27
2017 Preferred Pharmacy Network NCPDP NPI Pharmacy Name Address City State Zip Phone Number 1491985 1033579255 ABINGDON TELEPHARMACY 503 S COMMERCIAL DR ABINGDON IL 61410 (309) 703-1094 1446423 1538115456 OSCO DRUG 140 W LAKE ST ADDISON IL 60101 (630) 628-6904 1486403 1083985501 SAMS PHARMACY 1006 N ROHLWING RD ADDISON IL 60101 (630) 424-0486 1406102 1710992854 WALGREENS 16 E LAKE ST ADDISON IL 60101 (630) 832-7821 1477909 1023035326 WAL-MART PHARMACY 1050 NORTH ROHLWING ROAD ADDISON IL 60101 (630) 889-1956 1450078 1184641441 WAL-MART PHARMACY 1500 SE 5TH STREET ALEDO IL 61231 (309) 582-5108 1463760 1043266570 OSCO DRUG 107 S RANDALL RD ALGONQUIN IL 60102 (847) 854-0242 1403497 1740236660 OSCO DRUG 1501 E ALGONQUIN RD ALGONQUIN IL 60102 (847) 658-4036 1458579 1780699918 WALGREENS 1301 E ALGONQUIN RD ALGONQUIN IL 60102 (847) 658-2904 1478406 1104831213 WALGREENS 4001 W ALGONQUIN RD ALGONQUIN IL 60102 (224) 569-2582 1476553 1124045422 WAL-MART PHARMACY 1410 SOUTH RANDALL ROAD ALGONQUIN IL 60102 (847) 458-5735 1410656 1477500932 OSCO DRUG 12003 S CRAWFORD ALSIP IL 60803 (708) 389-2725 1470525 1437164613 WALGREENS 12290 S PULASKI RD ALSIP IL 60803 (708) 385-2006 1489889 1982001996 SHIELDS FAMILY PHARMACY 2526 STATE ST ALTON IL 62002 (618) 467-7003 1467768 1982619151 WALGREENS 1650 WASHINGTON ALTON IL 62002 (618) 462-5386 1477377 1811902026 WALGREENS 2610 STATE ST ALTON IL 62002 (618) 466-8179 1483510 1720216328 WALGREENS 745 E VIENNA ST ANNA IL 62906 (618) 833-7236 1450496 1629095989 WAL-MART PHARMACY 300 LEIGH AVE ANNA IL 62906 (618) 833-8580 1446435 1316994866 OSCO DRUG 968 ROUTE 59 ANTIOCH IL 60002 (847) 395-7101 1455369 1164437398 WALGREENS 283 W IL ROUTE 173 ANTIOCH IL 60002 (847) 395-0337 1477454 1528086949 WAL-MART PHARMACY 475 E IL ROUTE 173 ANTIOCH IL 60002 (847) 838-3184 1403548 1548208788 OSCO DRUG 122 N VAIL AVE ARLINGTON HEIGHTS IL 60005 (847) 368-1795 1468835 1811943590 OSCO DRUG 1860 S ARLINGTON HEIGHTS RD ARLINGTON HEIGHTS IL 60005 (847) 439-8892 1459987 1912953696 OSCO DRUG 442 E RAND RD ARLINGTON HEIGHTS IL 60004 (847) 255-8740 1401835 1366459356 WALGREENS 1000 NORTHWEST HWY ARLINGTON HEIGHTS IL 60004 (847) 259-4646 1457185 1699780825 WALGREENS 1711 W CAMPBELL ARLINGTON HEIGHTS IL 60005 (847) 577-7099 1401823 1043225162 WALGREENS 235 E PALATINE ARLINGTON HEIGHTS IL 60004 (847) 394-2420 1454937 1255346482 WALGREENS 3 E GOLF RD ARLINGTON HEIGHTS IL 60005 (847) 593-6650 1454937 1255346482 WALGREENS 3 E GOLF RD ARLINGTON HEIGHTS IL 60005 (847) 593-6650 1491909 1275992851 SAV MOR PHARMACY 112 S. MAIN ATWOOD IL 61913 (217) 578-2850 1461019 1215951991 HARRYS PHARMACY INC 620 E JACKSON AUBURN IL 62615 (217) 438-6141 1491339 1972974178 CARE PHARMACY 1177 N HIGHLAND AVE AURORA IL 60506 (630) 701-2763 1474408 1447206123 OSCO DRUG 1157 EOLA RD AURORA IL 60504 (630) 851-4657 1406621 1366498289 OSCO DRUG 1950 W GALENA AURORA IL 60505 (630) 892-9075 1481631 1891972162 VNA PHARMACY 400 N HIGHLAND AVE AURORA IL 60506 (630) 482-8167 1458606 1598770729 WALGREENS 1180 N FARNSWORTH AURORA IL 60505 (630) 820-5699 1476250 1457368433 WALGREENS 1221 N LAKE ST AURORA IL 60506 (630) 264-6269 1486263 1366719783 WALGREENS 2040 OGDEN AVE AURORA IL 60504 (630) 499-4392 1480920 1447457726 WALGREENS 22 N CONSTITUTION DR AURORA IL 60506 (630) 892-0927 1463556 1427063676 WALGREENS 2311 OGDEN AVENUE AURORA IL 60504 (630) 898-3431 1482291 1629233168 WALGREENS 2986 KIRK RD AURORA IL 60502 (630) 375-0570 1467833 1790790962 WALGREENS 355 N EOLA RD AURORA IL 60504 (630) 585-9417 1448580 1518972835 WALGREENS 9 N UNION ST AURORA IL 60505 (630) 585-7594 1466970 1417962671 WALGREENS #3774 1207 RANDALL ROAD AURORA IL 60506 (630) 897-7112 1466095 1679590954 WAL-MART PHARMACY 2131 WEST GALENA BLVD AURORA IL 60506 (630) 264-2581 A division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 6129-IL 8/16 1

2017 Preferred Pharmacy Network - Health Insurance · 2017 Preferred Pharmacy Network NCPDP NPI Pharmacy Name Address City State Zip Phone Number 1491985. 1033579255. ABINGDON TELEPHARMACY

Embed Size (px)

