W STAN SCHLUETER LOOP KILLEEN TX 76549 (254) 669-61694567674 1649326208 KINGSLAND HEALTH MART 306 RANCH ROAD 2900 KINGSLAND TX 78639 (325) 388-45934558702 1720197155 HEB PHARMACY 409 E KLEBERG KINGSVILLE TX 78363 (361) 595-56414535196 1801801980 WALGREENS #3917 922 E KING AVE KINGSVILLE TX 78363 (361) 221-97144576116 1720006521 WAL-MART PHARMACY 10-0442 1133 GENERAL CAVAZOS BLVD KINGSVILLE TX 78363 (361) 595-54404587703 1558390526 RANDALLS PHARMACY #1057 4540 KINGWOOD DRIVE KINGWOOD TX 77345 (281) 360-18884572459 1831128800 RANDALLS PHARMACY #1776 600 KINGWOOD DRIVE KINGWOOD TX 77339 (281) 358-00114572308 1528075520 WALGREENS #4840 2240 NORTH PARK DR KINGWOOD TX 77339 (281) 358-54584568828 1891702890 WALGREENS #5671 4445 KINGWOOD DR KINGWOOD TX 77339 (281) 360-46944537328 1346255437 WALGREENS #9700 1210 KINGWOOD DR KINGWOOD TX 77339 (281) 312-63214524446 1588681639 WAL-MART PHARMACY 2165 NORTHPARK DRIVE KINGWOOD TX 77339 (281) 358-56504544791 1528277464 HEB PHARMACY 5401 SOUTH FM 1626 KYLE TX 78640 (512) 268-79555906598 1821344862 WALGREENS 6205 FM 2770 KYLE TX 78640 (512) 268-20404553144 1932339637 WALGREENS #12517 5781 KYLE PKWY KYLE TX 78640 (512) 268-5749

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5914545 1649661695 WALMART PHARMACY 5754 KYLE PARKWAY KYLE TX 78640 (512) 268-04124569591 1255359022 WAL-MART PHARMACY 10-0846 1915 W STATE HWY 71 LA GRANGE TX 78945 (979) 968-84654514231 1245258904 SAMS PHARMACY 6614 GULF FREEWAY LA MARQUE TX 77568 (409) 978-24564501068 1679588628 WALGREENS #5833 1801 FM 1765 LA MARQUE TX 77568 (409) 938-72644583515 1639197478 WAL-MART PHARMACY 10-0529 6410 INTERSTATE 45 LA MARQUE TX 77568 (409) 986-77264529460 1013934165 WAL-MART PHARMACY 9025 SPENCER HIGHWAY LA PORTE TX 77571 (281) 479-93644599253 1932216199 HEB PHARMACY 450 E TRAVIS LAGRANGE TX 78945 (979) 968-86775914557 1306243035 HEB PHARMACY 97 OYSTER CREEK DR. LAKE JACKSON TX 77566 (979) 299-01054589264 1730194754 WALGREENS #2954 131 OYSTER CREEK DR LAKE JACKSON TX 77566 (979) 292-03284570330 1912924150 WAL-MART PHARMACY 10-0808 121 HWY 332 WEST LAKE JACKSON TX 77566 (979) 297-85784584947 1417994971 SAVON PHARMACY 6308 LAKE WORTH BLVD LAKE WORTH TX 76135 (817) 237-81284500395 1215942255 WALGREENS #4189 6244 LAKE WORTH BLVD LAKE WORTH TX 76135 (817) 238-03854573095 1861419012 WAL-MART PHARMACY 6360 LAKE WORTH BLVD LAKE WORTH TX 76135 (817) 237-11185916626 1285012815 HEB PHARMACY #714 2000 RANCH ROAD 620 S STE A LAKEWAY TX 78734 (512) 263-84814590508 1982633954 RANDALLS PHARMACY #1779 2301 RANCH ROAD 620 S LAKEWAY TX 78734 (512) 263-31054523937 1023023926 WALGREENS #7023 2401 RR 620 SOUTH LAKEWAY TX 78734 (512) 263-78874525068 1144218850 JONES MCCALL PHARMACY 1605 N BRYAN AVE LAMESA TX 79331 (806) 872-54534587195 1891712063 WAL-MART PHARMACY 1710 CENTRAL TEXAS EXPRESSWAY LAMPASAS TX 76550 (512) 556-63334594063 1063599827 MINYARD PHARMACY 1450 WEST PLEASANT RUN RD LANCASTER TX 75146 (972) 227-21265908592 1811334345 MORNING STAR PHARMACY AND MEDICAL S 2700 W PLEASANT RUN RD # W250 LANCASTER TX 75146 (972) 224-13404510598 1033124011 WALGREENS #5558 1507 E PLEASANT RUN RD LANCASTER TX 75146 (972) 218-64464589290 1730106907 WAL-MART PHARMACY 10-0471 150 NORTH BECKLEY LANCASTER TX 75146 (972) 223-41965913860 1942603741 WALMART PHARMACY 10-7224 350 N BLUEGROVE RD LANCASTER TX 75146 (214) 459-99224557368 1801801808 WALGREENS #3001 1102 SOUTH BROADWAY LAPORTE TX 77571 (281) 471-72824591625 1306853312 WALGREENS #3286 9705 MAIN STREET LAPORTE TX 77571 (281) 470-74284568284 1790894137 HEB PHARMACY 1301 GUADALUPE ST LAREDO TX 78040 (956) 724-11264544373 1720106834 HEB PHARMACY 1911 NE BOB BULLOCK LAREDO TX 78045 (956) 764-50504525145 1164531588 HEB PHARMACY 210 WEST DEL MAR LAREDO TX 78041 (956) 712-32514558699 1326157306 HEB PHARMACY 2310 E SAUNDERS LAREDO TX 78041 (956) 724-1141

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4525145 1164531588 HEB PHARMACY 210 WEST DEL MAR LAREDO TX 78041 (956) 712-32514558699 1326157306 HEB PHARMACY 2310 E SAUNDERS LAREDO TX 78041 (956) 724-11414527911 1881703205 HEB PHARMACY 2314 S ZAPATA HWY LAREDO TX 78046 (956) 795-07004581371 1205945292 HEB PHARMACY 4801 SAN DARIO LAREDO TX 78040 (956) 725-01714506056 1407965825 HEB PHARMACY 7811 MC PHERSON RD LAREDO TX 78045 (956) 712-80534546442 1871775155 LAKESIDE PHARMACY 2337 ENDEAVOR DR LAREDO TX 78041 (956) 725-63375916498 1437525268 LAN RX PHARMACY II 2110 LOMAS DEL SUR LAREDO TX 78046 (956) 725-60004528280 1861595993 LANRX PHARMACY 1901 FREES ST STE 2 LAREDO TX 78046 (956) 568-92304570948 1699873190 LAREDO DOWNTOWN PHARMACY INC 1219 MATAMOROS ST LAREDO TX 78040 (956) 726-45124598299 1700888781 MEDCENTER PHARMACY 1419 E BUSTAMANTE ST LAREDO TX 78041 (956) 791-19915906788 1518215276 MEDICAL PLAZA PHARMACY 10710 MCPHERSON RD STE 102 LAREDO TX 78045 (956) 718-27704551998 1023251980 WALGREENS #11816 7610 MCPHERSON RD LAREDO TX 78041 (956) 727-24054549614 1265680516 WALGREENS #11817 1119 GUADALUPE ST LAREDO TX 78040 (956) 727-01784549222 1205091360 WALGREENS #12357 2219 E SAUNDERS ST LAREDO TX 78041 (956) 729-74944523684 1679590723 WAL-MART PHARMACY 2320 BOB BULLOCK LOOP LAREDO TX 78043 (956) 791-05595905457 1114292075 WAL-MART PHARMACY 2615 NE BOB BULLOCK LOOP LAREDO TX 78045 (956) 231-55954541670 1487762878 WAL-MART PHARMACY 4401 HIGHWAY 83 SOUTH LAREDO TX 78046 (956) 727-17314579314 1962429126 WAL-MART PHARMACY 10-0554 5610 SAN BERNARDO AVE LAREDO TX 78041 (956) 723-14114555415 1073830659 HEB PHARMACY 14414 US HWY 87 WEST LAVERNIA TX 78121 (830) 779-3730

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5912452 1295142958 HEB PHARMACY 2755 E LEAGUE CITY PKWY LEAGUE CITY TX 77573 (281) 334-20124536201 1033228465 HEB PHARMACY 2955 SOUTH GULF FREEWAY LEAGUE CITY TX 77573 (281) 337-52104583654 1821027897 RANDALLS PHARMACY #2051 2951 MARINA BAY DRIVE LEAGUE CITY TX 77573 (281) 538-25044567511 1518972512 WALGREENS 1088 W MAIN ST LEAGUE CITY TX 77573 (281) 332-34455914901 1497149363 WALGREENS 2585 E LEAGUE CITY PKWY LEAGUE CITY TX 77573 (281) 549-92505907110 1225389455 WALGREENS 4902 W MAIN ST LEAGUE CITY TX 77573 (281) 316-76254596827 1275540288 WALGREENS #3760 2990 MARINA BAY DR LEAGUE CITY TX 77573 (281) 535-02545917236 1932585130 WALMART PHARMACY 10-4618 2625 W MAIN ST LEAGUE CITY TX 77573 (479) 204-85504541707 1114035409 WALMART PHARMACY 10-5388 1701 W FM 646 RD LEAGUE CITY TX 77573 (281) 337-97134543751 1427103175 HEB PHARMACY 651 N US HWY 183 LEANDER TX 78641 (512) 528-77774529496 1952316861 WALGREENS #7674 905 CRYSTAL FALLS PKWY LEANDER TX 78641 (512) 528-09704581460 1043201593 UNITED PHARMACY 511 COLLEGE AVE LEVELLAND TX 79336 (806) 894-73154534106 1003833161 WAL-MART PHARMACY 407 E HIGHWAY 114 LEVELLAND TX 79336 (806) 894-75835915650 1063890911 FIRST STOP PHARMACY 101 E CORPORATE DR STE 220 LEWISVILLE TX 75067 (972) 299-89904514229 1295752319 SAMS PHARMACY 751 WEST MAIN LEWISVILLE TX 75067 (972) 353-00224581600 1750320537 SAVON PHARMACY 1087 W MAIN ST LEWISVILLE TX 75067 (972) 420-85904512934 1073542031 TOM THUMB PHARMACY #1785 1075 WEST FM 3040 LEWISVILLE TX 75067 (214) 488-30684536910 1790790871 WALGREENS #5960 1103 W FM 3040 LEWISVILLE TX 75067 (214) 488-86804518809 1215954359 WAL-MART PHARMACY 1515 FM 407 LEWISVILLE TX 75077 (972) 966-65184530639 1457370462 WAL-MART PHARMACY 190 EAST FM 3040 LEWISVILLE TX 75067 (972) 315-92364570873 1649297888 WAL-MART PHARMACY 100217 801 WEST MAIN LEWISVILLE TX 75067 (972) 221-11505903922 1861772501 TPS/LIBERTY RX 1710 N MAIN ST LIBERTY TX 77575 (936) 334-80004576320 1275551079 WAL-MART PHARMACY 2121 HWY 146 BYPASS LIBERTY TX 77575 (936) 336-22575908314 1295077683 EAGLE PHARMACY 1404 S MAIN ST LINDALE TX 75771 (903) 881-57524538394 1811914989 WAL-MART PHARMACY 105 CENTENNIAL BLVD LINDALE TX 75771 (903) 882-58404546858 1053594705 WALGREENS #11320 2774 E ELDORADO PKWY LITTLE ELM TX 75068 (972) 987-41064546543 1245412931 WALGREENS #11567 26731 HWY 380 E LITTLE ELM TX 76227 (972) 347-51125908427 1346684628 BEST MED SOUTH 12702 TOEPPERWEIN RD STE 115 LIVE OAK TX 78233 (325) 646-94145917387 1508239542 RX PLUS PHARMACY OF LIVE OAK 12315 JUDSON RD STE 108 LIVE OAK TX 78233 (210) 646-0207

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5908427 1346684628 BEST MED SOUTH 12702 TOEPPERWEIN RD STE 115 LIVE OAK TX 78233 (325) 646-94145917387 1508239542 RX PLUS PHARMACY OF LIVE OAK 12315 JUDSON RD STE 108 LIVE OAK TX 78233 (210) 646-02075909809 1346676160 LIVINGSTON PHARMACY 714 W CHURCH ST LIVINGSTON TX 77351 (936) 327-55104572512 1225055478 WAL-MART PHARMACY 1620 WEST CHURCH LIVINGSTON TX 77351 (936) 327-12944592235 1578576096 CORNER DRUG STORE 600 BESSEMER AVE LLANO TX 78643 (325) 247-41554502402 1053420463 HEB PHARMACY 403 S COLORADO LOCKHART TX 78644 (512) 398-67974546202 1912193905 WALGREENS #11131 200 S COLORADO ST LOCKHART TX 78644 (512) 398-29204597235 1821015009 WAL-MART PHARMACY 10-0292 1904 S COLORADO ST LOCKHART TX 78644 (512) 398-23644539093 1639196702 SAMS PHARMACY 3310 NORTH 4TH ST LONGVIEW TX 75605 (903) 663-27494584884 1881631349 SAVON PHARMACY 3603 MCCANN RD LONGVIEW TX 75605 (903) 663-20564527531 1134134034 WALGREENS #7264 1755 W LOOP 281 LONGVIEW TX 75604 (903) 295-35264541644 1407860687 WALGREENS #7611 511 E MARSHALL AVE LONGVIEW TX 75601 (903) 234-95094535552 1265447346 WALGREENS #7892 3301 N 4TH ST LONGVIEW TX 75605 (903) 663-43624544208 1295869899 WAL-MART PHARMACY 4006 ESTES PARKWAY LONGVIEW TX 75603 (903) 234-20834589062 1720001993 WAL-MART PHARMACY 10-0398 515 E LOOP 281 LONGVIEW TX 75605 (903) 663-08984588969 1912924184 WAL-MART PHARMACY 10-0399 2440 GILMER ROAD LONGVIEW TX 75604 (903) 759-19665912159 1821404534 WALMART PHARMACY 10-4114 3812 GILMER RD LONGVIEW TX 75604 (903) 475-04525914331 1841681368 WALMART PHARMACY 10-2765 1004 W OCEAN BLVD LOS FRESNOS TX 78566 (956) 233-18224547747 1033100557 AMIGOS PHARMACY 112 N UNIVERISTY AVE LUBBOCK TX 79415 (806) 763-5908