Citation preview

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1491985 1033579255 ABINGDON TELEPHARMACY 503 S COMMERCIAL DR ABINGDON IL 61410 (309) 703-10941446423 1538115456 OSCO DRUG 140 W LAKE ST ADDISON IL 60101 (630) 628-69041486403 1083985501 SAMS PHARMACY 1006 N ROHLWING RD ADDISON IL 60101 (630) 424-04861406102 1710992854 WALGREENS 16 E LAKE ST ADDISON IL 60101 (630) 832-78211477909 1023035326 WAL-MART PHARMACY 1050 NORTH ROHLWING ROAD ADDISON IL 60101 (630) 889-19561450078 1184641441 WAL-MART PHARMACY 1500 SE 5TH STREET ALEDO IL 61231 (309) 582-51081463760 1043266570 OSCO DRUG 107 S RANDALL RD ALGONQUIN IL 60102 (847) 854-02421403497 1740236660 OSCO DRUG 1501 E ALGONQUIN RD ALGONQUIN IL 60102 (847) 658-40361458579 1780699918 WALGREENS 1301 E ALGONQUIN RD ALGONQUIN IL 60102 (847) 658-29041478406 1104831213 WALGREENS 4001 W ALGONQUIN RD ALGONQUIN IL 60102 (224) 569-25821476553 1124045422 WAL-MART PHARMACY 1410 SOUTH RANDALL ROAD ALGONQUIN IL 60102 (847) 458-57351410656 1477500932 OSCO DRUG 12003 S CRAWFORD ALSIP IL 60803 (708) 389-27251470525 1437164613 WALGREENS 12290 S PULASKI RD ALSIP IL 60803 (708) 385-20061489889 1982001996 SHIELDS FAMILY PHARMACY 2526 STATE ST ALTON IL 62002 (618) 467-70031467768 1982619151 WALGREENS 1650 WASHINGTON ALTON IL 62002 (618) 462-53861477377 1811902026 WALGREENS 2610 STATE ST ALTON IL 62002 (618) 466-81791483510 1720216328 WALGREENS 745 E VIENNA ST ANNA IL 62906 (618) 833-72361450496 1629095989 WAL-MART PHARMACY 300 LEIGH AVE ANNA IL 62906 (618) 833-85801446435 1316994866 OSCO DRUG 968 ROUTE 59 ANTIOCH IL 60002 (847) 395-71011455369 1164437398 WALGREENS 283 W IL ROUTE 173 ANTIOCH IL 60002 (847) 395-03371477454 1528086949 WAL-MART PHARMACY 475 E IL ROUTE 173 ANTIOCH IL 60002 (847) 838-31841403548 1548208788 OSCO DRUG 122 N VAIL AVE ARLINGTON HEIGHTS IL 60005 (847) 368-17951468835 1811943590 OSCO DRUG 1860 S ARLINGTON HEIGHTS RD ARLINGTON HEIGHTS IL 60005 (847) 439-88921459987 1912953696 OSCO DRUG 442 E RAND RD ARLINGTON HEIGHTS IL 60004 (847) 255-87401401835 1366459356 WALGREENS 1000 NORTHWEST HWY ARLINGTON HEIGHTS IL 60004 (847) 259-46461457185 1699780825 WALGREENS 1711 W CAMPBELL ARLINGTON HEIGHTS IL 60005 (847) 577-70991401823 1043225162 WALGREENS 235 E PALATINE ARLINGTON HEIGHTS IL 60004 (847) 394-24201454937 1255346482 WALGREENS 3 E GOLF RD ARLINGTON HEIGHTS IL 60005 (847) 593-6650

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

1401823 1043225162 WALGREENS 235 E PALATINE ARLINGTON HEIGHTS IL 60004 (847) 394-24201454937 1255346482 WALGREENS 3 E GOLF RD ARLINGTON HEIGHTS IL 60005 (847) 593-66501491909 1275992851 SAV MOR PHARMACY 112 S. MAIN ATWOOD IL 61913 (217) 578-28501461019 1215951991 HARRYS PHARMACY INC 620 E JACKSON AUBURN IL 62615 (217) 438-61411491339 1972974178 CARE PHARMACY 1177 N HIGHLAND AVE AURORA IL 60506 (630) 701-27631474408 1447206123 OSCO DRUG 1157 EOLA RD AURORA IL 60504 (630) 851-46571406621 1366498289 OSCO DRUG 1950 W GALENA AURORA IL 60505 (630) 892-90751481631 1891972162 VNA PHARMACY 400 N HIGHLAND AVE AURORA IL 60506 (630) 482-81671458606 1598770729 WALGREENS 1180 N FARNSWORTH AURORA IL 60505 (630) 820-56991476250 1457368433 WALGREENS 1221 N LAKE ST AURORA IL 60506 (630) 264-62691486263 1366719783 WALGREENS 2040 OGDEN AVE AURORA IL 60504 (630) 499-43921480920 1447457726 WALGREENS 22 N CONSTITUTION DR AURORA IL 60506 (630) 892-09271463556 1427063676 WALGREENS 2311 OGDEN AVENUE AURORA IL 60504 (630) 898-34311482291 1629233168 WALGREENS 2986 KIRK RD AURORA IL 60502 (630) 375-05701467833 1790790962 WALGREENS 355 N EOLA RD AURORA IL 60504 (630) 585-94171448580 1518972835 WALGREENS 9 N UNION ST AURORA IL 60505 (630) 585-75941466970 1417962671 WALGREENS #3774 1207 RANDALL ROAD AURORA IL 60506 (630) 897-71121466095 1679590954 WAL-MART PHARMACY 2131 WEST GALENA BLVD AURORA IL 60506 (630) 264-2581

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

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1481693 1801072236 WAL-MART PHARMACY 2900 KIRK ROAD AURORA IL 60504 (630) 375-63051449049 1629083845 WALGREENS 2501 WAUKEGAN RD BANNOCKBURN IL 60015 (847) 940-81041465649 1376599050 OSCO DRUG 146 W MAIN ST BARRINGTON IL 60010 (847) 381-31521483027 1891935995 WALGREENS 189 W NORTHWEST HWY BARRINGTON IL 60010 (847) 381-06891444467 1588610257 OSCO DRUG 125 E STEARNS RD BARTLETT IL 60103 (630) 540-12851458733 1518972751 WALGREENS 899 S IL ROUTE 59 BARTLETT IL 60103 (630) 213-59951457781 1952358400 OSCO DRUG 129 RANDALL RD BATAVIA IL 60510 (630) 879-88581471301 1316964604 SAMS PHARMACY 501 NORTH RANDALL ROAD BATAVIA IL 60510 (630) 761-18071460017 1508871740 WALGREENS 122 W WILSON ST BATAVIA IL 60510 (630) 406-92581476123 1104833185 WALGREENS 1918 W FABYAN PKWY BATAVIA IL 60510 (630) 482-24851478242 1750308052 WAL-MART PHARMACY 801 NO RANDALL ROAD BATAVIA IL 60510 (630) 879-68121478381 1487669594 WALGREENS 39023 N GREEN BAY RD BEACH PARK IL 60087 (847) 599-24471458187 1023035391 WAL-MART PHARMACY 100 LINCOLN AVE BEARDSTOWN IL 62618 (217) 323-13271462794 1689691966 WAL-MART PHARMACY 7050 SOUTH CICERO AVENUE BEDFORD PARK IL 60638 (708) 496-04201412876 1134140452 FAGEN PHARMACY 32 715 DIXIE HWY BEECHER IL 60401 (708) 946-66001469534 1629083803 WALGREENS 515 CARLYLE AVE BELLEVILLE IL 62221 (618) 222-18271438414 1487669784 WALGREENS 5890 NORTH BELT WEST BELLEVILLE IL 62226 (618) 277-44401482746 1407091523 WALGREENS 5939 BELLEVILLE CROSSING STREET BELLEVILLE IL 62226 (618) 355-79131450484 1710904073 WAL-MART PHARMACY 2608 GREEN MOUNT COMMONS DR BELLEVILLE IL 62221 (618) 277-20201453353 1083629216 WALGREENS 230 W CHRYSLER DR BELVIDERE IL 61008 (815) 544-47901477288 1942227244 WAL-MART PHARMACY 2101 GATEWAY CENTER DRIVE BELVIDERE IL 61008 (815) 547-57241491327 1275904427 OSCO DRUG #3495 1127 S YORK RD BENSENVILLE IL 60106 (630) 238-02891460257 1417962655 WALGREENS 5 W IRVING PARK RD BENSENVILLE IL 60106 (630) 350-11781413018 1649342742 KIMMEL-CHAPLAIN PHARMACY 205 BAILEY LN BENTON IL 62812 (618) 438-28221454773 1982621249 WAL-MART PHARMACY 919 GIACONE DRIVE BENTON IL 62812 (618) 435-21191484473 1205156916 WALGREENS 3249 OAK PARK AVE BERWYN IL 60402 (708) 484-66931446954 1083629307 WALGREENS 6800 OGDEN AVE BERWYN IL 60402 (708) 749-90611401859 1952316077 WALGREENS 7113 CERMAK RD BERWYN IL 60402 (708) 795-9030