28

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5914583 1750771937 CAPROCK COMPOUNDING PHARMACY 3007 50TH ST LUBBOCK TX 79413 (806) 589-63334579528 1871584391 MARKET STREET PHARMACY 3405 50TH ST LUBBOCK TX 79413 (806) 791-09724572423 1508843418 MARKET STREET PHARMACY 4205 98TH LUBBOCK TX 79423 (806) 798-61154540286 1477531366 MARKET STREET PHARMACY #553 4425 19TH ST LUBBOCK TX 79407 (806) 788-20155911498 1235559865 PARKWAY PHARMACY 1824 PARKWAY DR LUBBOCK TX 79403 (806) 767-99994520436 1932126075 SAMS PHARMACY 6016 MARSHA SHARP FWY LUBBOCK TX 79407 (806) 785-27105912604 1093114845 THE APOTHECARY SPECIALTY PHARMACY 5214 98TH ST STE 302 LUBBOCK TX 79424 (806) 368-83964526200 1033203682 TWIN OAKS PHARMACY 3436 34TH ST LUBBOCK TX 79410 (806) 799-36365916309 1558746313 TWIN OAKS SPECIALTY PHARMACY 3434 34TH ST STE B LUBBOCK TX 79410 (806) 701-54554582741 1174514681 UNITED PHARMACY 1318 BROADWAY LUBBOCK TX 79401 (806) 763-99994547759 1811988330 UNITED PHARMACY 1701 50TH ST LUBBOCK TX 79412 (806) 747-35034547761 1427049949 UNITED PHARMACY 2630 PARKWAY DR LUBBOCK TX 79403 (806) 765-70144594152 1700863610 UNITED PHARMACY 2703 82ND ST LUBBOCK TX 79423 (806) 745-39074579821 1578554093 UNITED PHARMACY 401 SLIDE RD LUBBOCK TX 79416 (806) 796-18954520006 1003893918 UNITED PHARMACY 8010 FRANKFORD LUBBOCK TX 79424 (806) 783-02415906889 1649529827 WALGREENS 3009 SLIDE RD LUBBOCK TX 79407 (806) 791-03464542139 1033129283 WALGREENS #10283 6420 82ND ST LUBBOCK TX 79401 (806) 783-90414547216 1952585523 WALGREENS #11233 602 AVENUE Q LUBBOCK TX 79401 (806) 747-38344500167 1497760433 WALGREENS #4819 5206 4TH STREET LUBBOCK TX 79416 (806) 792-13774507236 1861407835 WALGREENS #4820 1619 50TH STREET LUBBOCK TX 79412 (806) 762-05224500066 1861407801 WALGREENS #4821 3404 INDIANA AVENUE LUBBOCK TX 79413 (806) 792-75314506448 1134134109 WALGREENS #4822 4847 SLIDE RD LUBBOCK TX 79414 (806) 792-82674517213 1114932001 WALGREENS #5996 2417 82ND ST LUBBOCK TX 79423 (806) 748-52094535691 1891700977 WALGREENS #7853 5115 98TH ST LUBBOCK TX 79424 (806) 698-13544541682 1396853685 WAL-MART PHARMACY 1911 MARSHA SHARP FWY LUBBOCK TX 79415 (806) 747-39154543408 1679638787 WAL-MART PHARMACY 6315 82ND STREET LUBBOCK TX 79424 (806) 698-82594571231 1285651422 WAL-MART PHARMACY 702 WEST LOOP 289 LUBBOCK TX 79416 (806) 793-30014569616 1568489706 WAL-MART PHARMACY 10-0861 4215 SOUTH LOOP 289 LUBBOCK TX 79423 (806) 793-88165918175 1992162341 WALMART PHARMACY 10-6898 11415 QUAKER AVENUE LUBBOCK TX 79423 (806) 392-9609

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4569616 1568489706 WAL-MART PHARMACY 10-0861 4215 SOUTH LOOP 289 LUBBOCK TX 79423 (806) 793-88165918175 1992162341 WALMART PHARMACY 10-6898 11415 QUAKER AVENUE LUBBOCK TX 79423 (806) 392-96095907829 1114263126 WALMART PHARMACY 2662 W LUCAS RD LUCAS TX 75002 (469) 675-81104542254 1396839445 SAMS PHARMACY 407 N BRENTWOOD LUFKIN TX 75901 (936) 639-17484551140 1154569366 WALGREENS #12601 1000 W FRANK AVE LUFKIN TX 75904 (936) 634-70834514003 1578578555 WALGREENS #5792 102 N TIMBERLAND RD LUFKIN TX 75901 (936) 699-29164591853 1457378622 WAL-MART PHARMACY 10-0140 2500 DANIEL MCCALL DRIVE LUFKIN TX 75904 (936) 639-22754526298 1225126121 DISMUKES PHARMACY 511 E DAVIS ST LULING TX 78648 (830) 875-28114529701 1689689747 WALGREENS #7614 902 N MAIN ST LUMBERTON TX 77657 (409) 755-28584582551 1629095880 WAL-MART PHARMACY 10-0384 100 N LHS DRIVE LUMBERTON TX 77657 (409) 755-25684504571 1235248659 HEB PHARMACY 19337 MCDONALD STREET LYTLE TX 78052 (830) 772-57484565959 1811073281 MABANK FAMILY PHARMACY 207 N 3RD STREET MABANK TX 75147 (903) 887-37114595508 1831116011 WAL-MART PHARMACY 10-0446 1620 EAST MAIN MADISONVILLE TX 77864 (936) 348-26594550617 1588809214 TEXAS PROFESSIONAL PHARMACY- MAGNOL 18602 FM 1488, MAGNOLIA TX 77355 (281) 356-22165906714 1487901047 WALGREENS 18850 FM 1488 RD MAGNOLIA TX 77355 (281) 259-83874529636 1770598682 WALGREENS #6864 6707 FM 1488 RD MAGNOLIA TX 77354 (281) 356-91645910559 1972924876 WAL-MART PHARMACY 10-3169 11923 US HWY 290 E MANOR TX 78653 (512) 651-91285909392 1568802270 SAM'S PHARMACY 1740 NORTH FM 157 MANSFIELD TX 76063 (817) 779-60614521452 1255377032 TOM THUMB PHARMACY #1972 980 HWY 287 NORTH MANSFIELD TX 76063 (817) 453-0838

29

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4508517 1679588644 WALGREENS #5213 750 N WALNUT CREEK MANSFIELD TX 76063 (817) 477-52714505054 1104843218 WAL-MART PHARMACY 10-0284 930 N WALNUT CREEK SUITE 800 MANSFIELD TX 76063 (817) 473-30144516665 1831118843 WALMART PHARMACY 10-2397 2951 MATLOCK RD MANSFIELD TX 76063 (817) 453-56354545111 1457552796 WALGREENS #10872 2901 E BROAD ST MANSIFIELD TX 76063 (682) 518-72194554867 1679802243 ATKINS EXPRESS PHARMACY 2607 HWY 281 NORTH MARBLE FALLS TX 78654 (830) 693-37844582830 1942245162 ATKINS PHARMACY SERVICES 701 THIRD ST MARBLE FALLS TX 78654 (830) 693-29724580381 1922117365 HEB PHARMACY 1503 HIGHWAY 1431 W MARBLE FALLS TX 78654 (830) 693-48104535209 1710992896 WALGREENS #9366 1211 N US HWY 281 MARBLE FALLS TX 78654 (830) 693-84174568676 1487671624 WAL-MART PHARMACY 10-0781 2700 US HIGHWAY 281 MARBLE FALLS TX 78654 (830) 693-55294583503 1568485639 WAL-MART PHARMACY 10-0320 600 S STATE HIGHWAY 6 MARLIN TX 76661 (254) 883-92964518861 1578578464 WALGREENS #6196 309 EAST END BLVD N MARSHALL TX 75670 (903) 923-06054570897 1467479600 WAL-MART PHARMACY 1701 EAST END BLVD N MARSHALL TX 75670 (903) 938-35554560719 1578580700 WAL-MART PHARMACY 10-0452 2800 NOLANA AVE MC ALLEN TX 78504 (956) 631-83055909621 1306278783 DLS PHARMACY 1301 E FERN AVE #B-1 MCALLEN TX 78501 (956) 631-79004543080 1255325338 FREDS PHARMACY 3001 N 23RD ST MCALLEN TX 78501 (956) 994-10444564642 1215046297 HEB PHARMACY 200 US EXPRESSWAY 83 MCALLEN TX 78501 (956) 630-29114560810 1134238116 HEB PHARMACY 3200 N TENTH MCALLEN TX 78501 (956) 631-61484589086 1740399732 HEB PHARMACY 3601 PECAN STREET MCALLEN TX 78501 (956) 971-91314530401 1871602201 HEB PHARMACY 901 TRENTON ROAD MCALLEN TX 78504 (956) 618-18894507779 1134280019 MED-AID BICENTENNIAL PHARMACY 400 S BICENTENNIAL BLVD MCALLEN TX 78501 (956) 618-31004580139 1477680692 SAENZ MEDICAL PHARMACY MCALLEN INC 212 LINDBERG MCALLEN TX 78501 (956) 630-64654511083 1174658397 SAENZ MEDICAL PHARMACY NOLANA INC 801 E NOLANA MCALLEN TX 78504 (956) 687-25004597348 1942337100 SAENZ MEDICAL PHARMACY NORTH 6900 N 10TH MCALLEN TX 78501 (956) 928-09114528432 1255423612 SAENZ MEDICAL PHARMACY RIDGE INC 1200 E RIDGE RD MCALLEN TX 78503 (956) 630-25004520450 1750308896 SAMS PHARMACY 1400 EAST JACKSON MCALLEN TX 78503 (956) 683-88955905166 1255604070 SAMS PHARMACY 7601 N 10TH ST MCALLEN TX 78504 (956) 278-88334553257 1720218035 WALGREENS #12859 7301 N 10TH ST MCALLEN TX 78501 (956) 618-05024555263 1477877389 WALGREENS #13166 901 S 10TH ST BLDG 100 MCALLEN TX 78501 (956) 683-00914588438 1538174545 WALGREENS #2942 2300 PECAN BLVD MCALLEN TX 78501 (956) 686-7486

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4555263 1477877389 WALGREENS #13166 901 S 10TH ST BLDG 100 MCALLEN TX 78501 (956) 683-00914588438 1538174545 WALGREENS #2942 2300 PECAN BLVD MCALLEN TX 78501 (956) 686-74864595419 1023025038 WALGREENS #3623 5528 N 10TH ST MCALLEN TX 78504 (956) 994-01014533635 1720093800 WALGREENS #9075 701 E NOLANA ST MCALLEN TX 78504 (956) 631-66854535502 1356356430 WALGREENS #9449 701 E RIDGE RD MCALLEN TX 78503 (956) 683-93925912046 1497169288 WALMART PHARMACY 10-6098 800 EAST NOLANA AVE MCALLEN TX 78501 (956) 800-60825914850 1235523739 WALMART PHARMACY 10-6786 5700 N 23RD ST MCALLEN TX 78504 (956) 800-68534559019 1750308987 WAL-MART PHARMACY10-0397 1200 E JACKSON AVE MCALLEN TX 78503 (956) 686-18404533217 1467439380 MARKET STREET PHARMACY 6100 W ELDORADO PKWY MCKINNEY TX 75070 (972) 548-51504500080 1174552137 MINYARD PHARMACY #73 3001 S HARDIN BLVD MCKINNEY TX 75070 (972) 547-71105901928 1215239082 NORTH CENTRAL PHARMACY 2741 VIRGINIA PKWY STE 800 MCKINNEY TX 75071 (972) 540-99005918961 1801242698 RXSTOCK SPECIALTY PHARMACY 4201 MEDICAL CENTER DRIVE MCKINNEY TX 75069 (469) 714-02864543383 1447315403 SAMS PHARMACY 1670 WEST UNIVERSITY DRIVE MCKINNEY TX 75069 (972) 562-44014517085 1730126293 SAVON PHARMACY 3001 S CENTRAL EXPY MCKINNEY TX 75069 (972) 548-10884526109 1184661647 SAVON PHARMACY 6800 W VIRGINIA PKWY MCKINNEY TX 75070 (972) 542-00105913771 1679970834 WALGREENS 4994 W UNIVERSITY MCKINNEY TX 75071 (972) 439-96454549549 1073760328 WALGREENS #11908 8996 STACY RD MCKINNEY TX 75070 (469) 952-21034500600 1760497705 WALGREENS #4663 3001 EL DORADO PKWY MCKINNEY TX 75070 (972) 540-66674524307 1750396651 WALGREENS #7195 7080 VIRGINIA PKWY MCKINNEY TX 75071 (972) 540-2332

30

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4542103 1225145667 WALGREENS #9908 1651 W UNIVERSITY DR MCKINNEY TX 75069 (972) 548-16624534067 1477570539 WAL-MART PHARMACY 5001 MCKINNEY RANCH PARKWAY MCKINNEY TX 75070 (972) 529-21874566521 1003833237 WAL-MART PHARMACY 10-0206 2041 REDBUD BLVD MCKINNEY TX 75069 (972) 542-26194543460 1700941762 WALMART PHARMACY 10-5311 1721 N CUSTER RD MCKINNEY TX 75070 (972) 548-83485917363 1174901359 WALMART PHARMACY 10-6966 3400 VIRGINIA PKWY MCKINNEY TX 75071 (214) 250-50094521589 1942215843 WALGREENS #6821 11675 W AIRPORT MEADOWS PLACE TX 77477 (281) 313-64034590988 1568424273 MEMPHIS DRUG 506 W NOEL ST MEMPHIS TX 79245 (806) 259-50674567129 1861556680 MERKEL DRUG CO 121 EDWARDS ST MERKEL TX 79536 (325) 928-50125913505 1114320918 WALMART PHARMACY 10-2461 1003 TELEPHONE CIR MERKEL TX 79536 (325) 928-44364584795 1043258130 SAVON PHARMACY 2828 MOTLEY DR MESQUITE TX 75150 (972) 270-44484597196 1679510127 SAVON PHARMACY #4187 1500 S BELTLINE RD MESQUITE TX 75149 (972) 285-13524512946 1982633947 TOM THUMB PHARMACY #1784 1501 PIONEER ROAD MESQUITE TX 75149 (972) 290-33584597211 1295740223 WALGREENS #3822 401 N GALLOWAY AVE MESQUITE TX 75149 (972) 329-74404598667 1558376582 WALGREENS #3824 4435 GUS THOMASSON MESQUITE TX 75150 (972) 270-20744516300 1659388536 WALGREENS #5959 1520 PIONEER RD MESQUITE TX 75149 (972) 288-82874517237 1194732073 WALGREENS #6390 1015 N TOWN EAST BLVD MESQUITE TX 75150 (972) 686-89134517150 1669499794 WAL-MART PHARMACY 915 NORTH TOWN EAST BLVD MESQUITE TX 75150 (972) 613-79504569604 1659398899 WAL-MART PHARMACY 10-0789 200 US HWY 80 EAST MESQUITE TX 75149 (972) 289-53194510497 1497864813 HEB PHARMACY 701 E MILAM ST MEXIA TX 76667 (254) 562-51234575354 1932126182 WAL-MART PHARMACY 1406 EAST MILAM MEXIA TX 76667 (254) 562-55514563854 1700823267 ALBERTSONS MARKET PHARMACY #671 3317 N MIDLAND DR MIDLAND TX 79703 (432) 689-87084502793 1598702920 ALBERTSONS MARKET PHARMACY #672 1002 ANDREWS HWY MIDLAND TX 79701 (432) 694-96734598186 1700995156 HEB PHARMACY 3325 W WADLEY MIDLAND TX 79707 (432) 697-14845917577 1174993927 HEB PHARMACY #717 5407 ANDREWS HWY MIDLAND TX 79706 (210) 938-27174585014 1144267600 MARKET STREET PHARMACY #674 4706 N MIDKIFF RD MIDLAND TX 79705 (432) 699-75785912161 1972919520 SAM'S CLUB PHARMACY 10-8288 1500 TRADEWINDS BLVD MIDLAND TX 79706 (432) 253-76694522024 1609887298 SUPER MERCADO PHARMACY 2208 NORTH BIG SPRING MIDLAND TX 79705 (432) 682-95014500953 1124033170 WALGREENS 215 ANDREWS HWY MIDLAND TX 79701 (432) 682-82114554918 1669704615 WALGREENS #13115 3201 N BIG SPRING ST MIDLAND TX 79705 (432) 686-0402

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4500953 1124033170 WALGREENS 215 ANDREWS HWY MIDLAND TX 79701 (432) 682-82114554918 1669704615 WALGREENS #13115 3201 N BIG SPRING ST MIDLAND TX 79705 (432) 686-04024554766 1467782417 WALGREENS #13116 4313 ANDREWS HWY MIDLAND TX 79703 (432) 699-80114552205 1144235243 WALGREENS #3050 3300 N MIDLAND DRIVE MIDLAND TX 79707 (432) 699-59914538382 1902823073 WAL-MART PHARMACY 200 WEST INTERSTATE 20 MIDLAND TX 79701 (432) 684-44254574908 1205853454 WAL-MART PHARMACY 10-0608 4517 NORTH MIDLAND DRIVE MIDLAND TX 79707 (432) 697-22994540832 1245245349 WALGREENS #9721 1481 E MAIN STREET MIDLOTHIAN TX 76065 (972) 723-84084543472 1750446860 WAL-MART PHARMACY 400 NORTH HIGHWAY 67 MIDLOTHIAN TX 76065 (972) 775-47084566482 1194742320 WAL-MART PHARMACY10-0251 135 NE LOOP 564 MINEOLA TX 75773 (903) 569-54854540907 1477593747 WALGREENS #10258 201 FM 1821 MINERAL FALLS TX 76067 (940) 325-60844569159 1831116078 WAL-MART PHARMACY 10-0804 601 N FM 1821 MINERAL WELLS TX 76067 (940) 325-94015901384 1629385588 AG PHARMACY 2408 N CONWAY AVE MISSION TX 78574 (956) 580-77914525121 1356450324 HEB PHARMACY 200 E GRIFFIN PARKWAY MISSION TX 78572 (956) 424-79204544171 1003030636 HEB PHARMACY 2409 E EXPRESSWAY 83 MISSION TX 78572 (956) 205-67554571091 1578672556 HEB PHARMACY 820 S CONWAY MISSION TX 78572 (956) 581-21734581547 1184688921 MISSION PLAZA PHARMACY 906 BRYAN RD MISSION TX 78572 (956) 581-88335909710 1275969743 RICHARD'S PHARMACY 1112 E GRIFFIN PKWY STE B MISSION TX 78572 (956) 581-42004534245 1588799795 SAENZ MEDICAL PHARMACY LONE STAR IN 2121 E GRIFFIN PKWY MISSION TX 78572 (956) 519-65005903768 1225317084 WALGREENS 100 E EXPRESSWAY 83 MISSION TX 78572 (956) 583-0075

31

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4530007 1306851464 WALGREENS #9076 2301 N SHARY RD MISSION TX 78574 (956) 585-77434559007 1841217072 WAL-MART PHARMACY 10-0395 2410 EAST EXPRESSWAY 83 MISSION TX 78572 (956) 585-57835913719 1508260266 WALMART PHARMACY 10-6850 1006 N BRYAN RD MISSION TX 78572 (956) 391-34225914230 1124417605 ECO PHARMACY OF SIENNA PLANTATION 8721 HIGHWAY 6 # 200 MISSOURI CITY TX 77459 (832) 440-00854518164 1194834515 HEB PHARMACY 4724 HWY 6 MISSOURI CITY TX 77459 (281) 403-18614550643 1770728305 HEB PHARMACY 8900 HWY 6 MISSOURI CITY TX 78382 (281) 778-13504593768 1124035134 WALGREENS #3419 4790 LEXINGTON MISSOURI CITY TX 77459 (281) 499-52574569096 1477568483 WALGREENS #4071 3403 TEXAS PARKWAY MISSOURI CITY TX 77489 (281) 438-35574503668 1124035167 WALGREENS #4837 6120 HIGHWAY 6 MISSOURI CITY TX 77459 (281) 208-58284528951 1356358261 WALGREENS #7531 2203 TEXAS PKWY MISSOURI CITY TX 77489 (281) 208-33044533370 1093720179 WALGREENS #7721 1307 FM 1092 MISSOURI CITY TX 77459 (281) 499-51504598201 1558388736 WAL-MART PHARMACY 5501 HWY 6 MISSOURI CITY TX 77459 (281) 403-00375906409 1336494079 WALMART PHARMACY 10-5449 9929 HIGHWAY 6 MISSOURI CITY TX 77459 (281) 835-00164550972 1285871988 WALGREENS #10919 18900 HWY 105 W MONTGOMERY TX 77356 (936) 582-00024528052 1770501470 WAL-MART PHARMACY 18700 HIGHWAY 105 W MONTGOMERY TX 77356 (936) 582-10054570417 1679657704 MEDICAL CENTER FAMILY PHARMACY 2001 N JEFFERSON 132 MOUNT PLEASANT TX 75455 (903) 572-64184553764 1851523666 WALGREENS #12293 203 W FERGUSON RD MOUNT PLEASANT TX 75455 (903) 572-04864585824 1538186705 WAL-MART PHARMACY 10-0131 2311 SOUTH JEFFERSON MOUNT PLEASANT TX 75455 (903) 572-79245914153 1194114546 TIGERX PHARMACY 405 HIGHWAY 37 SOUTH MOUNT VERNON TX 75457 (903) 537-47004509204 1740267657 UNITED PHARMACY 104 W 9TH ST MULESHOE TX 79347 (806) 272-31694511588 1568409027 SAVON PHARMACY 200 E FM 544 MURPHY TX 75094 (972) 578-98554517314 1932114824 WALGREENS #5958 103 MURPHY RD MURPHY TX 75094 (972) 509-89104514952 1497772529 WAL-MART PHARMACY 115 W FM 544 MURPHY TX 75094 (972) 516-02644537215 1619982709 WALGREENS #9400 3004 NORTH ST NACOGDOCHES TX 75965 (936) 569-01834589024 1821015090 WAL-MART PHARMACY 10-0163 4810 NORTH STREET NACOGDOCHES TX 75965 (936) 564-11585917541 1538531520 WALMART PHARMACY 10-4674 1030 N UNIVERSITY DR NACOGDOCHES TX 75961 (936) 585-78104549513 1215190053 BEST MED EAST 705 N UNIVERSITY DR NACOQCHES TX 75961 (936) 569-18004591891 1093732273 WAL-MART PHARMACY 10-0293 1712 EAST WASHINGTON NAVASOTA TX 77868 (936) 825-21854570354 1821015066 WAL-MART PHARMACY 100181 800 JAMES BOWIE DRIVE NEW BOSTON TX 75570 (903) 628-6561

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4591891 1093732273 WAL-MART PHARMACY 10-0293 1712 EAST WASHINGTON NAVASOTA TX 77868 (936) 825-21854570354 1821015066 WAL-MART PHARMACY 100181 800 JAMES BOWIE DRIVE NEW BOSTON TX 75570 (903) 628-65615912818 1770984833 10 MINUTE PHARMACY 18 GRUENE PARK DR NEW BRAUNFELS TX 78130 (830) 387-49144562345 1578553699 COMAL DRUG HEALTHMART 544 N UNION ST NEW BRAUNFELS TX 78130 (830) 625-24215909683 1982038527 GRUENE ROAD PHARMACY LLC 910 GRUENE RD # 3 NEW BRAUNFELS TX 78130 (830) 387-43785900205 1437479276 HEB PHARMACY 1655 HWY 46 WEST NEW BRAUNFELS TX 78132 (830) 626-03854570405 1821115122 HEB PHARMACY 415 N NEW BRAUNFELS NEW BRAUNFELS TX 78202 (210) 226-86424558714 1548379977 HEB PHARMACY 651 S WALNUT NEW BRAUNFELS TX 78130 (830) 609-19445918935 1154788859 HEB PHARMACY #694 2965 IH 35 NORTH NEW BRAUNFELS TX 78130 (210) 938-26944586232 1043226475 WALGREENS 1160 S BUSINESS IH35 NEW BRAUNFELS TX 78130 (830) 620-79795903112 1881985471 WALGREENS 1944 S SEGUIN AVE NEW BRAUNFELS TX 78130 (830) 620-00094542557 1568551778 WALGREENS #10393 1610 HWY 46 W NEW BRAUNFELS TX 78132 (830) 626-71424535211 1629083704 WALGREENS #9394 1210 N IH 35 NEW BRAUNFELS TX 78130 (830) 626-33644570342 1295753085 WAL-MART PHARMACY 10-0865 1209 S INTERSTATE 35 NEW BRAUNFELS TX 78130 (830) 629-90115911361 1598183584 WALGREENS 20824 FM 1485 RD NEW CANEY TX 77357 (281) 689-00024513986 1578580692 SAMS PHARMACY 6375 NE LOOP 820 NORTH RICHLAND HILLS TX 76180 (817) 428-37144599443 1093720021 WALGREENS #3825 7151 GRAPEVINE HIGHWAY NORTH RICHLAND HILLS TX 76180 (817) 514-94744502577 1851307292 WALGREENS #4692 6984 RUFE SNOW NORTH RICHLAND HILLS TX 76180 (817) 427-93534508810 1972510865 WALGREENS #5214 8955 N TARRANT PKWY NORTH RICHLAND HILLS TX 76180 (817) 428-2585

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4521159 1154338036 WALGREENS #6631 6350 DAVIS BLVD NORTH RICHLAND HILLS TX 76180 (817) 498-65004524484 1376562389 WAL-MART PHARMACY 9101 N TARRANT PKWY NORTH RICHLAND HILLS TX 76182 (817) 605-81904569642 1194742338 WAL-MART PHARMACY 10-0807 6401 NE LOOP 820 NORTH RICHLAND HILLS TX 76180 (817) 498-44114568804 1255378717 ALBERTSONS MARKET PHARMACY #676 2751 COUNTY RD W ODESSA TX 79764 (432) 333-15914503149 1316984743 ALBERTSONS MARKET PHARMACY #677 1350 E 8TH ST ODESSA TX 79760 (432) 332-73615915496 1962897405 HEB PHARMACY 2501 W. UNIVERSITY BLVD. ODESSA TX 79764 (432) 332-04754599138 1619086063 HEB PHARMACY 3801 E 42ND ST ODESSA TX 79762 (432) 362-45555911804 1780008532 HEB PHARMACY 540 W 5TH ST ODESSA TX 79761 (432) 332-16234585038 1922045368 MARKET STREET PHARMACY 4950 E 42ND ST ODESSA TX 79762 (432) 367-46124538318 1275550337 SAMS PHARMACY 4230 JOHN BEN SHEPPARD PKWY ODESSA TX 79762 (432) 362-06344502553 1801880356 TOWN AND COUNTRY DRUG 2745 N GRANDVIEW ODESSA TX 79762 (432) 366-28684551366 1104847177 UNIVERSITY PHARMACY INC 4850 E UNIVERSITY AVE ODESSA TX 79762 (432) 366-88214582917 1720093735 WALGREENS 1305 W UNIVERSITY ODESSA TX 79764 (432) 580-01665906992 1861742694 WALGREENS 1707 W 8TH ST ODESSA TX 79763 (432) 332-82584520828 1306851209 WALGREENS #6694 2161 E 42ND ST ODESSA TX 79762 (432) 367-07384500977 1942215991 WALGREENS #7024 801 MAPLE AVE ODESSA TX 79761 (432) 337-66374513835 1750308870 WAL-MART PHARMACY 2450 WEST LOOP 338 ODESSA TX 79763 (432) 332-60044572029 1598782740 WAL-MART PHARMACY 10-0537 4210 JOHN BEN SHEPHERD PKWY ODESSA TX 79762 (432) 368-77444547456 1972518074 WALGREENS 1408 N 16TH ST ORANGE TX 77630 (409) 883-08764587866 1427180454 BRATTONS PHARMACY 2305 W OAK ST PALESTINE TX 75802 (903) 731-47344536655 1265591135 HOMETOWN PHARMACY 101 MEDICAL DR PALESTINE TX 75801 (903) 729-31004534271 1366457442 WALGREENS #9411 2201 S LOOP 256 PALESTINE TX 75801 (903) 723-47054587652 1700803970 WAL-MART PHARMACY 10-0345 2223 SOUTH LOOP 256 PALESTINE TX 75801 (903) 723-06855909607 1417380825 HEB PHARMACY #674 120 E. MILE 3 ROAD PALMHURST TX 78573 (956) 583-32294541264 1619053964 WALGREENS #10300 4305 S CONWAY AVE PALMHURST TX 78572 (956) 519-75234534409 1821015983 WAL-MART PHARMACY 215 EAST MILE 3 ROAD PALMHURST TX 78574 (956) 519-22404507907 1225147648 HEB PHARMACY 2206 W PALMA VISTA DR PALMVIEW TX 78572 (956) 585-39595906586 1396091336 WALGREENS 2008 W PALMA VISTA DR PALMVIEW TX 78572 (956) 583-05804528177 1477630895 KEYES PHARMACY 928 N HOBART ST PAMPA TX 79065 (806) 669-1202

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5906586 1396091336 WALGREENS 2008 W PALMA VISTA DR PALMVIEW TX 78572 (956) 583-05804528177 1477630895 KEYES PHARMACY 928 N HOBART ST PAMPA TX 79065 (806) 669-12024519534 1639156524 UNITED PHARMACY 1420 N HOBART PAMPA TX 79065 (806) 665-76424566141 1477570604 WAL-MART PHARMACY 10-0600 2801 N CHARLES ST PAMPA TX 79065 (806) 669-12314522567 1659398790 WAL-MART PHARMACY 2610 WEST PIONEER PARKWAY PANTEGO TX 76013 (817) 303-43024525044 1578578472 WALGREENS 3603 LAMAR AVE PARIS TX 75462 (903) 785-53804592261 1548287725 WAL-MART PHARMACY 10-0148 3855 LAMAR AVENUE PARIS TX 75460 (903) 785-87345911563 1295145605 BAYSHORE HEALTH MART 3315 BURKE RD STE 100 PASADENA TX 77504 (281) 984-50004516514 1295844611 HEB PHARMACY 6210 FAIRMONT PARKWAY PASADENA TX 77505 (281) 487-61704523583 1003910076 PHARMHOUSE PHARMACY 4500 E SAM HOUSTON PKWY S STE 100 PASADENA TX 77505 (281) 998-94004510144 1306851381 WALGREENS #4133 3707 SPENCER HIGHWAY PASADENA TX 77504 (713) 946-46504556544 1952316051 WALGREENS #5422 2130 S RICHEY ST PASADENA TX 77502 (713) 475-84884512326 1588679567 WALGREENS #5733 6302 FAIRMONT PKWY PASADENA TX 77505 (281) 998-74164557281 1114934114 WALGREENS #5766 101 W SOUTHMORE AVE PASADENA TX 77502 (713) 472-01664513051 1023025947 WALGREENS #5767 2204 SOUTHMORE AVE PASADENA TX 77502 (713) 473-82674527012 1942217856 WALGREENS #7073 4615 FAIRMONT PKWY PASADENA TX 77504 (281) 991-96004509367 1922025030 WAL-MART PHARMACY 1107 SOUTH SHAVER STREET PASADENA TX 77506 (713) 534-66654565125 1013934249 WAL-MART PHARMACY 10-0752 5200 FAIRMONT PKWY PASADENA TX 77505 (281) 487-80915907730 1073858288 HAZEL'S COMPOUNDING RX PHARMACY 1801 COUNTRY PLACE PKWY PEARLAND TX 77584 (713) 340-0202