2

1446954 1083629307 WALGREENS 6800 OGDEN AVE BERWYN IL 60402 (708) 749-90611401859 1952316077 WALGREENS 7113 CERMAK RD BERWYN IL 60402 (708) 795-90301467883 1609881879 WALGREENS 172 E MCARTHUR BETHALTO IL 62010 (618) 258-08221441485 1285649582 WALGREENS 180 E LAKE ST BLOOMINGDALE IL 60108 (630) 894-32761474282 1932116910 WALGREENS 270 W LAKE ST BLOOMINGDALE IL 60108 (630) 295-88761459937 1740207018 WAL-MART PHARMACY 314 WEST ARMY TRAIL ROAD BLOOMINGDALE IL 60108 (630) 893-53821437880 1508812215 OSCO DRUG 2103 N VETERANS PKWY BLOOMINGTON IL 61704 (309) 664-13331459064 1194771865 OSCO DRUG 2201 E OAKLAND BLOOMINGTON IL 61701 (309) 663-63411457046 1881609014 WALGREENS 1408 N MAIN ST BLOOMINGTON IL 61701 (309) 827-30691469940 1265447445 WALGREENS 1525 N VETERANS PKWY BLOOMINGTON IL 61704 (309) 661-86131401861 1861407983 WALGREENS 2611 E OAKLAND BLOOMINGTON IL 61701 (309) 663-83441482479 1922256825 WALGREENS 909 S MAIN ST BLOOMINGTON IL 61701 (309) 829-15401475587 1932126224 WAL-MART PHARMACY 2225 WEST MARKET ST. BLOOMINGTON IL 61701 (309) 828-86261492254 1992166953 WALGREENS PRESCRIPTION CENTER 12935 GREGORY ST BLUE ISLAND IL 60406 (224) 323-50671485449 1184923260 ADVENTIST BOLINGBROOK HOSPITAL OUTP 500 REMINGTON BLVD BOLINGBROOK IL 60440 (630) 312-39701466956 1952357485 OSCO DRUG 1200 W BOUGHTON RD BOLINGBROOK IL 60440 (630) 759-13621406823 1467469494 WALGREENS 101 LILY CACHE LN BOLINGBROOK IL 60440 (630) 759-30111468431 1417962689 WALGREENS 1295 LILY CACHE LANE BOLINGBROOK IL 60490 (630) 226-5839

2

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1481869 1285807891 WALGREENS 680 E BOUGHTON RD BOLINGBROOK IL 60440 (630) 783-39161480235 1952453383 WALGREENS 695 W BOUGHTON RD BOLINGBROOK IL 60440 (630) 771-14941459684 1013934389 WAL-MART PHARMACY 200 SOUTH BOLINGBROOK DRIVE BOLINGBROOK IL 60440 (630) 739-48831447211 1114973880 OSCO DRUG 655 MAIN ST NW BOURBONNAIS IL 60914 (815) 929-05901460500 1356365696 WALGREENS 501 N CONVENT ST BOURBONNAIS IL 60914 (815) 937-06321456967 1851318125 WAL-MART PHARMACY 2080 NO. ST. ROUTE 50 BRADLEY IL 60914 (815) 937-51751474484 1376558569 WALGREENS 7878 S HARLEM BRIDGEVIEW IL 60455 (708) 496-78061401885 1275540262 WALGREENS 8715 S HARLEM BRIDGEVIEW IL 60455 (708) 598-25111461627 1316964695 WAL-MART PHARMACY 10260 SOUTH HARLEM AVENUE BRIDGEVIEW IL 60455 (708) 499-23881407940 1891700936 WALGREENS 1600 W ROOSEVELT RD BROADVIEW IL 60155 (708) 343-53231477365 1093720203 WALGREENS 8000 BROADVIEW VILLAGE SQUARE BROADVIEW IL 60155 (708) 410-29571445647 1629024542 OSCO DRUG 79 MCHENRY RD BUFFALO GROVE IL 60089 (847) 537-08451474080 1528073715 WALGREENS 1225 W DUNDEE RD BUFFALO GROVE IL 60089 (847) 368-19981453517 1891700027 WALGREENS 15 N BUFFALO GROVE RD BUFFALO GROVE IL 60089 (847) 520-72201491199 1083083174 WALGREENS 15 N BUFFALO GROVE RD STE A BUFFALO GROVE IL 60089 (847) 520-72201471375 1346256849 WALGREENS 1701 N BUFFALO GROVE RD BUFFALO GROVE IL 60089 (847) 955-93611467148 1689620114 OSCO DRUG 7910 S CICERO BURBANK IL 60459 (708) 423-20981461906 1417962663 WALGREENS 5555 W 79TH ST BURBANK IL 60459 (708) 499-37551449304 1831255108 FELKERS SNYDER PHARMACY 100 W BLACKHAWK DR BYRON IL 61010 (815) 234-54661464584 1609881861 WALGREENS 1201 CAMP JACKSON RD CAHOKIA IL 62206 (618) 332-29041449455 1366469629 WAL-MART PHARMACY 1511 CAMP JACKSON ROAD CAHOKIA IL 62206 (618) 332-11331482265 1689839599 SAMS PHARMACY 603 RIVER OAKS W CALUMET CITY IL 60409 (708) 832-26841461425 1255347712 WALGREENS 522 TORRENCE AVE CALUMET CITY IL 60409 (708) 868-56691442576 1194730408 WALGREENS 12854 S ASHLAND AVE CALUMET PARK IL 60827 (708) 239-11361491593 1003280868 CAMBRIDGE PHARMACY 103 N PROSPECT ST CAMBRIDGE IL 61238 (309) 707-10161486150 1851677629 COUNTY MARKET PHARMACY 185 180 S MAIN ST CANTON IL 61520 (309) 649-33851457832 1497839633 WALGREENS 555 N MAIN ST CANTON IL 61520 (309) 647-76101460877 1053338335 WAL-MART PHARMACY 2071 NORTH MAIN STREET CANTON IL 61520 (309) 647-8100