33

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5910775 1720409089 HEB PHARMACY 2710 PEARLAND PKWY. PEARLAND TX 77581 (281) 485-50474546125 1578751780 HEB PHARMACY 2805 BUSINESS CENTER DR PEARLAND TX 77581 (713) 578-61554520575 1265478887 RANDALLS PHARMACY #1858 10228 BROADWAY ST PEARLAND TX 77584 (281) 504-02855906459 1801141031 SAMS PHARMACY 15800 SOUTH FWY PEARLAND TX 77584 (713) 986-00874549664 1386651354 WALGREENS 3287 E BROADWAY ST PEARLAND TX 77581 (281) 485-78434543612 1457403487 WALGREENS #10477 11633 SHADOW CREEK PKWY PEARLAND TX 77584 (713) 436-49134523317 1396750295 WALGREENS #6584 8430 BROADWAY ST PEARLAND TX 77584 (281) 412-33054529674 1952316010 WALGREENS #7459 1515 BROADWAY ST STE 210 PEARLAND TX 77581 (281) 996-12414529016 1265449177 WALGREENS #7534 6122 BROADWAY ST PEARLAND TX 77581 (281) 412-48964527810 1487671533 WAL-MART PHARMACY 10505 BROADWAY PEARLAND TX 77584 (713) 436-58444525020 1285653295 WAL-MART PHARMACY 1710 BROADWAY STREET PEARLAND TX 77581 (281) 482-55164570885 1558388793 WAL-MART PHARMACY 10-0872 1919 NORTH MAIN PEARLAND TX 77581 (281) 485-28185913682 1003219809 WALMART PHARMACY 10-7361 12631 BROADWAY ST PEARLAND TX 77584 (713) 570-79305902677 1588961510 HEB PHARMACY 225 SOUTH IH 35 PEARSALL TX 78061 (830) 334-33744598213 1467479642 WAL-MART PHARMACY 10-0478 819 N OAK STREET PEARSALL TX 78061 (830) 334-41854500484 1780715607 PROFESSIONAL PHARMACY 925 DAGGETT PECOS TX 79772 (432) 447-22664570900 1376560516 WAL-MART PHARMACY 1903 SOUTH CEDAR PECOS TX 79772 (432) 445-42554569781 1184759912 SAENZ MEDICAL PHARMACY OF PENITAS 3201 EXPRESSWAY 83 PENITAS TX 78576 (956) 585-27044551506 1053551598 WAL-MART PHARMACY 1705 EXPRESSWAY 83 PENITAS TX 78576 (956) 580-15114528545 1164560256 UNITED PHARMACY 2802 HWY 83 SOUTH PERRYTON TX 79070 (806) 435-22114575099 1073622056 HEB PHARMACY 1434 WELLS BRANCH PKWY PFLUGERVILLE TX 78660 (512) 251-52864513532 1396854717 HEB PHARMACY 201 N FM 685 PFLUGERVILLE TX 78660 (512) 251-90375900964 1326355116 WALGREENS 1509 E WELLS BRANCH PKWY PFLUGERVILLE TX 78660 (512) 687-05525900697 1972817880 WALGREENS 1821 FM 685 PFLUGERVILLE TX 78660 (512) 687-72914590940 1285649202 WALGREENS #3159 2021 WEST PECAN PFLUGERVILLE TX 78660 (512) 251-45544544068 1114051257 WALMART PHARMACY 10-5479 1548 FM 685 PFLUGERVILLE TX 78660 (512) 252-01974564159 1255440681 HEB PHARMACY 1300 SOUTH CAGE BLVD. PHARR TX 78577 (956) 781-66264539649 1801967039 J & L PHARMACY 900 W SAM HOUSTON BLVD STE 3 PHARR TX 78577 (956) 782-11564504634 1821106717 PHARR FAMILY PHARMACY 710 S CAGE BLVD PHARR TX 78577 (956) 782-8494

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4539649 1801967039 J & L PHARMACY 900 W SAM HOUSTON BLVD STE 3 PHARR TX 78577 (956) 782-11564504634 1821106717 PHARR FAMILY PHARMACY 710 S CAGE BLVD PHARR TX 78577 (956) 782-84944533205 1396816518 PHARRMACY 1002 W SAM HOUSTON PHARR TX 78577 (956) 283-09114544498 1174594451 AXTELL PHARMACY INC 1246 HWY 377 S PILOT POINT TX 76258 (940) 686-22184542204 1093898868 WALGREENS #10613 32320 STATE HWY 249 PINEHURST TX 77362 (832) 934-04154513190 1972594422 AMIGOS PHARMACY 2403 N COLUMBIA PLAINVIEW TX 79072 (806) 293-38204571609 1922026715 WAL-MART PHARMACY 1501 NORTH I 27 PLAINVIEW TX 79072 (806) 293-42195908643 1730526898 COURAGE PHARMACY 3200 14TH STREET SUITE 404 PLANO TX 75074 (972) 943-06285900851 1275846099 GRACE PHARMACY 4032 MCDERMOTT RD STE 160 PLANO TX 75024 (972) 907-18335902716 1942508759 JCP HOME OFFICE PHARMACY 6501 LEGACY DR PLANO TX 75024 (214) 436-45634551354 1649410184 MARKET STREET PHARMACY 566 1929 PRESTON ROAD PLANO TX 75093 (972) 713-55154505547 1467556423 PARKWAY PHARMACY 4708 ALLIANCE PARKWAY PLANO TX 75093 (972) 985-26004519419 1679590715 SAMS PHARMACY 1200 EAST SPRING CREEK PKWY PLANO TX 75074 (972) 516-85254516108 1396762423 SAMS PHARMACY 301 COIT ROAD PLANO TX 75075 (972) 519-02964514976 1306863436 SAMS PHARMACY 8621 OHIO DRIVE PLANO TX 75024 (469) 633-00415909025 1255770277 THE PHARMACOMPOUNDIA 6101 WINDHAVEN PKWY STE 120 PLANO TX 75093 (972) 378-68675912793 1972924975 THE PHARMACOMPOUNDIA - CLINICAL PHA 6001 WINDHAVEN PKWY STE 220 PLANO TX 75093 (972) 473-68675902449 1922315860 THRIVE PHARMACY SOLUTIONS 5425 W. SPRING CREEK PKWY #190 PLANO TX 75024 (214) 291-50874514306 1518996578 TOM THUMB PHARMACY #1788 7801 ALMA PLANO TX 75025 (972) 527-0970

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4547646 1124064720 TOM THUMB PHARMACY #2554 3100 INDEPENDENCE PKWY PLANO TX 75075 (972) 596-44224599405 1992737720 TOM THUMB PHARMACY #2570 5968 WEST PARKER PLANO TX 75093 (972) 473-33114592398 1336178300 TOM THUMB PHARMACY #2595 3945 LEGACY DRIVE PLANO TX 75023 (972) 491-22104528850 1861421828 TOM THUMB PHARMACY #3645 2200 14TH STREET PLANO TX 75074 (972) 423-41075911296 1376961938 WALGREENS 6324 CUSTER RD PLANO TX 75023 (972) 575-82375901106 1730496670 WALGREENS 7000 PARKWOOD BLVD BLDG H1 PLANO TX 75024 (972) 378-38714548282 1619142650 WALGREENS #11770 2300 E PARK BLVD PLANO TX 75074 (972) 422-51234553156 1588894166 WALGREENS #12907 1600 PRESTON RD PLANO TX 75093 (972) 769-91714500078 1770598716 WALGREENS #3911 2001 CUSTER ROAD PLANO TX 75075 (972) 599-19014502248 1306851365 WALGREENS #4292 4000 PRESTON RD PLANO TX 75093 (972) 964-24704507945 1306851373 WALGREENS #4315 4130 LEGACY DR PLANO TX 75024 (972) 491-56774505852 1740295708 WALGREENS #4577 901 LEGACY DR PLANO TX 75025 (972) 517-97444513544 1932114915 WALGREENS #5443 3000 MCDERMOTT RD PLANO TX 75025 (972) 377-80334516437 1386651263 WALGREENS #5508 6301 W PARK BLVD PLANO TX 75093 (972) 781-17954591308 1811914088 WAL-MART PHARMACY 1700 DALLAS PARKWAY PLANO TX 75093 (972) 931-51765905445 1619242583 WAL-MART PHARMACY 3100 CUSTER RD PLANO TX 75075 (972) 244-67225906815 1073861134 WAL-MART PHARMACY 3513 E PARK BLVD PLANO TX 75074 (469) 304-31484522670 1386661429 WAL-MART PHARMACY 425 COIT ROAD PLANO TX 75075 (972) 599-90664515904 1922027937 WAL-MART PHARMACY 6000 COIT RD PLANO TX 75023 (972) 985-30814575380 1073530234 WAL-MART PHARMACY 6001 CENTRAL EXPY PLANO TX 75023 (972) 422-96514544044 1649304478 WAL-MART PHARMACY 8040 INDEPENDENCE PARKWAY PLANO TX 75025 (972) 396-64084514217 1487671509 WAL-MART PHARMACY 8801 OHIO DRIVE PLANO TX 75024 (972) 731-95885908605 1437594926 WAL-MART PHARMACY 10-4182 3312 PRESTON ROAD PLANO TX 75093 (469) 304-31244581648 1003925447 HEB PHARMACY 219 W OAKLAWN PLEASANTON TX 78064 (830) 281-81904528901 1003955055 REXCO PHARMACY 120 N SMITH ST PLEASANTON TX 78064 (830) 569-40604548270 1255506200 WALGREENS #11725 2070 W OAKLAWN RD PLEASANTON TX 78064 (830) 569-32894596889 1194742379 WAL-MART PHARMACY 10-0757 2151 WEST OAKLAWN PLEASANTON TX 78064 (830) 569-55654528622 1063521490 HEB PHARMACY 4800 HWY 365 PORT ARTHUR TX 77642 (409) 722-40664501006 1689681603 WALGREENS 4930 GULFWAY DRIVE PORT ARTHUR TX 77642 (409) 982-1654

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4528622 1063521490 HEB PHARMACY 4800 HWY 365 PORT ARTHUR TX 77642 (409) 722-40664501006 1689681603 WALGREENS 4930 GULFWAY DRIVE PORT ARTHUR TX 77642 (409) 982-16544570140 1003821018 WALGREENS #5375 3700 HWY 365 PORT ARTHUR TX 77642 (409) 724-19144592297 1588681761 WAL-MART PHARMACY 10-0408 8585 MEMORIAL BLVD PORT ARTHUR TX 77642 (409) 724-00544565240 1831116060 WAL-MART PHARMACY 10-0449 4999 TWIN CITY HWY PORT ARTHUR TX 77642 (409) 963-21824549400 1053577270 WALGREENS #11672 1673 HWY 100 PORT ISABEL TX 78578 (956) 943-37544580696 1992722151 WAL-MART PHARMACY 10-0413 1401 WEST HWY 100 PORT ISABEL TX 78578 (956) 943-35124573704 1043329485 HEB PHARMACY 101 CALHOUN PLAZA PORT LAVACA TX 77979 (361) 552-45634552611 1396971933 WALGREENS #12494 1302 N VIRGINIA ST PORT LAVACA TX 77979 (361) 552-74514575366 1841217098 WAL-MART PHARMACY 400 TINEY BROWNING BLVD PORT LAVACA TX 77979 (361) 552-35254500965 1033124086 WALGREENS 2126 NALL STREET PORT NECHES TX 77651 (409) 727-14264524559 1669487567 WALGREENS #6932 24917 FM 1314 RD PORTER TX 77365 (281) 354-17924592300 1598783334 WAL-MART PHARMACY 10-0297 23561 US HWY 59 PORTER TX 77365 (281) 354-51254535437 1215046644 HEB PHARMACY 1600 WILDCAT DRIVE PORTLAND TX 78374 (361) 643-15145912541 1215336359 WALGREENS 1105 US HIGHWAY 181 PORTLAND TX 78374 (361) 229-72514521678 1841218534 WALMART PHARMACY 2000 US HIGHWAY 181 PORTLAND TX 78374 (361) 643-86795918492 1982064374 WALMART PHARMACY 10-7178 701 W PRINCETON DR PRINCETON TX 75407 (972) 736-68665916121 1073996922 STAR CARE PHARMACY 321 N PRESTON RD PROSPER TX 75078 (972) 347-63314585886 1578554937 UNITED PHARMACY 1000 W 11TH ST QUANAH TX 79252 (940) 663-2733

35

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4542026 1003911876 SAVE MART QUINLAN PHARMACY HWY 34 AND HWY 276 QUINLAN TX 75474 (903) 356-24494543484 1669537775 WAL-MART PHARMACY 8801 HIGHWAY 34 SOUTH QUINLAN TX 75474 (903) 356-10135907122 1063763134 WALGREENS 107 E OVILLA RD RED OAK TX 75154 (972) 576-33035905433 1669747523 WAL-MART PHARMACY 100 RYAN DR RED OAK TX 75154 (972) 515-20664513138 1730183385 AMBER PHARMACY 1301 E ARAPAHO ROAD RICHARDSON TX 75081 (214) 828-98484543105 1942370028 DANA DISCOUNT PHARMACY 1701 N.COLLINS BLVD RICHARDSON TX 75080 (972) 231-88854567802 1821036781 SAVON PHARMACY 2165 E BUCKINGHAM DR RICHARDSON TX 75081 (972) 680-84774581612 1063448843 TOM THUMB PHARMACY #2526 819 W ARAPAHO RD RICHARDSON TX 75080 (972) 680-97174591358 1275565004 TOM THUMB PHARMACY #3637 1380 WEST CAMPBELL ROAD RICHARDSON TX 75080 (972) 680-60234529371 1962433789 TOM THUMB PHARMACY #3641 3411 CUSTER PKWY RICHARDSON TX 75080 (972) 470-13724547280 1619152360 WALGREENS #10819 200 CENTENNIAL BLVD RICHARDSON TX 75081 (972) 231-22354597590 1013922046 WALGREENS #3802 2140 E CAMPBELL RICHARDSON TX 75081 (972) 889-91024526111 1316952211 WALGREENS #6663 4201 E RENNER RD RICHARDSON TX 75082 (972) 234-08894519407 1760409809 WAL-MART PHARMACY 1501 EAST BUCKINGHAM ROAD RICHARDSON TX 75081 (972) 235-93915913430 1861895674 WALMART PHARMACY 10-6578 6604 BOULEVARD 26 RICHLAND HILLS TX 76180 (682) 757-90674523230 1164468948 RANDALLS PHARMACY #2670 1890 FM 359 RICHMOND TX 77406 (281) 238-97905912781 1205237625 SAM'S CLUB PHARMACY 10-6867 22402 BELLAIRE BLVD RICHMOND TX 77407 (281) 202-03454542533 1366540452 WALGREENS #1169 20675 FM 1093 RICHMOND TX 77469 (281) 239-37724552863 1548497175 WALGREENS #11970 9810 S MASON RD RICHMOND TX 77406 (832) 595-95334535538 1326055377 WALGREENS #1199 1600 JACKSON ST RICHMOND TX 77469 (281) 342-52194533546 1811902992 WALGREENS #9504 7102 FM 1464 RICHMOND TX 77469 (281) 494-19844549626 1447436803 WAL-MART PHARMACY 5660 W GRAND PKWY S RICHMOND TX 77406 (832) 595-04194579275 1538187331 WAL-MART PHARMACY 10-0546 5330 FM1640 RICHMOND TX 77469 (281) 342-79214588856 1184733529 HEB PHARMACY 4031 E HWY 83 RIO GRANDE CITY TX 78582 (956) 487-09054545729 1164617585 LINO'S PHARMACY 201 N FM 3167 RIO GRANDE CITY TX 78582 (956) 488-18114588212 1245258086 WAL-MART PHARMACY 4534 E HWY 83 RIO GRANDE CITY TX 78582 (956) 487-07114517504 1558308015 MINYARD PHARMACY #49 1108 N HWY 377 ROANOKE TX 76262 (817) 491-40034566317 1679589964 ROANOKE PHARMACY 207 E BYRON NELSON BLVD ROANOKE TX 76262 (817) 491-91114533166 1659398717 WAL-MART PHARMACY 1228 NORTH HIGHWAY 377 ROANOKE TX 76262 (682) 831-1957

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4566317 1679589964 ROANOKE PHARMACY 207 E BYRON NELSON BLVD ROANOKE TX 76262 (817) 491-91114533166 1659398717 WAL-MART PHARMACY 1228 NORTH HIGHWAY 377 ROANOKE TX 76262 (682) 831-19574595712 1992723746 WAL-MART PHARMACY 10-0280 709 WEST HWY 79 ROCKDALE TX 76567 (512) 446-34014523432 1538278957 HEB PHARMACY 1409 HWY NORTH BUSINESS ROCKPORT TX 78382 (361) 729-05304556316 1265593248 JERRYS PHARMACY 2205 STATE HWY 35 N ROCKPORT TX 78382 (361) 729-55454533382 1902811086 WALGREENS #9205 1309 SH 35 N ROCKPORT TX 78382 (361) 790-87064592160 1720005903 WAL-MART PHARMACY 10-0440 2401 HWY 35 NORTH ROCKPORT TX 78382 (361) 729-98414555314 1922322098 TOM THUMB PHARMACY #2964 3070 N GOLIAD ST ROCKWALL TX 75087 (972) 961-93354551138 1417195629 WALGREENS #11519 2007 S GOLIAD ST ROCKWALL TX 75087 (214) 771-32094515524 1205841293 WALGREENS #5827 2911 RIDGE RD ROCKWALL TX 75032 (972) 772-84184525525 1093734006 WAL-MART PHARMACY 850 WEST RUSK STREET ROCKWALL TX 75087 (972) 772-68534589795 1376560540 WAL-MART PHARMACY 10-0259 782 INTERSTATE 30 ROCKWALL TX 75087 (972) 771-86124534865 1396714903 LINO'S PHARMACY 708 GRANT ST ROMA TX 78584 (956) 849-18114548509 1881852572 WALGREENS #11909 3902 FM 762 ROSENBERG TX 77469 (281) 232-29624557306 1366457368 WALGREENS #2958 3316 AVENUE H ROSENBERG TX 77471 (281) 342-55884529737 1205815123 CLINIC PHARMACY - ROTAN 774 STATE HIGHWAY 70 N ROTAN TX 79546 (325) 735-25004500321 1083721724 HEB PHARMACY 16900 N FM 620 ROUND ROCK TX 78681 (512) 238-79054569541 1972612943 HEB PHARMACY 1700 E PALM VALLEY BLVD ROUND ROCK TX 78664 (512) 255-06175909594 1124460340 HEB PHARMACY 250 UNIVERSITY BLVD ROUND ROCK TX 78665 (512) 863-9279

36

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4546428 1578744249 HEB PHARMACY 3750 GATTIS SCHOOL RD ROUND ROCK TX 78664 (512) 341-37764519320 1730298704 HEB PHARMACY 603 LOUIS HENNA BLVD BLDG A ROUND ROCK TX 78664 (512) 828-08144535122 1770512733 RANDALLS PHARMACY #2636 2051 GATTIS SCHOOL RD ROUND ROCK TX 78664 (512) 246-05104516146 1205853330 SAMS PHARMACY 130 SUNDANCE PKWY SUITE 300 ROUND ROCK TX 78681 (512) 828-05574542622 1427136274 WALGREENS #10232 4550 E PALM VALLEY BLVD ROUND ROCK TX 78664 (512) 255-92304547468 1033395744 WALGREENS #10961 2821 OAKMONT DR ROUND ROCK TX 78665 (512) 238-04754502856 1215944251 WALGREENS #4823 901 E PALM VALLEY ROAD ROUND ROCK TX 78664 (512) 248-87424513049 1073529467 WALGREENS #5708 2650 RM 620 ROUND ROCK TX 78681 (512) 733-63614530982 1396750451 WALGREENS #7310 799 LOUIS HENNA BLVD ROUND ROCK TX 78664 (512) 310-76784533039 1740297787 WALGREENS #7537 3777 GATTIS SCHOOL RD ROUND ROCK TX 78664 (512) 218-93264575253 1467467472 WALGREENS #9216 2220 S I35 ROUND ROCK TX 78681 (512) 244-37534573932 1417975228 WAL-MART PHARMACY 10-0475 2701 SOUTH IH 35 ROUND ROCK TX 78664 (512) 244-90514533178 1568489623 WALMART PHARMACY 10-5480 4700 EAST PALM VALLEY BLVD ROUND ROCK TX 78665 (512) 218-91854520587 1528004140 TOM THUMB PHARMACY #1925 8805 LAKEVIEW ROWLETT TX 75089 (214) 607-05464501450 1922015940 WALGREENS #4818 8801 LAKEVIEW PKWY ROWLETT TX 75088 (972) 463-82244532873 1386659449 WALGREENS #7737 3435 LAKEVIEW PKWY ROWLETT TX 75088 (972) 463-65004517934 1104843234 WAL-MART PHARMACY 2501 LAKEVIEW PKWY ROWLETT TX 75089 (214) 607-91385913303 1003212812 WALMART PHARMACY 10-7240 8800 LAKEVIEW PKWY ROWLETT TX 75088 (972) 202-85045916791 1720457237 WALMART PHARMACY 10-5987 494 W INTERSTATE 30 ROYSE CITY TX 75189 (972) 635-27344515334 1033136163 SAMS PHARMACY 12919 SAN PEDRO AVE S ANTONIO TX 78216 (210) 404-13764542545 1831277615 WALGREENS #9909 5434 HWY 78 SACHSE TX 75048 (972) 495-04085911474 1598182610 WALMART PHARMACY 10-5673 8015 WOODBRIDGE PARKWAY SACHSE TX 75048 (469) 440-02975912983 1053713289 WALMART PHARMACY 10-6851 6750 MURPHY RD SACHSE TX 75048 (469) 366-39574526084 1275570731 SAVON PHARMACY 1201 N SAGINAW BLVD SAGINAW TX 76179 (817) 232-38774530855 1760497820 WALGREENS #7899 833 N SAGINAW BLVD SAGINAW TX 76179 (817) 306-71474537342 1548287600 WALMART PHARMACY 10-5316 1401 N SAGINAW BLVD SAGINAW TX 76179 (817) 306-47854585002 1164460523 ALBERTSONS MARKET PHARMACY #678 3121 SUNSET DR SAN ANGELO TX 76904 (325) 942-66584582436 1952415945 COMMUNITY PHARMACY 3520 KNICKERBOCKER RD SAN ANGELO TX 76904 (325) 949-45774583426 1285743625 HEB PHARMACY 3301 SHERWOOD WAY SAN ANGELO TX 76901 (325) 942-0454

37

4582436 1952415945 COMMUNITY PHARMACY 3520 KNICKERBOCKER RD SAN ANGELO TX 76904 (325) 949-45774583426 1285743625 HEB PHARMACY 3301 SHERWOOD WAY SAN ANGELO TX 76901 (325) 942-04544529977 1427081447 MYERS DRUG INC 29 S CHADB0URNE SAN ANGELO TX 76903 (325) 655-31464539788 1205853439 SAMS PHARMACY 5749 SHERWOOD WAY SAN ANGELO TX 76901 (325) 223-14264584252 1457495541 SHANNON PHARMACY 119 E BEAUREGARD SAN ANGELO TX 76903 (325) 655-81915906865 1609125111 WALGREENS 2828 N BRYANT BLVD SAN ANGELO TX 76903 (325) 655-49574522529 1679588578 WALGREENS #6695 3328 SHERWOOD WAY SAN ANGELO TX 76901 (325) 947-36774527858 1861407769 WALGREENS #7293 12 N ABE STREET SAN ANGELO TX 76903 (325) 658-30644577827 1508883760 WAL-MART PHARMACY 610 WEST 29TH ST SAN ANGELO TX 76903 (325) 653-70884589567 1649297813 WAL-MART PHARMACY 10-0601 5501 SHERWOOD WAY SAN ANGELO TX 76904 (325) 942-76825916727 1487031779 WALMART PHARMACY 10-7220 1852 SHERWOOD WAY SAN ANGELO TX 76901 (325) 276-69485918656 1497115794 WALMART PHARMACY 10-7281 3440 S BRYANT BLVD SAN ANGELO TX 76903 (325) 276-65985918531 1255791562 WALMART PHARMACY 10-7311 5154 KNICKERBOCKER ROAD SAN ANGELO TX 76904 (325) 276-66205909936 1457789935 CARVAJAL PHARMACY CROCKETT PARK 1715 MCCULLOUGH AVE SAN ANTONIO TX 78212 (210) 977-18705908415 1285977702 CARVAJAL PHARMACY SOUTH SAN 7500 BARLITE BLVD # 201-B SAN ANTONIO TX 78224 (210) 977-18604510954 1932214111 CARVAJALS PHARMACY 3410 ROOSEVELT AVE SAN ANTONIO TX 78214 (210) 922-21765917692 1821463506 EXPRESS PHARMACY 3930 E SOUTH CROSS SAN ANTONIO TX 78222 (352) 216-55005912945 1134540917 GOOD LIFE PHARMACY 26108 OVERLOOK PKWY BLDG 4 SAN ANTONIO TX 78260 (210) 819-45154530324 1962511394 HEB PHARMACY 1015 SWW WHITE RD SAN ANTONIO TX 78220 (210) 337-7549

37

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4520309 1285743609 HEB PHARMACY 10660 FM 471 W SAN ANTONIO TX 78251 (210) 684-12344542800 1265510036 HEB PHARMACY 10718 POTRANCO RD SAN ANTONIO TX 78251 (210) 681-23014512061 1033228457 HEB PHARMACY 108 N ROSILLO SAN ANTONIO TX 78207 (210) 227-02114511108 1215046636 HEB PHARMACY 1150 NW LOOP 1604 SAN ANTONIO TX 78248 (210) 408-81454557128 1285743617 HEB PHARMACY 11551 WEST AVENUE SAN ANTONIO TX 78213 (210) 340-77864524838 1346359767 HEB PHARMACY 12018 PERRIN BEITEL RD SAN ANTONIO TX 78217 (210) 655-95424594506 1386753374 HEB PHARMACY 12777 IH 10 WEST SAN ANTONIO TX 78230 (210) 558-30274561278 1083723415 HEB PHARMACY 14087 O CONNOR SAN ANTONIO TX 78247 (210) 637-00334550910 1487763819 HEB PHARMACY 15000 SAN PEDRO SAN ANTONIO TX 78232 (210) 494-32034529559 1437268406 HEB PHARMACY 1520 AUSTIN HWY SAN ANTONIO TX 78218 (210) 828-68715912844 1336558451 HEB PHARMACY 1601 NOGALITOS ST. SAN ANTONIO TX 78204 (210) 229-18254595457 1639288624 HEB PHARMACY 18140 SAN PEDRO SAN ANTONIO TX 78232 (210) 490-55934596093 1437268422 HEB PHARMACY 1955 NACOGDOCHES SAN ANTONIO TX 78209 (210) 930-34544524597 1265541684 HEB PHARMACY 20935 US HIGHWAY 281 NORTH SAN ANTONIO TX 78258 (210) 491-24504556506 1467561894 HEB PHARMACY 2118 FREDERICKSBURG SAN ANTONIO TX 78201 (210) 737-20404552990 1659480085 HEB PHARMACY 2130 CULEBRA RD SAN ANTONIO TX 78228 (210) 737-10405911323 1437576550 HEB PHARMACY 23635 WILDERNESS OAK SAN ANTONIO TX 78258 (210) 490-26774524600 1083723407 HEB PHARMACY 24165 I 10 W STE 300 SAN ANTONIO TX 78257 (210) 687-10724567179 1952410938 HEB PHARMACY 2929 THOUSAND OAKS DR SAN ANTONIO TX 78247 (210) 491-99764591156 1447369889 HEB PHARMACY 300 W OLMOS SAN ANTONIO TX 78212 (210) 829-17054594481 1568571552 HEB PHARMACY 302 VALLEY HI DR SAN ANTONIO TX 78227 (210) 673-17604566052 1033228010 HEB PHARMACY 3323 SE MILITARY SAN ANTONIO TX 78223 (210) 333-10314551861 1831208263 HEB PHARMACY 4100 SOUTH NEW BRAUNFELS SAN ANTONIO TX 78223 (210) 531-31604534524 1790894764 HEB PHARMACY 4821 BROADWAY SAN ANTONIO TX 78209 (210) 824-05154582602 1558470997 HEB PHARMACY 5601 BANDERA RD STE 11 SAN ANTONIO TX 78238 (210) 647-27094569553 1972612315 HEB PHARMACY 5910 BABCOCK SAN ANTONIO TX 78240 (210) 641-64054559045 1316056393 HEB PHARMACY 6000 WEST AVENUE SAN ANTONIO TX 78213 (210) 341-38754548713 1750490181 HEB PHARMACY 6030 MONTGOMERY RD SAN ANTONIO TX 78239 (210) 657-03224513520 1679682090 HEB PHARMACY 6520 FRATT RD SAN ANTONIO TX 78218 (877) 432-9355

38

4548713 1750490181 HEB PHARMACY 6030 MONTGOMERY RD SAN ANTONIO TX 78239 (210) 657-03224513520 1679682090 HEB PHARMACY 6520 FRATT RD SAN ANTONIO TX 78218 (877) 432-93554581636 1386753721 HEB PHARMACY 6580 FM 78 SAN ANTONIO TX 78244 (210) 666-12124553005 1477662807 HEB PHARMACY 6818 S ZARZAMORA SAN ANTONIO TX 78224 (210) 927-45964597110 1265541619 HEB PHARMACY 6839 SAN PEDRO SAN ANTONIO TX 78216 (210) 979-86604580444 1740399187 HEB PHARMACY 721 CASTROVILLE RD SAN ANTONIO TX 78237 (210) 436-64654556493 1649389073 HEB PHARMACY 735 SW MILITARY DRIVE SAN ANTONIO TX 78221 (210) 927-68754571419 1295844272 HEB PHARMACY 7951 GUILBEAU ROAD SAN ANTONIO TX 78250 (210) 523-04814554437 1912016346 HEB PHARMACY 8219 MARBACH ROAD SAN ANTONIO TX 78227 (210) 673-32305903605 1801185004 HEB PHARMACY 8300 FLOYD CURL DR STE 105 SAN ANTONIO TX 78229 (210) 593-02914524650 1528177946 HEB PHARMACY 8503 NW MILITARY HWY SAN ANTONIO TX 78230 (210) 479-43504508959 1861501280 HEB PHARMACY 9238 NORTH LOOP 1604 WEST SAN ANTONIO TX 78249 (210) 682-34194573716 1447369426 HEB PHARMACY 9255 FM 471 WEST SAN ANTONIO TX 78250 (210) 680-29584556087 1144339110 HEB PHARMACY 9900 WURZBACH RD SAN ANTONIO TX 78230 (210) 696-10734524585 1356450779 HEB PHARMACY 999 E BASSE STE 150 SAN ANTONIO TX 78209 (210) 822-02704529991 1275553711 HOAST PHARMACY 4411 MEDICAL DR SAN ANTONIO TX 78229 (210) 595-56915918505 1689035545 LIFECARE GARZA PHARMACY 311 CAMDEN SAN ANTONIO TX 78215 (210) 225-45615907095 1548511660 LIFEWATCH PHARMACY 2523 BOARDWALK ST SAN ANTONIO TX 78217 (615) 537-59265915410 1861870123 MEDICAL CENTER PHARMACY-STONE OAK 540 OAK CENTRE DR STE 153 SAN ANTONIO TX 78258 (210) 332-9862