3

1457832 1497839633 WALGREENS 555 N MAIN ST CANTON IL 61520 (309) 647-76101460877 1053338335 WAL-MART PHARMACY 2071 NORTH MAIN STREET CANTON IL 61520 (309) 647-81001484029 1538490487 CARBONDALE FAMILY PHARMACY 2601 W MAIN ST STE 101 CARBONDALE IL 62901 (618) 529-53511484625 1477867372 WALGREENS 1600 W MAIN ST CARBONDALE IL 62901 (618) 457-83971409297 1528073665 WALGREENS 206 S WALL ST CARBONDALE IL 62901 (618) 457-41041442209 1164449419 WAL-MART PHARMACY 1450 EAST MAIN CARBONDALE IL 62901 (618) 549-07091413688 1821049594 SULLIVANS DRUGS 920 W MAIN ST CARLINVILLE IL 62626 (217) 854-61211457109 1760409031 WAL-MART PHARMACY 18600 SHIPMAN RD CARLINVILLE IL 62626 (217) 854-26601466639 1396762670 WAL-MART PHARMACY 2591 12TH ST CARLYLE IL 62231 (618) 594-36581451107 1710905229 WAL-MART PHARMACY 1344 IL HIGHWAY 1 CARMI IL 62821 (618) 382-58381453529 1578512422 C S FAMILY PHARMACY INC 942 ARMY TRAIL ROAD CAROL STREAM IL 60188 (630) 213-08001456258 1174579098 OSCO DRUG 760 ARMY TRAIL RD CAROL STREAM IL 60188 (630) 289-37771469421 1780699959 WALGREENS 540 N SCHMALE RD CAROL STREAM IL 60188 (630) 933-95581480893 1437353448 WALGREENS 2155 RANDALL RD CARPENTERSVILLE IL 60110 (847) 428-27731449114 1356356570 WALGREENS 399 LAKE MARIAN RD CARPENTERSVILLE IL 60110 (847) 428-77041429922 1124116801 FAMILY DRUG 1205 S DIVISION CARTERVILLE IL 62918 (618) 985-24411400770 1427124817 MCHUGH DRUG STORE 70 S MADISON ST CARTHAGE IL 62321 (217) 357-26231449619 1104872878 OSCO DRUG 696 NW HWY CARY IL 60013 (847) 639-3652

3

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1467174 1326053588 WALGREENS 500 NORTHWEST HWY CARY IL 60013 (847) 516-38061430216 1538166137 THE PHARMACIE SHOPPE 202 W EDGAR AVE CASEY IL 62420 (217) 932-40041447158 1144270265 BANDY'S PHARMACY II 724 E NOLEMAN CENTRALIA IL 62801 (618) 533-33001436977 1700876422 BYRD WATSON DRUG CO 1045 W BROADWAY CENTRALIA IL 62801 (618) 532-22001476628 1477568681 WALGREENS 225 N ELM ST CENTRALIA IL 62801 (618) 533-53951459343 1578580841 WAL-MART PHARMACY 1212 W MCCORD ST CENTRALIA IL 62801 (618) 533-17281490654 1871523829 CHRISTIE CLINIC LLC 101 W UNIVERSITY AVE CHAMPAIGN IL 61820 (217) 366-12001487239 1437409851 COUNTY MARKET PHARMACY 518 2901 W KIRBY AVE CHAMPAIGN IL 61821 (217) 351-31081476301 1669499950 SAMS PHARMACY 915 WEST MARKETVIEW DRIVE CHAMPAIGN IL 61822 (217) 352-19871486566 1558636555 WALGREENS 101 W UNIVERSITY AVE CHAMPAIGN IL 61820 (217) 366-12781479802 1134139090 WALGREENS 1509 S NEIL ST CHAMPAIGN IL 61820 (217) 351-15161485691 1568754695 WALGREENS 1701 W CURTIS RD CHAMPAIGN IL 61822 (217) 355-68531401897 1689689705 WALGREENS 1713 W SPRINGFIELD CHAMPAIGN IL 61821 (217) 356-25291485665 1225320260 WALGREENS 1757 W KIRBY AVE CHAMPAIGN IL 61821 (217) 351-06651486554 1235404245 WALGREENS 1801 W WINDSOR RD CHAMPAIGN IL 61822 (217) 366-12251478305 1669487773 WALGREENS 2402 VILLAGE GREEN PLACE CHAMPAIGN IL 61822 (217) 398-27641490414 1316331630 WALGREENS 407 E GREEN ST CHAMPAIGN IL 61820 (877) 387-64091478418 1922013036 WALGREENS 841 BLOOMINGTON RD CHAMPAIGN IL 61820 (217) 356-82371461223 1871510156 WAL-MART PHARMACY 2610 NO PROSPECT AVE CHAMPAIGN IL 61821 (217) 352-14901480083 1538231659 WALGREENS 27155 W EAMES ST CHANNAHON IL 60410 (815) 521-03611456323 1427063650 WALGREENS 411 W LINCOLN AVE CHARLESTON IL 61920 (217) 345-22331473177 1851318141 WAL-MART PHARMACY 2250 LINCOLN AVENUE CHARLESTON IL 61920 (217) 345-94581446928 1326064361 COMPLETE CARE PHCY OF CHATHAM 101 E PLUMMER CHATHAM IL 62629 (217) 483-24961478127 1932114048 WALGREENS 1050 N MAIN ST CHATHAM IL 62629 (217) 483-55051413981 1053323428 VICTORS MEDICENTER PHARMACY 2323 OLD PLANK RD CHESTER IL 62233 (618) 826-25111464837 1922026434 WAL-MART PHARMACY 2206 STATE ST CHESTER IL 62233 (618) 826-48981485336 1194020438 AARON'S APOTHECARY LLC 2338 N CLARK ST CHICAGO IL 60614 (773) 360-85951480108 1558452276 AMBER PHARMACY 213 W INSTITUTE PLACE CHICAGO IL 60610 (312) 337-7750

4

1485336 1194020438 AARON'S APOTHECARY LLC 2338 N CLARK ST CHICAGO IL 60614 (773) 360-85951480108 1558452276 AMBER PHARMACY 213 W INSTITUTE PLACE CHICAGO IL 60610 (312) 337-77501490060 1669861696 ASM PHARMACY 333 S ASHLAND AVE CHICAGO IL 60607 (312) 738-41601489841 1982008900 CLYBOURN PARK PHARMACY 1333 W BELMONT AVE CHICAGO IL 60657 (800) 266-49071456385 1447260542 COMMUNITY PHARMACY AT MERCY HOSPITA 2525 S MICHIGAN AVE CHICAGO IL 60616 (312) 567-20501486605 1992078497 COMMUNITY, A WALGREENS PHARMACY 912 W BELMONT CHICAGO IL 60657 (773) 665-89901488370 1801221650 FULLERTON PHARMACY 5305 W FULLERTON AVE CHICAGO IL 60639 (773) 887-40521487378 1649521667 GREAT HEALTH PHARMACY 5418 W FULLERTON AVE CHICAGO IL 60639 (773) 887-44971484485 1285954545 HALSTED PHARMACY 1460 N HALSTED ST STE 101 CHICAGO IL 60642 (312) 624-93971487695 1144564816 MARIAM PHARMACY 3514 W LAWRENCE AVE CHICAGO IL 60625 (773) 478-11111487506 1356694871 MERCY CLINIC PHARMACY AT PULASKI 5525 S PULASKI RD CHICAGO IL 60629 (773) 432-01021488003 1952745937 MERCY COMMUNITY PHARMACY AT OAKWOOD 3753 S COTTAGE GROVE AVE CHICAGO IL 60653 (773) 451-07121410389 1972559680 OSCO DRUG 101 W 87TH ST CHICAGO IL 60620 (773) 483-65001447045 1205882974 OSCO DRUG 11730 S MARSHFIELD AVE CHICAGO IL 60643 (773) 568-83701442893 1013963669 OSCO DRUG 1220 S ASHLAND AVE CHICAGO IL 60608 (312) 733-28371474345 1538115217 OSCO DRUG 1224 S WABASH CHICAGO IL 60605 (312) 663-46461488522 1831528694 OSCO DRUG 1340 S CANAL STREET CHICAGO IL 60607 (312) 666-56121448756 1659327203 OSCO DRUG 1343 N PAULINA CHICAGO IL 60622 (773) 342-5217