38

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4559211 1568473056 OAK HILLS PHARMACY 7711 LOUIS PASTEUR DR STE 100 SAN ANTONIO TX 78229 (210) 614-41005902336 1700181518 RITE AWAY PHARMACY & MEDICAL SUPPLY 2716 SW MILITARY DR STE 102 SAN ANTONIO TX 78224 (210) 927-37425908768 1780023291 RITE-AWAY PHARMACY #5 2115 PLEASANTON RD SAN ANTONIO TX 78221 (210) 923-77175909481 1093148850 RITE-AWAY PHARMACY #6 426 CASTROVILLE RD SAN ANTONIO TX 78207 (210) 433-99915900419 1295046696 RITE-AWAY PHARMACY & MEDICAL SUPPLY 2235 THOUSAND OAKS DR STE 102 SAN ANTONIO TX 78232 (210) 490-27335910636 1649691478 SAM'S CLUB PHARMACY 10-4939 3239 GOLIAD RD SAN ANTONIO TX 78223 (210) 507-04924514267 1689691719 SAMS PHARMACY 12349 N IH 35 SAN ANTONIO TX 78233 (210) 599-15054513429 1932126059 SAMS PHARMACY 3150 SW MILITARY DRIVE SAN ANTONIO TX 78224 (210) 932-09064514255 1770500803 SAMS PHARMACY 5055 LOOP 410 NW SAN ANTONIO TX 78229 (210) 682-71444518265 1306863444 SAMS PHARMACY 5565 DEZAVALA RD SAN ANTONIO TX 78249 (210) 877-15725910484 1336576149 SAM'S PHARMACY 10-4914 2530 MARSHALL RD SAN ANTONIO TX 78259 (210) 810-42025917705 1275908949 SMART PHARMACY LLC 4390 CALLAGHAN RD SAN ANTONIO TX 78228 (210) 858-72994549032 1356502173 TRINITY RX 102 PALO ALTO SAN ANTONIO TX 78211 (210) 927-47445912539 1326447202 WALGREENS 12020 CULEBRA RD SAN ANTONIO TX 78253 (210) 762-30405908085 1316287949 WALGREENS 12352 PONTRANCE RD SAN ANTONIO TX 78253 (210) 679-01304556063 1821005893 WALGREENS 13430 SAN PEDRO AVE SAN ANTONIO TX 78216 (210) 496-13134551835 1417962515 WALGREENS 14025 NACOGDOCHES RD SAN ANTONIO TX 78217 (210) 656-50414552712 1871508978 WALGREENS 14505 NW MILITARY HWY SAN ANTONIO TX 78231 (210) 408-10195910852 1215350376 WALGREENS 25215 IH-10 WEST SAN ANTONIO TX 78255 (210) 698-25405905863 1194084624 WALGREENS 26482 HWY 281 N SAN ANTONIO TX 78258 (830) 438-78664572170 1730194747 WALGREENS 2710 NOGALITOS SAN ANTONIO TX 78225 (210) 533-77734501018 1851306807 WALGREENS 3326 FREDERICKSBURG RD SAN ANTONIO TX 78201 (210) 732-16214579112 1902811912 WALGREENS 3401 SAN PEDRO SAN ANTONIO TX 78212 (210) 738-24144554398 1225043326 WALGREENS 5760 WALZEM RD SAN ANTONIO TX 78218 (210) 657-70714556075 1396752390 WALGREENS 6635 BANDERA ROAD SAN ANTONIO TX 78238 (210) 681-85404552217 1962417063 WALGREENS 6901 SAN PEDRO AVE SAN ANTONIO TX 78216 (210) 349-98094573184 1649285651 WALGREENS 7802 WURZBACH RD SAN ANTONIO TX 78229 (210) 614-35904553219 1780699884 WALGREENS 9080 MARBACH ROAD SAN ANTONIO TX 78245 (210) 673-30824545933 1932394848 WALGREENS #11276 502 NEW VALLEY HI SAN ANTONIO TX 78227 (210) 673-0817

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4553219 1780699884 WALGREENS 9080 MARBACH ROAD SAN ANTONIO TX 78245 (210) 673-30824545933 1932394848 WALGREENS #11276 502 NEW VALLEY HI SAN ANTONIO TX 78227 (210) 673-08174552229 1063646222 WALGREENS #11520 13619 BABCOCK SAN ANTONIO TX 78249 (210) 424-36174552510 1326273871 WALGREENS #11521 10858 WURZBACH RD SAN ANTONIO TX 78230 (210) 424-36444548838 1407015597 WALGREENS #11971 20226 STONE OAK PKWY SAN ANTONIO TX 78258 (210) 481-91384550376 1942491717 WALGREENS #12030 7333 BARLITE BLVD SAN ANTONIO TX 78224 (210) 924-64714551164 1427296631 WALGREENS #12479 121 N ZARZAMORA ST SAN ANTONIO TX 78207 (210) 424-36034553271 1275763583 WALGREENS #12519 1902 N LOOP 1604 W SAN ANTONIO TX 78238 (210) 492-50954552243 1902030091 WALGREENS #12520 300 E HOUSTON ST SAN ANTONIO TX 78205 (210) 424-34624591461 1093720013 WALGREENS #2755 3065 RIGSBY SAN ANTONIO TX 78222 (210) 337-42824587905 1629083639 WALGREENS #2944 7423 BROADWAY ST SAN ANTONIO TX 78209 (210) 821-69924589276 1649285669 WALGREENS #2955 1630 BANDERA ROAD SAN ANTONIO TX 78228 (210) 432-73344589959 1770590788 WALGREENS #3140 410 WEST CYPRESS STREET SAN ANTONIO TX 78212 (210) 225-48094594049 1942217955 WALGREENS #3141 1105 GOLIAD ROAD SAN ANTONIO TX 78223 (210) 533-76024504076 1659388692 WALGREENS #3354 1106 CULEBRA SAN ANTONIO TX 78231 (210) 734-08054593756 1215944228 WALGREENS #3368 1581 AUSTIN HWY SAN ANTONIO TX 78218 (210) 930-33024594051 1639184658 WALGREENS #3504 6393 BABCOCK ROAD SAN ANTONIO TX 78240 (210) 690-90254594708 1114934122 WALGREENS #3506 6363 RITTIMAN ROAD SAN ANTONIO TX 78218 (210) 666-42444594695 1184639106 WALGREENS #3563 7103 MARBACH ROAD SAN ANTONIO TX 78227 (210) 675-6612

39

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4599429 1538176540 WALGREENS #3734 8202 CULEBRA ROAD SAN ANTONIO TX 78251 (210) 543-84194598148 1477568400 WALGREENS #3804 7655 TEZEL ROAD SAN ANTONIO TX 78250 (210) 543-91514599431 1285649210 WALGREENS #4160 2200 E HOUSTON SAN ANTONIO TX 78202 (210) 354-39934502820 1851306815 WALGREENS #4274 2425 THOUSAND OAKS DR SAN ANTONIO TX 78232 (210) 402-29274504646 1578578530 WALGREENS #4374 10411 WEST AVE SAN ANTONIO TX 78213 (210) 979-65754505864 1659386613 WALGREENS #4551 11707 HUEBNER RD SAN ANTONIO TX 78230 (210) 558-71384503391 1396750352 WALGREENS #4552 4703 W COMMERCE ST SAN ANTONIO TX 78237 (210) 434-55664508187 1033124003 WALGREENS #4838 19203 STONE OAK PKWY SAN ANTONIO TX 78258 (210) 403-00024555996 1043225147 WALGREENS #4934 6017 INGRAM RD SAN ANTONIO TX 78238 (210) 680-29624548523 1881609980 WALGREENS #5424 138 SW MILITARY DR SAN ANTONIO TX 78221 (210) 924-65824516324 1568479442 WALGREENS #6336 10718 BANDERA RD SAN ANTONIO TX 78250 (210) 682-11814521185 1063429942 WALGREENS #6537 14882 BLANCO RD SAN ANTONIO TX 78216 (210) 764-87364527202 1235145673 WALGREENS #7214 20800 US 281 N SAN ANTONIO TX 78259 (210) 497-54734529206 1225043136 WALGREENS #7308 4351 THOUSAND OAKS DR SAN ANTONIO TX 78217 (210) 599-69244540503 1598770687 WALGREENS #7371 7019 S ZARZAMORA ST SAN ANTONIO TX 78224 (210) 932-01384541808 1336161439 WALGREENS #7571 10673 CULEBRA RD SAN ANTONIO TX 78215 (210) 647-98424533750 1639184716 WALGREENS #7922 11658 IH 35 N SAN ANTONIO TX 78233 (210) 599-03984530906 1679588735 WALGREENS #7923 22114 BULVERDE RD SAN ANTONIO TX 78259 (210) 481-25174536972 1760499719 WALGREENS #7939 9903 POTRANCO RD SAN ANTONIO TX 78251 (210) 682-74314535994 1851308803 WALGREENS #9180 11103 MILITARY DR W SAN ANTONIO TX 78253 (210) 679-52674540313 1962417055 WALGREENS #9615 3030 GOLIAD RD SAN ANTONIO TX 78223 (210) 359-69494538899 1972518066 WALGREENS #9697 10003 W LOOP 1604 N SAN ANTONIO TX 78254 (210) 688-04054544892 1629287537 WAL-MART PHARMACY 11210 POTRANCO ROAD SAN ANTONIO TX 78253 (210) 679-92084579136 1144247305 WAL-MART PHARMACY 1200 S E MILITARY DRIVE SAN ANTONIO TX 78214 (210) 921-19924579148 1053338210 WAL-MART PHARMACY 1430 AUSTIN HIGHWAY SAN ANTONIO TX 78209 (210) 637-18884576988 1184642985 WAL-MART PHARMACY 1515 N FM 1604 E SAN ANTONIO TX 78232 (210) 491-90014530653 1568489615 WAL-MART PHARMACY 1603 VANCE JACKSON ROAD SAN ANTONIO TX 78213 (210) 737-07544524965 1205853355 WAL-MART PHARMACY 2100 LOOP 410 SE SAN ANTONIO TX 78220 (210) 648-75344540630 1932126166 WAL-MART PHARMACY 3302 SOUTHEAST MILITARY DRIVE SAN ANTONIO TX 78223 (210) 337-4434

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4524965 1205853355 WAL-MART PHARMACY 2100 LOOP 410 SE SAN ANTONIO TX 78220 (210) 648-75344540630 1932126166 WAL-MART PHARMACY 3302 SOUTHEAST MILITARY DRIVE SAN ANTONIO TX 78223 (210) 337-44345908097 1447590625 WAL-MART PHARMACY 4096 N FOSTER RD SAN ANTONIO TX 78244 (210) 507-49625910066 1659709426 WAL-MART PHARMACY 4331 THOUSAND OAKS DR SAN ANTONIO TX 78217 (210) 591-49794577005 1063439222 WAL-MART PHARMACY 5025 LOOP 410 NORTHWEST SAN ANTONIO TX 78229 (210) 523-11234505042 1295752301 WAL-MART PHARMACY 5555 DE ZAVALA ROAD SAN ANTONIO TX 78249 (210) 558-43304513859 1669499786 WAL-MART PHARMACY 6703 EAST LESLIE ROAD SAN ANTONIO TX 78254 (210) 688-38904532645 1386661437 WAL-MART PHARMACY 8030 BANDERA ROAD SAN ANTONIO TX 78250 (210) 520-68244596194 1477570653 WAL-MART PHARMACY 8500 JONES MALTSBURGER SAN ANTONIO TX 78216 (210) 377-31394593681 1750308938 WAL-MART PHARMACY 8923 W MILITARY DRIVE SAN ANTONIO TX 78245 (210) 675-84804567460 1730106964 WAL-MART PHARMACY 10-0765 16503 NACOGDOCHES ROAD SAN ANTONIO TX 78247 (210) 650-06475910117 1619304425 WAL-MART PHARMACY 10-0999 7239 SW LOOP 410 SAN ANTONIO TX 78227 (210) 247-59125910965 1497179105 WALMART PHARMACY 10-2769 5626 WALZEM RD SAN ANTONIO TX 78218 (210) 507-06525912919 1376944173 WALMART PHARMACY 10-2835 9006 GUILBEAU RD SAN ANTONIO TX 78250 (210) 536-31585915509 1396139234 WALMART PHARMACY 10-3058 918 BANDERA RD SAN ANTONIO TX 78228 (210) 536-05755909138 1578903282 WAL-MART PHARMACY 10-3106 8538 IH 35 SOUTH SAN ANTONIO TX 78211 (210) 810-36865918199 1205293669 WALMART PHARMACY 10-3107 24403 IH 10W SAN ANTONIO TX 78255 (210) 276-25275909140 1972942993 WAL-MART PHARMACY 10-4131 9427 CULEBRA RD SAN ANTONIO TX 78251 (210) 526-60075912111 1588078364 WALMART PHARMACY 10-4162 12639 BLANCO RD SAN ANTONIO TX 78231 (210) 591-6285

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2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5917286 1306217922 WALMART PHARMACY 10-4661 6938 WALZEM RD SAN ANTONIO TX 78239 (210) 507-09125917414 1932571064 WALMART PHARMACY 10-4670 3418 E SOUTHCROSS BLVD SAN ANTONIO TX 78223 (210) 253-81145912729 1083014880 WALMART PHARMACY 10-5224 4226 DE ZAVALA DR. SAN ANTONIO TX 78249 (210) 774-27365911448 1295152270 WALMART PHARMACY 10-5226 9526 W MILITARY DR SAN ANTONIO TX 78251 (210) 536-20905910890 1164846200 WALMART PHARMACY 10-5290 1515 S ELLISON DR. SAN ANTONIO TX 78245 (210) 276-20145918315 1386014561 WALMART PHARMACY 10-5324 3847 PLEASANTON RD SAN ANTONIO TX 78221 (210) 536-81075917591 1891168357 WALMART PHARMACY 10-5490 9005 FM 1560 N SAN ANTONIO TX 78254 (210) 507-08335913442 1396148102 WALMART PHARMACY 10-6589 3175 NACOGDOCHES RD BLDG 1 SAN ANTONIO TX 78217 (210) 536-00065909722 1396171989 WAL-MART PHARMACY 10-7263 1 LONE STAR PASS STE 46 SAN ANTONIO TX 78264 (210) 628-40124531124 1457496473 WHITE CROSS PHARMACY 1303 MCCULLOUGH SAN ANTONIO TX 78212 (210) 227-72005915775 1760869101 ZIKAM NEIGHBORHOOD PHARMACY 21920 BULVERDE RD # 102/103 SAN ANTONIO TX 78259 (210) 503-50634548802 1841459328 AVITA DRUGS 7302 LOUIS PASTEUR DR SAN ANTONTIO TX 78229 (210) 231-03834554588 1710216528 HEB PHARMACY 1095 W. BUSINESS 77 SAN BENITO TX 78586 (956) 399-51495906548 1245585066 WALGREENS 155 E US HIGHWAY 77 SAN BENITO TX 78586 (956) 276-97834577928 1801814603 WAL-MART PHARMACY 1126 W US HIGHWAY 77 SAN BENITO TX 78586 (956) 399-23734533154 1225147655 HEB PHARMACY 901 W EXPRESSWAY 83 SAN JUAN TX 78589 (956) 783-12754505496 1194877456 SAN JUAN PHARMACY 1205 N RAUL LONGORIA SAN JUAN TX 78589 (956) 961-48705904114 1366725046 WALGREENS 101 W FM 495 SAN JUAN TX 78589 (956) 787-18304544878 1386850568 WALGREENS #10550 824 N I RD SAN JUAN TX 78589 (956) 783-49774531249 1821192899 B AND J PHARMACY 2111 HUNTER RD SAN MARCOS TX 78666 (512) 392-33014502921 1871602284 HEB PHARMACY 200 W HOPKINS SAN MARCOS TX 78666 (512) 396-03034553079 1326157397 HEB PHARMACY 641 E HOPKINS SAN MARCOS TX 78666 (512) 396-28924544032 1467586511 SAMS PHARMACY 1350 LEAH AVE SAN MARCOS TX 78666 (512) 392-13874551316 1164661344 WALGREENS #12521 1700 RANCH ROAD 12 SAN MARCOS TX 78666 (512) 393-37014500131 1689689622 WALGREENS #4550 639 E HOPKINS ST SAN MARCOS TX 78666 (512) 396-13354597829 1649297821 WAL-MART PHARMACY 10-0404 1015 HWY 80 SAN MARCOS TX 78666 (512) 353-30004500333 1699884007 HEB PHARMACY 17460 IH 35 N SCHERTZ TX 78154 (210) 651-41484548383 1144497116 WALGREENS #11928 5960 FM 1103 SCHERTZ TX 78154 (830) 620-50254513594 1750396735 WALGREENS #5963 3801 FM 3009 SCHERTZ TX 78154 (210) 566-3245

41

4548383 1144497116 WALGREENS #11928 5960 FM 1103 SCHERTZ TX 78154 (830) 620-50254513594 1750396735 WALGREENS #5963 3801 FM 3009 SCHERTZ TX 78154 (210) 566-32454532962 1740207802 WAL-MART PHARMACY 6102 FM 3009 SCHERTZ TX 78154 (210) 651-90794525828 1407861305 WALGREENS #7103 1902 BAYPORT BLVD SEABROOK TX 77586 (281) 474-14144595421 1740216464 GIBSON DISCOUNT PHARMACY 112 HALL RD SEAGOVILLE TX 75159 (972) 287-70704544842 1144436361 WALGREENS #9323 610 W MALLOY BRIDGE RD SEAGOVILLE TX 75159 (972) 287-11344534093 1194742254 WAL-MART PHARMACY 220 NORTH HIGHWAY 175 SEAGOVILLE TX 75159 (972) 287-29145917135 1164894507 SEALY PHARMACY 707 MEYER ST SEALY TX 77474 (979) 256-30454544929 1720296213 WALGREENS #10681 1808 MEYER ST SEALY TX 77474 (979) 877-02514591613 1548287717 WAL-MART PHARMACY 310 OVERCREEK WAY SEALY TX 77474 (979) 627-01024560771 1447369871 HEB PHARMACY 1340 E COURT ST SEGUIN TX 78155 (830) 379-01604541733 1790707891 WALGREENS #9810 1357 E COURT ST SEGUIN TX 78155 (830) 372-33604570861 1013935808 WAL-MART PHARMACY 550 S HIGHWAY 123 BYP SEGUIN TX 78155 (830) 372-58804585420 1104813963 OSWALT PHARMACY 701 HOBBS HWY SEMINOLE TX 79360 (432) 758-36564584492 1992722169 WAL-MART PHARMACY 10-0626 2000 HOBBS HIGHWAY SEMINOLE TX 79360 (432) 758-32705901120 1851606040 SEYMOUR PHARMACY 201 STADIUM DR STE 1 SEYMOUR TX 76380 (940) 888-22224531566 1265447866 UNITED PHARMACY 101 N WASHINGTON SEYMOUR TX 76380 (940) 889-36224517960 1922025055 SAMS PHARMACY 19091 INTERSTATE 45 SOUTH SHENANDOAH TX 77385 (936) 271-17605904366 1972880797 VILLAGE PHARMACY 1490 RESEARCH FOREST DR SHENANDOAH TX 77381 (832) 948-1012

41

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number5907906 1417201690 CARERX PHARMACY AT SHERMAN 1733 TEXOMA PKWY STE 200 SHERMAN TX 75090 (903) 893-17005908364 1770926685 HERITAGE PARKWAY PHARMACY 3429 N FM 1417 SHERMAN TX 75092 (903) 893-82224520195 1023036712 SAMS PHARMACY 3333 N US HIGHWAY 75 SHERMAN TX 75090 (903) 891-44404584961 1235176793 SAVON PHARMACY 100 E TAYLOR SHERMAN TX 75090 (903) 868-94144552077 1073757142 WALGREENS 1828 TEXOMA PKWY SHERMAN TX 75090 (903) 868-26204571623 1831117621 WAL-MART PHARMACY 401 EAST HWY 82 SHERMAN TX 75090 (903) 893-90905917224 1851771810 WALMART PHARMACY 10-3521 2210 N F.M. 1417 SHERMAN TX 75092 (903) 209-49074531693 1558464479 QUALITY PHARMACY 724 NORTH AVE E SHINER TX 77984 (361) 594-22624554665 1194054338 WALGREENS #11522 496 HIGHWAY 96 S SILSBEE TX 77656 (409) 386-69594587816 1548288384 WAL-MART PHARMACY 10-0383 1100 US HIGHWAY 96 N SILSBEE TX 77656 (409) 385-14415909203 1447691761 SLATON PHARMACY 165 S 9TH ST STE A SLATON TX 79364 (806) 828-44444531871 1497849251 MCWILLIAMS PHARMACY 3706 COLLEGE AVE SNYDER TX 79549 (325) 573-75824507870 1104803014 UNITED PHARMACY 3500 COLLEGE SNYDER TX 79549 (325) 574-16834578297 1326065582 WAL-MART PHARMACY 10-1272 5110 COLLEGE AVE SNYDER TX 79549 (325) 573-19654550580 1659526820 WALGREENS #11436 10850 NORTH LOOP DR SOCORRO TX 79927 (915) 860-13155905192 1982977708 WAL-MART PHARMACY 10301 ALAMEDA AVE SOCORRO TX 79927 (915) 245-34934514279 1609805662 TOM THUMB PHARMACY #2580 100 W SOUTHLAKE BLVD STE 200 SOUTHLAKE TX 76092 (817) 421-65304515536 1114932100 WALGREENS #5919 1701 SOUTHLAKE BLVD SOUTHLAKE TX 76092 (817) 488-49784527909 1972612398 HEB PHARMACY 130 SAWDUST ROAD SPRING TX 77380 (281) 292-07745915129 1861887028 HEB PHARMACY 3540 RAYFORD RD SPRING TX 77386 (281) 353-24204530425 1598874927 HEB PHARMACY 7310 LOUETTA SPRING TX 77379 (281) 251-02554554223 1992030894 HEB PHARMACY #610 2121 FM 2920 RD SPRING TX 77388 (281) 907-79504570594 1104855170 RANDALLS PHARMACY #2673 2250 BUCKTHORNE PLACE SPRING TX 77380 (281) 367-58705913593 1124424585 STERLING RIDGE ORTHOPAEDICS & SPORT 20639 KUYKENDAHL RD STE 300 SPRING TX 77379 (832) 698-01154557320 1184639189 WALGREENS 19710 HOLZWARTH SPRING TX 77388 (281) 350-15004557419 1629083621 WALGREENS 23110 ALDINE WESTFIELD RD SPRING TX 77373 (281) 350-53114565935 1700891702 WALGREENS #1267 485 SAWDUST RD SPRING TX 77380 (281) 363-95834521387 1972510857 WALGREENS #6750 18535 CHAMPION FOREST DR SPRING TX 77379 (281) 370-49614527961 1568479475 WALGREENS #7307 2103 FM 2920 ROAD SPRING TX 77388 (281) 288-9008

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4521387 1972510857 WALGREENS #6750 18535 CHAMPION FOREST DR SPRING TX 77379 (281) 370-49614527961 1568479475 WALGREENS #7307 2103 FM 2920 ROAD SPRING TX 77388 (281) 288-90084564414 1457368458 WALGREENS #7413 19302 KUYKENDAHL RD SPRING TX 77379 (281) 353-86214588957 1043227051 WALGREENS #7599 7304 LOUETTA RD SPRING TX 77379 (281) 379-13174531035 1114932274 WALGREENS #7720 21106 KUYKENDAHL RD SPRING TX 77379 (281) 355-63254530627 1033124193 WALGREENS #7775 560 RAYFORD RD SPRING TX 77386 (281) 298-00404534079 1386661445 WAL-MART PHARMACY 21150 KUYKENDAHL ROAD SPRING TX 77379 (281) 288-93624565113 1295752426 WAL-MART PHARMACY 10-0602 1025 SAWDUST RD SPRING TX 77380 (281) 292-17214570746 1104844992 WAL-MART PHARMACY 10-0849 155 LOUETTA XING SPRING TX 77373 (281) 651-02165918618 1265892657 WALMART PHARMACY 10-3585 2901 RILEY FUZZELL ROAD SPRING TX 77386 (832) 823-78135917589 1164895629 WALMART PHARMACY 10-5353 24809 ALDINE WESTFIELD RD SPRING TX 77373 (281) 203-33204515029 1841309267 HEB PHARMACY 20725 HWY 46 WEST SPRING BRANCH TX 78070 (830) 438-40105916020 1952789240 WALMART PHARMACY 10-3056 305 SINGING OAKS SPRING BRANCH TX 78070 (506) 855-21484563664 1972549582 RANDALLS PHARMACY #1022 11711 W BELLFORT STAFFORD TX 77477 (281) 568-03854517958 1336167022 SAMS PHARMACY 12300 S W FREEWAY STAFFORD TX 77477 (281) 295-25124571611 1720005960 WAL-MART PHARMACY 11210 W AIRPORT BLVD STAFFORD TX 77477 (281) 933-52524563501 1881737948 COUNTRY DRUG STORE 1517 COLUMBIA ST STAMFORD TX 79553 (325) 773-24414577916 1417974676 WAL-MART PHARMACY 2614 N SWENSON ST STAMFORD TX 79553 (325) 773-27794532099 1942296801 STANTON DRUG 201 N ST PETER ST STANTON TX 79782 (432) 756-3731

42

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4582828 1447277603 WALMART PHARMACY 10-438 3800 WEST WALKER ST STEPHENS TX 76424 (254) 559-22624517287 1831208255 HEB PHARMACY 2150 W WASHINGTON STEPHENVILLE TX 76401 (254) 965-22674534942 1275548356 WALGREENS #9040 2315 W WASHINGTON ST STEPHENVILLE TX 76401 (254) 965-25874589771 1467479634 WAL-MART PHARMACY 10-0610 2765 W WASHINGTON STEPHENVILLE TX 76401 (254) 968-06605906081 1457612947 DELIVERIT PHARMACY INC 13303 W AIRPORT BLVD SUGAR LAND TX 77478 (281) 277-10714561610 1871539650 RANDALLS PHARMACY #1021 3346 HIGHWAY 6 SOUTH SUGAR LAND TX 77478 (281) 980-21504501323 1700815768 RANDALLS PHARMACY #3068 5800 NEW TERRITORY BLVD SUGAR LAND TX 77479 (281) 634-06124522656 1477570513 SAMS PHARMACY 351 HIGHWAY 6 SUGAR LAND TX 77478 (281) 295-25355906980 1003166828 WALGREENS 16605 SOUTHWEST FWY SUGAR LAND TX 77479 (281) 980-02934561595 1811904816 WALGREENS #1157 3316 HWY 6 SOUTH SUGAR LAND TX 77478 (281) 980-57904501688 1114932167 WALGREENS #3696 4711 SWEETWATER BLVD SUGAR LAND TX 77479 (281) 980-63044527682 1659388569 WALGREENS #6783 17330 W GRAND PKW SOUTH SUGAR LAND TX 77479 (281) 633-01244522214 1417964396 WALGREENS #6855 11525 S HIGHWAY 6 SUGAR LAND TX 77478 (281) 565-45044517631 1487671517 WAL-MART PHARMACY 345 HWY 6 SUGAR LAND TX 77478 (281) 340-09094527517 1154430577 HEB PHARMACY 19900 SOUTHWEST FRWY SUGARLAND TX 77479 (281) 239-20535903706 1013205855 HEB PHARMACY 530 HIGHWAY 6 SUGARLAND TX 77479 (281) 240-63704536112 1255346334 WALGREENS #3324 2103 ELDRIDGE RD SUGARLAND TX 77478 (281) 240-00404554780 1053641639 CODY DRUG 1505 S BROADWAY ST SULPHUR SPRINGS TX 75482 (903) 885-26394549234 1225294622 WALGREENS #11910 1130 S BROADWAY ST SULPHUR SPRINGS TX 75482 (903) 438-24354591536 1639196801 WAL-MART PHARMACY 10-0417 1750 S BROADWAY SULPHUR SPRINGS TX 75482 (903) 885-15784510005 1740207851 WAL-MART PHARMACY 407 N E GEORGIA AVENUE SWEETWATER TX 79556 (325) 236-95884532380 1831121227 TAHOKA DRUG 1610 MAIN ST TAHOKA TX 79373 (806) 561-40414590003 1710096151 HEB PHARMACY 100 CARLOS G PARKER BLVD NW STE 101 TAYLOR TX 76574 (512) 352-20244537758 1790790889 WALGREENS #9680 1610 N MAIN ST TAYLOR TX 76574 (512) 352-34694595851 1568489748 WAL-MART PHARMACY 3701 NORTH MAIN ST TAYLOR TX 76574 (512) 352-63334579174 1588773923 HEB PHARMACY 1314 WEST ADAMS TEMPLE TX 76504 (254) 773-45854579833 1902923378 HEB PHARMACY 3002 S 31ST ST TEMPLE TX 76502 (254) 773-21774538089 1457378515 SAMS PHARMACY 1414 MARLAND WOOD ROAD TEMPLE TX 76502 (254) 742-10734516451 1669487658 WALGREENS #6158 3614 S 31ST ST TEMPLE TX 76502 (254) 899-8484

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4538089 1457378515 SAMS PHARMACY 1414 MARLAND WOOD ROAD TEMPLE TX 76502 (254) 742-10734516451 1669487658 WALGREENS #6158 3614 S 31ST ST TEMPLE TX 76502 (254) 899-84844588515 1003833278 WAL-MART PHARMACY 10-0746 3401 S 31ST STREET TEMPLE TX 76502 (254) 778-46365915446 1659765139 WALMART PHARMACY 10-6929 6801 W ADAMS AVE TEMPLE TX 76502 (254) 598-75944532607 1528172517 WESTSIDE DRUG 1516 S 31ST STREET TEMPLE TX 76504 (254) 778-27735906702 1730437039 WALGREENS 98 STATE HIGHWAY 205 TERRELL TX 75160 (972) 551-12554583844 1265459424 WAL-MART PHARMACY 10-0265 1900 WEST MOORE AVE TERRELL TX 75160 (972) 563-57675903403 1902191067 SAMS PHARMACY 3610 SAINT MICHAEL DR TEXARKANA TX 75503 (903) 838-05974556467 1891732350 SAVON PHARMACY 2315 RICHMOND RD TEXARKANA TX 75501 (903) 832-35244502200 1871530204 SAV-ON PHARMACY #0135 4415 W 7TH TEXARKANA TX 75501 (903) 831-58824516449 1750396743 WALGREENS #6195 4415 N STATELINE AVE TEXARKANA TX 75503 (903) 792-89184520119 1467469346 WALGREENS #6525 1902 RICHMOND RD TEXARKANA TX 75503 (903) 838-39884593667 1932126117 WAL-MART PHARMACY 4000 NEW BOSTON ROAD TEXARKANA TX 75501 (903) 831-30235913707 1427452168 WALMART PHARMACY 10-4367 3302 SUMMERHILL RD TEXARKANA TX 75503 (903) 716-70195914468 1639560444 WALMART PHARMACY 10-4371 3520 RICHMOND RD TEXARKANA TX 75503 (903) 716-71105915713 1700264306 HEB PHARMACY #662 3502 PALMER HWY TEXAS CITY TX 77590 (409) 943-42494583008 1639184641 WALGREENS #10583 3103 PALMER HWY TEXAS CITY TX 77590 (409) 945-07024524179 1841205747 WALGREENS #4719 5297 HWY 121 THE COLONY TX 75056 (469) 384-22204596891 1003833286 WAL-MART PHARMACY 10-0426 4691 STATE HWY 121 THE COLONY TX 75056 (972) 625-3784