4

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1447653 1932155603 OSCO DRUG 1655 E 95TH ST CHICAGO IL 60619 (773) 731-96501489132 1871910190 OSCO DRUG 1763 W HOWARD ST CHICAGO IL 60626 (773) 274-12931436674 1881640597 OSCO DRUG 2520 N NARRAGANSETT AVE CHICAGO IL 60639 (773) 637-18191488546 1558790311 OSCO DRUG 2550 NORTH CLYBOURN AVE CHICAGO IL 60614 (773) 348-74211404110 1720034648 OSCO DRUG 2940 N ASHLAND AVE CHICAGO IL 60657 (773) 348-41551474953 1245287796 OSCO DRUG 3400 N WESTERN AVE CHICAGO IL 60618 (773) 327-27231403776 1275571416 OSCO DRUG 3531 N BROADWAY CHICAGO IL 60657 (773) 528-66151446916 1447206362 OSCO DRUG 3572 N ELSTON CHICAGO IL 60618 (773) 583-98581484738 1184930984 OSCO DRUG 3630 N SOUTHPORT AVE CHICAGO IL 60613 (773) 327-14851404146 1730135351 OSCO DRUG 3644 S ARCHER AVE CHICAGO IL 60609 (773) 523-17001482277 1669636601 OSCO DRUG 370 N DESPLAINES ST CHICAGO IL 60661 (312) 243-27141462439 1649226325 OSCO DRUG 4032 W FOSTER AVE CHICAGO IL 60630 (773) 478-87501489120 1346667656 OSCO DRUG 424 W DIVISION ST CHICAGO IL 60610 (312) 642-29511443237 1922054576 OSCO DRUG 4355 N SHERIDAN RD CHICAGO IL 60613 (773) 525-47661468164 1306892831 OSCO DRUG 4660 IRVING PARK RD CHICAGO IL 60641 (773) 202-00721403841 1730136276 OSCO DRUG 4734 N PUEBLO CHICAGO IL 60656 (773) 625-55251408079 1174579569 OSCO DRUG 5324 S PULASKI CHICAGO IL 60632 (773) 284-74021436888 1699721308 OSCO DRUG 5345 N BROADWAY CHICAGO IL 60640 (773) 334-20831404184 1992743132 OSCO DRUG 5532 N CLARK CHICAGO IL 60640 (773) 784-73481404196 1629024013 OSCO DRUG 6107 S ARCHER AVE CHICAGO IL 60638 (773) 735-03961456816 1477509149 OSCO DRUG 6426 W IRVING PK RD CHICAGO IL 60634 (773) 725-29001476731 1336195726 OSCO DRUG 7342 W FOSTER AVE CHICAGO IL 60656 (773) 775-37771459848 1003862780 OSCO DRUG 7530 S STONY ISLAND CHICAGO IL 60649 (773) 288-70021459824 1386682698 OSCO DRUG 9402 S ASHLAND AVE CHICAGO IL 60620 (773) 779-00171485095 1851609341 PARKWAY DRUGS, A WALGREEN PHARMACY 680 N LAKE SHORE DR STE 108 CHICAGO IL 60611 (312) 943-22241488130 1487092367 PULSE PHARMACY 2875 W 19TH ST STE # 201 CHICAGO IL 60623 (773) 762-11001465702 1316955651 RISHI PHARMACY INC 4909 W DIVISION CHICAGO IL 60651 (773) 287-12001447766 1326111568 SEOUL PHARMACY INC 3757 W LAWRENCE AVE CHICAGO IL 60625 (773) 539-1234

5

1465702 1316955651 RISHI PHARMACY INC 4909 W DIVISION CHICAGO IL 60651 (773) 287-12001447766 1326111568 SEOUL PHARMACY INC 3757 W LAWRENCE AVE CHICAGO IL 60625 (773) 539-12341490945 1083090575 UPTOWN PHARMACY, INC. 4535 N SHERIDAN RD CHICAGO IL 60640 (773) 944-05251489740 1083015622 WALGREENS 100 W RANDOLPH ST CHICAGO IL 60601 (312) 525-39841474446 1750396180 WALGREENS 1001 W BELMONT AVE CHICAGO IL 60657 (773) 477-11511444518 1366457681 WALGREENS 10300 S MICHIGAN AVE CHICAGO IL 60628 (773) 468-06021402596 1952318941 WALGREENS 11 E 75TH ST CHICAGO IL 60619 (773) 224-12111471666 1720093917 WALGREENS 111 S HALSTED ST CHICAGO IL 60661 (312) 463-91421445611 1801802277 WALGREENS 11801 S AVENUE O CHICAGO IL 60617 (773) 731-21471449102 1447265665 WALGREENS 11833 S WESTERN AVE CHICAGO IL 60643 (773) 233-22451448427 1609881929 WALGREENS 1200 N DEARBORN CHICAGO IL 60610 (312) 943-09731453074 1699780817 WALGREENS 1213 W 79TH ST CHICAGO IL 60620 (773) 651-21181489334 1770999005 WALGREENS 122 S MICHIGAN AVE CHICAGO IL 60603 (312) 973-37081470741 1164437349 WALGREENS 1320 E 47TH ST CHICAGO IL 60653 (773) 373-61471487227 1497004907 WALGREENS 1333 W BELMONT AVE CHICAGO IL 60657 (773) 549-94851448439 1225044811 WALGREENS 1372 N MILWAUKEE CHICAGO IL 60622 (773) 772-09411463455 1518972769 WALGREENS 1500 WEST WILSON CHICAGO IL 60640 (773) 907-89951486275 1710254131 WALGREENS 151 N STATE ST CHICAGO IL 60601 (312) 863-4249