43

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4545692 1871786715 ACP AT ST LUKE'S 17350 ST LUKES WAY THE WOODLANDS TX 77384 (281) 602-34914534043 1043329477 HEB PHARMACY 10777 KUYKENDAHL RD THE WOODLANDS TX 77382 (281) 292-80265903592 1154616662 HEB PHARMACY 3601 FM 1488 RD. THE WOODLANDS TX 77384 (936) 321-27484535095 1154430122 HEB PHARMACY 9595 SIX PINES RD THE WOODLANDS TX 77380 (281) 292-39625900611 1336451822 PINECROFT PHARMACY 9305 PINECROFT DRIVE THE WOODLANDS TX 77380 (281) 466-36504525234 1881630663 RANDALLS PHARMACY #2617 9420 COLLEGE PARK DRIVE SUITE 100 THE WOODLANDS TX 77384 (936) 321-44474587690 1649209610 RANDALLS PHARMACY #3054 4775 W PANTHER CREEK THE WOODLANDS TX 77381 (281) 363-51425913961 1457749590 SOUTHSIDE PHARMACY 9 1111 MEDICAL PLAZA DR STE 160 THE WOODLANDS TX 77380 (832) 813-52964548016 1861662397 WALGREENS #11646 4585 RESEARCH FOREST DR THE WOODLANDS TX 77381 (281) 465-05484504696 1295740256 WALGREENS #4493 8000 RESEARCH FOREST DR 100 THE WOODLANDS TX 77382 (281) 292-38614539168 1326053414 WALGREENS #9602 6467 WOODLANDS PKWY THE WOODLANDS TX 77382 (281) 292-67434540870 1053339812 WAL-MART PHARMACY 10001 WOODLANDS PARKWAY THE WOODLANDS TX 77382 (281) 419-59454517148 1841217973 WAL-MART PHARMACY 3040 COLLEGE PARK DRIVE THE WOODLANDS TX 77384 (936) 271-07555912387 1891102547 HEB PHARMACY 26500 KUYKENDAHL RD. TOMBALL TX 77375 (281) 255-22484530968 1316056740 HEB PHARMACY 28520 TOMBALL PKWY TOMBALL TX 77375 (281) 351-19725906120 1205197522 MS PHARMACY 27721 TOMBALL PARKWAY TOMBALL TX 77375 (832) 698-15654552065 1699918706 TOMBALL HEALTH MART PHARMACY 506 GRAHAM DRIVE TOMBALL TX 77375 (832) 559-64135911462 1356760474 WALGREENS 26288 KUYKENDAHL RD TOMBALL TX 77375 (281) 378-29954561571 1356356356 WALGREENS 28426 TOMBALL PKWY TOMBALL TX 77375 (281) 357-00244528507 1689689580 WALGREENS #7372 11970 SPRING CYPRESS RD TOMBALL TX 77377 (281) 320-86544529446 1518974435 WALGREENS #7671 24424 TOMBALL PKWY TOMBALL TX 77375 (281) 290-05374528711 1548289556 WAL-MART PHARMACY 22605 TOMBALL PARKWAY TOMBALL TX 77375 (281) 374-95234567042 1821015058 WAL-MART PHARMACY 10-0703 27650 TOMBALL PKWY TOMBALL TX 77375 (281) 351-21444515803 1427087485 TOM THUMB PHARMACY #1789 101 TROPHY LAKE DRIVE TROPHY CLUB TX 76262 (817) 490-69684518570 1669487559 WALGREENS #6047 541 TROPHY LAKE DR TROPHY CLUB TX 76262 (682) 831-16504520448 1841217981 SAMS PHARMACY 2025 S SOUTHWEST LOOP 323 TYLER TX 75701 (903) 597-18634549587 1396991600 WALGREENS #12358 3712 W ERIN ST TYLER TX 75702 (903) 526-53614551645 1982845509 WALGREENS #12522 1620 S BROADWAY AVE TYLER TX 75701 (903) 533-03674515194 1679588669 WALGREENS #6358 5415 S BROADWAY TYLER TX 75703 (903) 939-9298

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4551645 1982845509 WALGREENS #12522 1620 S BROADWAY AVE TYLER TX 75701 (903) 533-03674515194 1679588669 WALGREENS #6358 5415 S BROADWAY TYLER TX 75703 (903) 939-92984542064 1083624951 WALGREENS #9408 2120 E SOUTHEAST LP 323 TYLER TX 75701 (903) 593-15075908922 1386088078 WAL-MART PHARMACY 1900 EAST SE LOOP 323 TYLER TX 75701 (903) 508-61274573843 1033136288 WAL-MART PHARMACY 3820 STATE HIGHWAY 64 W TYLER TX 75704 (903) 597-38884573817 1215954466 WAL-MART PHARMACY 5050 TROUP HWY TYLER TX 75703 (903) 534-11224501741 1124047139 WAL-MART PHARMACY 6801 SOUTH BROADWAY TYLER TX 75703 (903) 581-48425917262 1457722779 WALMART PHARMACY 10-4605 5976 OLD JACKSONVILLE HWY TYLER TX 75703 (479) 204-85505917402 1285006544 WALMART PHARMACY 10-5700 2151 FRANKSTON HWY TYLER TX 75701 (903) 405-61994528406 1609985035 HEB PHARMACY 910 KITTY HAWK UNIVERSAL CITY TX 78148 (210) 945-21205919141 1588012876 WALMART PHARMACY 10-4055 510 KITTY HAWK RD. UNIVERSAL CITY TX 78148 (210) 536-85464520133 1447296066 TOM THUMB PHARMACY #1973 7000 SNIDER PLAZA UNIVERSITY PARK TX 75205 (214) 346-45864538522 1760591192 HEB PHARMACY 227 E MAIN UVALDE TX 78801 (830) 278-25815906182 1831450790 WALGREENS 250 E MAIN ST UVALDE TX 78801 (830) 278-39154569135 1013934256 WAL-MART PHARMACY 10-0782 3100 EAST MAIN UVALDE TX 78801 (830) 278-62214596017 1780699140 FAMILY PHARMACY 1720 HILLCREST DR VERNON TX 76384 (940) 552-29994598770 1750372207 UNITED PHARMACY 3000 WILBARGER VERNON TX 76384 (940) 552-26004517136 1427076116 WAL-MART PHARMACY 3800 HWY 287 WEST VERNON TX 76384 (940) 552-80694520335 1811006232 HEB PHARMACY 1505 E RIO GRANDE VICTORIA TX 77901 (361) 572-8001

44

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4572500 1407965841 HEB PHARMACY 6106 N NAVARRO VICTORIA TX 77904 (361) 572-85754551037 1568609097 WALGREENS #12330 9005 N NAVARRO VICTORIA TX 77904 (361) 574-11054585812 1255348256 WALGREENS #2636 2701 N NAVARRO ST VICTORIA TX 77901 (361) 578-15814539144 1508871690 WALGREENS #7963 2906 HOUSTON HWY VICTORIA TX 77901 (361) 576-54584537164 1700891892 WALGREENS #7964 5204 N NAVARRO ST VICTORIA TX 77901 (361) 576-52384585987 1265459432 WAL-MART PHARMACY 10-0330 9002 NORTH NAVARRO VICTORIA TX 77904 (361) 576-21325908720 1346582467 WAL-MART PHARMACY 10-4194 4101 HOUSTON HIGHWAY VICTORIA TX 77901 (361) 827-72754541125 1942236153 WALGREENS #10139 1305 N MAIN VIDOR TX 77662 (409) 769-11714592273 1457378630 WAL-MART PHARMACY 10-0457 1350 NORTH MAIN VIDOR TX 77662 (409) 769-16914563967 1528177953 HEB PHARMACY 1301 WOODED ACRES DR WACO TX 76710 (254) 776-10274582791 1376652719 HEB PHARMACY 1821 S VALLEY MILLS DR WACO TX 76711 (254) 757-33444579035 1851400295 HEB PHARMACY 3801 N 19TH ST WACO TX 76708 (254) 753-22264534132 1861501298 HEB PHARMACY 9100 WOODWAY DRIVE WACO TX 76712 (254) 751-09124535184 1285651349 SAMS PHARMACY 2301 E WACO DR WACO TX 76705 (254) 799-54124500561 1033124078 WALGREENS #4606 4100 BOSQUE DR WACO TX 76710 (254) 751-72154571635 1639196876 WAL-MART PHARMACY 4320 FRANKLIN AVE WACO TX 76710 (254) 751-03014535069 1467479527 WALMART PHARMACY 10-5389 600 HEWITT DR WACO TX 76712 (254) 666-74295915763 1326426768 WALMART PHARMACY 10-4373 200 WAKE VILLAGE RD WAKE VILLAGE TX 75501 (903) 716-71745901029 1457669509 ALBERTSONS PHARMACY 6249 RUFE SNOW DRIVE WATAUGA TX 76148 (817) 428-03714502250 1124066147 SAVON PHARMACY 8428 DENTON HWY WATAUGA TX 76148 (817) 581-62234518001 1841205739 WALGREENS #6264 8020 DENTON HWY WATAUGA TX 76148 (817) 428-53764580064 1841309283 HEB PHARMACY 800 NORTH HWY 77 WAXAHACHIE TX 75165 (972) 923-22974520121 1487669370 WALGREENS #6562 1201 FERRIS AVE WAXAHACHIE TX 75165 (972) 923-32274587917 1346267515 WAL-MART PHARMACY 10-0260 1200 N HWY 77 WAXAHACHIE TX 75165 (972) 938-82224520866 1093752552 SAVON PHARMACY 225 E SPRING WEATHERFORD TX 76086 (817) 594-98164510586 1124033105 WALGREENS #5376 1317 S MAIN ST WEATHERFORD TX 76086 (817) 594-57714572687 1134146384 WAL-MART PHARMACY 1836 S MAIN STREET WEATHERFORD TX 76086 (817) 599-41664546923 1699959940 DADS PHARMACY 415 SOUTH AIRPORT DR WESLACO TX 78596 (956) 447-18004575431 1881703866 HEB PHARMACY 1004 N. TEXAS BLVD WESLACO TX 78596 (956) 968-8859

45

4546923 1699959940 DADS PHARMACY 415 SOUTH AIRPORT DR WESLACO TX 78596 (956) 447-18004575431 1881703866 HEB PHARMACY 1004 N. TEXAS BLVD WESLACO TX 78596 (956) 968-88594513099 1851400279 HEB PHARMACY 310 N WESTGATE DR WESLACO TX 78596 (956) 447-59124582260 1588757934 PRO SCRIPT PHARMACY SERVICES 911 S AIRPORT DR WESLACO TX 78596 (956) 969-37844544486 1750402756 WALGREENS #10551 1701 W BUSINESS 83 WESLACO TX 78596 (956) 447-37814573374 1821016627 WAL-MART PHARMACY 1310 NORTH TEXAS BLVD WESLACO TX 78596 (956) 968-86895912060 1427461177 WALMART PHARMACY 10-6159 1600 S TEXAS BLVD WESLACO TX 78596 (956) 854-25734503175 1558381475 WESLACO PHARMACY 1102 S AIRPORT DRIVE WESLACO TX 78596 (956) 969-06364549044 1437310323 WALGREENS #12052 100 E BRAZOS AVE WEST COLUMBIA TX 77486 (979) 345-21474594746 1922025105 WAL-MART PHARMACY 10-0482 301 N COLUMBIA DR WEST COLUMBIA TX 77486 (979) 345-60304546113 1750579256 HEB PHARMACY 701 CAPITAL OF TEXAS HWY WEST LAKE HILLS TX 78746 (512) 329-51844590510 1790714764 RANDALLS PHARMACY #2477 3300 BEE CAVE ROAD #500 WEST LAKE HILLS TX 78746 (512) 329-74084514027 1295740272 WALGREENS #6050 3700 BEECAVES RD WEST LAKE HILLS TX 78746 (512) 732-02564568486 1376560508 WAL-MART PHARMACY 10-0777 3115 EDGAR BROWN DR WEST ORANGE TX 77630 (409) 882-05514513455 1841217965 SAMS PHARMACY 6760 WESTWORTH BLVD WESTWORTH VILLAGE TX 76114 (817) 763-98204571394 1902823149 WAL-MART PHARMACY 6770 WESTWORTH BLVD WESTWORTH VILLAGE TX 76114 (817) 570-08274580278 1578672911 HEB PHARMACY 1616 N ALABAMA WHARTON TX 77488 (979) 282-28834532734 1831116995 WAL-MART PHARMACY 10388 US 59 HWY WHARTON TX 77488 (979) 532-06414582638 1972553915 AXTELL RITE VALUE PHARMACY 304 ONE HALF CHARLIE DR WHITESBORO TX 76273 (903) 564-3216

45

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number4571154 1104981216 PRESCRIPTION PHARMACY 203 E JEFFERSON WHITNEY TX 76692 (254) 694-22494576356 1801934997 MARKET STREET PHARMACY 4590 KELL BLVD WICHITA FALLS TX 76309 (940) 692-34434531972 1477570521 SAMS PHARMACY 3801 KELL BLVD WICHITA FALLS TX 76308 (940) 691-72964581496 1558409482 UNITED PHARMACY 2522 IOWA PARK RD WICHITA FALLS TX 76306 (940) 322-11144576685 1184615544 UNITED PHARMACY 4516 JACKSBORO HWY WICHITA FALLS TX 76302 (940) 767-33684509317 1750396727 WALGREENS 2800 SOUTHWEST PARKWAY WICHITA FALLS TX 76308 (940) 692-34214520878 1215942115 WALGREENS #6661 4600 KELL BLVD WICHITA FALLS TX 76310 (940) 692-46104583983 1457366460 WALGREENS #9041 1701 9TH ST WICHITA FALLS TX 76301 (940) 723-79794577283 1972520138 WAL-MART PHARMACY 3130 LAWRENCE RD WICHITA FALLS TX 76308 (940) 689-97624592576 1114944394 WAL-MART PHARMACY 10-0414 5131 GREENBRIAR RD WICHITA FALLS TX 76302 (940) 397-96624596904 1912924192 WAL-MART PHARMACY 10-0420 2700 CENTRAL FREEWAY WICHITA FALLS TX 76305 (940) 855-23745904710 1578831343 WALGREENS 9610 W FM 1097 WILLIS TX 77318 (936) 856-40964533849 1336227784 BRUCE AND HUMAN DRUG 145 N 4TH ST WILLS POINT TX 75169 (903) 873-25385915698 1730567363 HEB PHARMACY #708 14501 RANCH ROAD 12 WIMBERLEY TX 78676 (512) 847-30484533863 1801908710 WIMBERLEY PHARMACY 120 JOE WIMBERLEY BLVD WIMBERLEY TX 78676 (512) 847-22884529662 1134134299 WALGREENS #7632 3061 COLLEGE PARK WOODLANDS TX 77384 (936) 271-94714585507 1629095898 WAL-MART PHARMACY 10-0288 115 COBB MILL ROAD WOODVILLE TX 75979 (409) 283-37014537734 1073528162 WALGREENS #9648 9101 WOODWAY DRIVE WOODWAY TX 76712 (254) 399-68924526426 1760420897 SAVON PHARMACY 921 S WESTGATE WAY WYLIE TX 75098 (972) 429-49514522240 1851306757 WALGREENS #6329 720 W FM 544 WYLIE TX 75098 (972) 429-79494535590 1093732158 WAL-MART PHARMACY 2050 NORTH HIGHWAY 78 WYLIE TX 75098 (972) 429-51065913721 1699179358 WALMART PHARMACY 10-6078 1400 MCCREARY RD WYLIE TX 75098 (972) 202-43684534029 1194860262 CITY DRUG STORE 223 W GRAND AVE YOAKUM TX 77995 (361) 293-21814558649 1528196854 GARCIAS PILL BOX US HWY 83 AND 6TH ZAPATA TX 78076 (956) 765-6033

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