5

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1491353 1902278724 WALGREENS 151 N STATE ST CHICAGO IL 60601 (312) 863-42491445318 1992711360 WALGREENS 1520 W FULLERTON CHICAGO IL 60614 (773) 929-69681478848 1659393189 WALGREENS 1533 E 67TH ST CHICAGO IL 60637 (773) 493-07331456664 1154336386 WALGREENS 1546 N CENTRAL AVE CHICAGO IL 60651 (773) 622-81851402116 1316952443 WALGREENS 1554 E 55TH STREET CHICAGO IL 60615 (773) 667-11771487380 1194077784 WALGREENS 1601 N MILWAUKEE AVE CHICAGO IL 60647 (773) 342-91611491365 1376915108 WALGREENS 1601 N MILWAUKEE AVE CHICAGO IL 60647 (773) 342-91611438058 1023023322 WALGREENS 1601 N WELLS CHICAGO IL 60614 (312) 642-40081454684 1346255577 WALGREENS 1614 W 47TH ST CHICAGO IL 60609 (773) 247-30511443100 1376558692 WALGREENS 1616 E 87TH ST CHICAGO IL 60617 (773) 978-71741402510 1134136120 WALGREENS 1627 N PULASKI RD CHICAGO IL 60639 (773) 772-54321448910 1801801022 WALGREENS 1633 W 95TH ST CHICAGO IL 60643 (773) 445-92771468378 1992711477 WALGREENS 1649 W BELMONT CHICAGO IL 60657 (773) 281-84391442639 1730194044 WALGREENS 1650 W CHICAGO CHICAGO IL 60622 (312) 829-61861477719 1184639395 WALGREENS 191 N CLARK ST CHICAGO IL 60601 (312) 634-01521452604 1245245463 WALGREENS 1926 W 35TH STREET CHICAGO IL 60609 (773) 254-55231448150 1982619201 WALGREENS 1931 W CERMAK CHICAGO IL 60608 (773) 847-57811477606 1548275753 WALGREENS 2 E ROOSEVELT RD CHICAGO IL 60605 (312) 212-15831476224 1275548471 WALGREENS 2 N STATE ST CHICAGO IL 60602 (312) 332-02161443958 1457366775 WALGREENS 200 WEST ADAMS CHICAGO IL 60606 (312) 372-03311478393 1871500850 WALGREENS 2001 N MILWAUKEE AVE CHICAGO IL 60647 (773) 772-23701491202 1528437613 WALGREENS 2001 N MILWAUKEE AVE STE A CHICAGO IL 60647 (773) 772-23701480641 1700900990 WALGREENS 201 E HURON STREET CHICAGO IL 60611 (312) 951-10841402267 1316954308 WALGREENS 2011 E 95TH ST CHICAGO IL 60617 (773) 731-96631470739 1255346433 WALGREENS 2015 E 79TH ST CHICAGO IL 60649 (773) 734-24921484651 1992026454 WALGREENS 225 E CHICAGO AVE CHICAGO IL 60611 (312) 573-22871460497 1144235383 WALGREENS 2301 W IRVING PARK CHICAGO IL 60618 (773) 267-84101474496 1285649475 WALGREENS 2340 W MADISON ST CHICAGO IL 60612 (312) 226-7913

6

1460497 1144235383 WALGREENS 2301 W IRVING PARK CHICAGO IL 60618 (773) 267-84101474496 1285649475 WALGREENS 2340 W MADISON ST CHICAGO IL 60612 (312) 226-79131476818 1992712970 WALGREENS 2345 W 103RD ST CHICAGO IL 60643 (773) 429-07671463239 1164438636 WALGREENS 2440 W NORTH AVE CHICAGO IL 60647 (773) 489-56071480653 1174740872 WALGREENS 250 S WACKER CHICAGO IL 60606 (312) 876-13631446005 1316953904 WALGREENS 2500 N CLARK ST 1ST FLOOR CHICAGO IL 60614 (773) 929-74881491771 1689039638 WALGREENS 2525 MARTIN LUTHER KING CHICAGO IL 60616 (630) 985-71891489675 1720487465 WALGREENS 259 E ERIE ST STE 250 CHICAGO IL 60611 (312) 649-67071483457 1750517298 WALGREENS 2744 N CALIFORNIA AVE CHICAGO IL 60647 (773) 342-28181444710 1801801121 WALGREENS 2817 N CLARK ST CHICAGO IL 60657 (773) 327-61191478014 1053328039 WALGREENS 2835 N SHEFFIELD STE 505 CHICAGO IL 60657 (773) 348-35741402065 1801803895 WALGREENS 2924 E 92ND ST CHICAGO IL 60617 (773) 721-66031479737 1619985934 WALGREENS 30 N MICHIGAN AVE LOBBY 1 CHICAGO IL 60602 (312) 332-35401455004 1891701330 WALGREENS 3000 SOUTH HALSTED CHICAGO IL 60608 (312) 225-05371478139 1841205952 WALGREENS 3019 W PETERSON AVE CHICAGO IL 60659 (773) 728-62541491125 1437528528 WALGREENS 3019 W PETERSON AVE STE A CHICAGO IL 60659 (773) 728-62541466867 1790791267 WALGREENS 3046 N HALSTED STREET CHICAGO IL 60657 (773) 325-04131449378 1891700019 WALGREENS 3110 W ARMITAGE CHICAGO IL 60647 (773) 235-6758

6

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1483077 1700027323 WALGREENS 315 W CHICAGO AVE CHICAGO IL 60654 (312) 280-15991471387 1881600385 WALGREENS 3153 W IRVING PARK CHICAGO IL 60618 (773) 588-91961469801 1538174719 WALGREENS 316 W CERMAK RD CHICAGO IL 60616 (312) 791-03921466538 1508871765 WALGREENS 3201 N BROADWAY ST CHICAGO IL 60657 (773) 327-35911457363 1417962648 WALGREENS 3220 W 111TH ST CHICAGO IL 60655 (773) 239-28081476630 1275540254 WALGREENS 3222 N MILWAUKEE AVE CHICAGO IL 60618 (773) 481-58761487936 1245673359 WALGREENS 3245 N HALSTED ST STE 101 CHICAGO IL 60657 (773) 248-31601488039 1740626902 WALGREENS 3303 W 26TH ST STE 101 CHICAGO IL 60623 (773) 521-17181491303 1528439072 WALGREENS 331 W SURF ST CHICAGO IL 60657 (773) 799-98391477618 1366457574 WALGREENS 3320 W FULLERTON CHICAGO IL 60647 (773) 252-83461443009 1407862097 WALGREENS 3358 N WESTERN CHICAGO IL 60618 (773) 327-21111466083 1063427227 WALGREENS 3401 W ROOSEVELT RD CHICAGO IL 60624 (773) 542-12321402546 1336154467 WALGREENS 3405 S KING DR CHICAGO IL 60616 (312) 326-40581477187 1376558585 WALGREENS 342 E ILLINOIS ST CHICAGO IL 60611 (312) 467-04851439632 1831104132 WALGREENS 3424 W BELMONT AVE CHICAGO IL 60618 (773) 267-23281481287 1083800643 WALGREENS 347 E 95TH ST CHICAGO IL 60619 (773) 568-64571405388 1730196767 WALGREENS 3611 E 106TH CHICAGO IL 60617 (773) 978-19881444520 1275548596 WALGREENS 3646 N BROADWAY CHICAGO IL 60613 (773) 549-38081487746 1497095574 WALGREENS 3800 W MADISON ST STE 101 CHICAGO IL 60624 (773) 826-18171475020 1295742278 WALGREENS 3943 W 47TH ST CHICAGO IL 60632 (773) 927-05231402128 1710994702 WALGREENS 4000 W 59TH ST CHICAGO IL 60629 (773) 581-23451479903 1548365588 WALGREENS 4001 W IRVING PARK RD CHICAGO IL 60641 (773) 685-35271402534 1043227036 WALGREENS 4005 W 26TH ST CHICAGO IL 60623 (773) 521-95041444912 1710992037 WALGREENS 4010 W LAWRENCE AVE CHICAGO IL 60630 (773) 286-03091467996 1336154509 WALGREENS 4025 N SHERIDAN ROAD CHICAGO IL 60613 (773) 528-83141440990 1649285941 WALGREENS 4040 N CICERO AVE CHICAGO IL 60641 (773) 283-53211462124 1144235391 WALGREENS 410 N MICHIGAN AVE CHICAGO IL 60611 (312) 321-09511474395 1750398731 WALGREENS 4343 N CENTRAL CHICAGO IL 60634 (773) 427-9456

7

1462124 1144235391 WALGREENS 410 N MICHIGAN AVE CHICAGO IL 60611 (312) 321-09511474395 1750398731 WALGREENS 4343 N CENTRAL CHICAGO IL 60634 (773) 427-94561457022 1619983152 WALGREENS 4343 NORTH KEDZIE CHICAGO IL 60618 (773) 604-44191473189 1538174727 WALGREENS 4385 S ARCHER CHICAGO IL 60632 (773) 247-68041401948 1992712988 WALGREENS 4700 S HALSTED ST CHICAGO IL 60609 (773) 927-87771474092 1316954498 WALGREENS 4710 S WESTERN AVE CHICAGO IL 60609 (773) 579-03661442588 1003821315 WALGREENS 4720 N MARINE DR CHICAGO IL 60640 (773) 769-13151474674 1669489647 WALGREENS 4745 W BELMONT AVE CHICAGO IL 60641 (773) 481-02111472404 1871500959 WALGREENS 4748 W NORTH AVE CHICAGO IL 60639 (773) 745-66421402320 1518972645 WALGREENS 4801 N LINCOLN CHICAGO IL 60625 (773) 561-25261402166 1003862129 WALGREENS 4817 W FULLERTON AVE CHICAGO IL 60639 (773) 889-74111469089 1962417139 WALGREENS 501 W ROOSEVELT RD CHICAGO IL 60607 (312) 492-85591457527 1144235375 WALGREENS 5036 S COTTAGE GROVE AVE CHICAGO IL 60615 (773) 373-62661466879 1609882174 WALGREENS 5140 WEST DIVERSEY CHICAGO IL 60639 (773) 685-87591487760 1528309432 WALGREENS 5147 S ASHLAND AVE STE 101 CHICAGO IL 60609 (773) 523-20361481720 1114104908 WALGREENS 5168 N LINCOLN AVE CHICAGO IL 60625 (773) 907-84901463227 1982619136 WALGREENS 5222 W MADISON CHICAGO IL 60644 (773) 287-03801451272 1982619102 WALGREENS 5230 N MILWAUKEE AVE CHICAGO IL 60630 (773) 736-8920

7

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1402180 1598772584 WALGREENS 5401 S WENTWORTH CHICAGO IL 60609 (773) 268-56641453947 1528073756 WALGREENS 5414 S ARCHER AVE CHICAGO IL 60638 (773) 581-16641471642 1902811193 WALGREENS 5435 S KEDZIE AVE CHICAGO IL 60632 (773) 436-73961485778 1891081592 WALGREENS 5440 N CLARK ST CHICAGO IL 60640 (773) 596-50221438868 1104831403 WALGREENS 5600 W FULLERTON CHICAGO IL 60639 (773) 745-16401469522 1710992995 WALGREENS 5625 N RIDGE CHICAGO IL 60660 (773) 989-75461401950 1598770620 WALGREENS 5650 W BELMONT AVE CHICAGO IL 60634 (773) 777-46111472391 1962419044 WALGREENS 5753 N CANFIELD AVE CHICAGO IL 60631 (773) 631-28511477214 1629085600 WALGREENS 5874 S ARCHER AVE CHICAGO IL 60638 (773) 284-74191471969 1144237223 WALGREENS 5935 W ADDISON ST CHICAGO IL 60634 (773) 282-15941447540 1255346573 WALGREENS 6016 W 63RD ST CHICAGO IL 60638 (773) 788-01801442590 1912912221 WALGREENS 6121 N BROADWAY CHICAGO IL 60660 (773) 764-89611451260 1932115334 WALGREENS 6140 N WESTERN AVE CHICAGO IL 60659 (773) 764-00501402281 1609881739 WALGREENS 6315 S KEDZIE AVE CHICAGO IL 60629 (773) 776-40401402611 1861409856 WALGREENS 6330 S KING DRIVE CHICAGO IL 60637 (773) 324-85001463835 1063427219 WALGREENS 641 N CLARK STREET CHICAGO IL 60654 (312) 587-14161461932 1205842697 WALGREENS 6460 W FULLERTON AVE CHICAGO IL 60707 (773) 637-44401402178 1679651053 WALGREENS 650 W 63RD ST CHICAGO IL 60621 (773) 994-44671457779 1053326280 WALGREENS 6809 W BELMONT AVE CHICAGO IL 60634 (773) 237-62731438856 1295740595 WALGREENS 7045 S PULASKI RD CHICAGO IL 60629 (773) 735-03371402255 1407863491 WALGREENS 7109 S JEFFERY BLVD CHICAGO IL 60649 (773) 324-18801484550 1629380100 WALGREENS 711 W NORTH AVE STE 204 CHICAGO IL 60610 (312) 944-08671471957 1639184823 WALGREENS 7111 S WESTERN CHICAGO IL 60636 (773) 863-80091461728 1689680076 WALGREENS 7150 W ARCHER AVE CHICAGO IL 60638 (773) 229-14471402142 1790790822 WALGREENS 7155 W FOSTER PLACE CHICAGO IL 60656 (773) 631-39271440104 1770599151 WALGREENS 740 W DIVERSEY PKWY CHICAGO IL 60614 (773) 929-10971447285 1346255668 WALGREENS 7410 N CLARK CHICAGO IL 60626 (773) 743-67841402421 1225045214 WALGREENS 757 N MICHIGAN AVE CHICAGO IL 60611 (312) 664-8686

8

1447285 1346255668 WALGREENS 7410 N CLARK CHICAGO IL 60626 (773) 743-67841402421 1225045214 WALGREENS 757 N MICHIGAN AVE CHICAGO IL 60611 (312) 664-86861447273 1700891025 WALGREENS 79 W MONROE CHICAGO IL 60603 (312) 346-57271452197 1912071804 WALGREENS 7901 S WESTERN AVE CHICAGO IL 60620 (773) 434-36211478557 1780691766 WALGREENS 833 W 115TH ST CHICAGO IL 60643 (773) 568-40341490363 1477946630 WALGREENS 834 W ARMITAGE AVE CHICAGO IL 60610 (773) 687-07091402089 1407861537 WALGREENS 8628 S COTTAGE GROVE AVE CHICAGO IL 60619 (773) 651-85001476743 1184631160 WALGREENS 8636 S ASHLAND AVE CHICAGO IL 60620 (773) 238-12681477389 1538176516 WALGREENS 933 N STATE ST CHICAGO IL 60611 (312) 943-06711470373 1619982899 WALGREENS 9434 S HALSTED CHICAGO IL 60620 (773) 238-56481486465 1003187030 WALGREENS 953 W IRVING PARK RD CHICAGO IL 60613 (773) 935-64141451258 1073528295 WALGREENS #1496 6310 N NAGLE CHICAGO IL 60646 (773) 774-22251402457 1427063551 WALGREENS #215 3045 W 26TH ST CHICAGO IL 60623 (773) 254-33161402635 1245245372 WALGREENS #252 7510 N WESTERN AVE CHICAGO IL 60645 (773) 764-17651468366 1184630667 WALGREENS #4349 201 W MADISON ST CHICAGO IL 60606 (312) 214-43851491113 1073982161 WALGREENS PRESCRIPTION CENTER 111 S HALSTED ST STE A CHICAGO IL 60661 (312) 463-91421491214 1619346707 WALGREENS PRESCRIPTION CENTER 5625 N RIDGE AVE STE A CHICAGO IL 60660 (224) 323-50871491151 1497124598 WALGREENS PRESCRIPTION CENTER #1642 1601 N WELLS ST STE A CHICAGO IL 60614 (312) 642-4008

8

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1487520 1164766846 WAL-MART PHARMACY 1424 W 47TH STREET CHICAGO IL 60609 (561) 509-20261487544 1326382102 WAL-MART PHARMACY 2551 W CERMAK CHICAGO IL 60608 (773) 475-42091487532 1306180229 WAL-MART PHARMACY 2844 N BROADWAY ST CHICAGO IL 60657 (773) 687-45131487962 1346581337 WAL-MART PHARMACY 4626 W DIVERSEY AVE CHICAGO IL 60639 (773) 628-18831479941 1033120555 WAL-MART PHARMACY 4650 WEST NORTH AVE CHICAGO IL 60639 (773) 252-77691485576 1023301603 WAL-MART PHARMACY 8331 S STEWART AVE CHICAGO IL 60620 (773) 783-20131490248 1477944668 WALMART PHARMACY 10-3110 7535 S ASHLAND AVE CHICAGO IL 60620 (773) 420-02901489396 1053729624 WALMART PHARMACY 10-3166 4720 S COTTAGE GROVE AVE CHICAGO IL 60615 (773) 420-00831485805 1134416365 WALMART PHARMACY 10-5647 570 W MONROE S CHICAGO IL 60661 (312) 207-21091488128 1265773386 WAL-MART PHARMACY 10-5965 10900 S DOTY AVE CHICAGO IL 60064 (773) 344-90611469356 1043231368 FAGEN PHARMACY 28 571 W 14TH ST CHICAGO HEIGHTS IL 60411 (708) 503-03911468188 1366458846 WALGREENS 1401 WESTERN AVE CHICAGO HEIGHTS IL 60411 (708) 503-91931448162 1790790012 WALGREENS 650 DIXIE HIGHWAY CHICAGO HEIGHTS IL 60411 (708) 755-00581420859 1780749812 KIRKS PHARMACY 114 W MARKET STREET CHRISTOPHER IL 62822 (618) 724-27411473076 1215954508 SAMS PHARMACY 2601 SOUTH CICERO AVE CICERO IL 60804 (708) 652-85961449366 1083629208 WALGREENS 4800 W CERMAK CICERO IL 60804 (708) 863-77341461665 1508871757 WALGREENS 5840 W 35TH ST CICERO IL 60804 (708) 780-75131402661 1770590762 WALGREENS 5932 W CERMAK RD CICERO IL 60804 (708) 652-48561490488 1851787865 WALGREENS #16093 3040 S CICERO AVE CICERO IL 60804 (708) 391-21181488875 1659797959 WALMART PHARMACY 10-3004 3320 S CICERO AVE CICERO IL 60804 (708) 735-84571403598 1326094954 OSCO DRUG 303 HOLMES AVE CLARENDON HILLS IL 60514 (630) 325-32651480881 1164624870 WALGREENS 424 W VAN BUREN ST CLINTON IL 61727 (217) 935-13571466108 1003834524 WAL-MART PHARMACY 10 CLINTON PLAZA HWY 54 WEST CLINTON IL 61727 (217) 935-86441481035 1366642126 WALGREENS 1190 COLLINSVILLE CROSSING BLVD COLLINSVILLE IL 62234 (618) 343-02971465803 1154336311 WALGREENS 401 BELTLINE COLLINSVILLE IL 62234 (618) 344-66391461689 1225055502 WAL-MART PHARMACY 1040 COLLINSVILLE CROSSING COLLINSVILLE IL 62234 (618) 344-71121476274 1922013135 WALGREENS 100 ADMIRAL WEINEL BLVD COLUMBIA IL 62236 (618) 281-21111479713 1235171075 WAL-MART PHARMACY 4005 WEST 167TH STREET COUNTRY CLUB HILLS IL 60478 (708) 647-6738

9

1476274 1922013135 WALGREENS 100 ADMIRAL WEINEL BLVD COLUMBIA IL 62236 (618) 281-21111479713 1235171075 WAL-MART PHARMACY 4005 WEST 167TH STREET COUNTRY CLUB HILLS IL 60478 (708) 647-67381467136 1770539207 OSCO DRUG 5545 BRAINARD AVE COUNTRYSIDE IL 60525 (708) 354-26891476022 1548275746 WALGREENS 2379 PLAINFIELD RD CREST HILL IL 60403 (815) 730-86631469445 1174539670 WALGREENS 13501 S CICERO AVE CRESTWOOD IL 60445 (708) 396-12801478836 1437177854 WAL-MART PHARMACY 4700 WEST 135TH STREET CRESTWOOD IL 60445 (708) 489-64761465132 1649355694 WALTS PHARMACY 1100 E EXCHANGE AVE CRETE IL 60417 (708) 672-91751408156 1083660476 OSCO DRUG 6140 NW HWY CRYSTAL LAKE IL 60014 (815) 356-87671475498 1023035318 SAMS PHARMACY 5670 NW HIGHWAY CRYSTAL LAKE IL 60014 (815) 788-98041430874 1205841509 WALGREENS 151 NORTHWEST HWY CRYSTAL LAKE IL 60014 (815) 455-24601484372 1487972881 WALGREENS 315 N IL ROUTE 31 CRYSTAL LAKE IL 60012 (815) 404-26431458644 1932126208 WAL-MART PHARMACY 1205 S IL ROUTE 31 CRYSTAL LAKE IL 60014 (815) 455-44091459999 1831160357 BRATLANDS PRESCRIPTION SHOP INC 8 E NORTH STREET DANVILLE IL 61832 (217) 442-24721459898 1881609022 WALGREENS 400 W FAIRCHILD DANVILLE IL 61832 (217) 442-73881464990 1073529541 WALGREENS 842 E MAIN STREET DANVILLE IL 61832 (217) 446-12151491240 1649641317 WALGREENS PRESCRIPTION CENTER #1646 400 W FAIRCHILD DANVILLE IL 61832 (224) 323-50731466982 1780601070 WAL-MART PHARMACY 4101 N VERMILION SUITE A DANVILLE IL 61834 (217) 443-95871405869 1548216468 OSCO DRUG 7329 CASS AVE DARIEN IL 60561 (630) 852-0070

9

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1476604 1366459349 WALGREENS 7516 S CASS AVE UNIT 1 DARIEN IL 60561 (630) 964-42421474509 1194730390 WALGREENS 8300 LEMONT RD DARIEN IL 60561 (630) 985-64191464762 1851318133 WAL-MART PHARMACY 2189 75TH STREET DARIEN IL 60561 (630) 434-04951480780 1962613612 COUNTY MARKET PHARMACY 341 1400 E PERSHING RD DECATUR IL 62526 (217) 875-93641484889 1285943829 VICTORY HEALTHMART PHARMACY 2280 E WILLIAM ST DECATUR IL 62521 (217) 422-10001471159 1023144425 VICTORY PHARMACY OF DECATUR 163 N WATER ST DECATUR IL 62523 (217) 428-40001402685 1730195181 WALGREENS 1311 N STATE ROUTE 48 DECATUR IL 62526 (217) 429-19881455953 1700892247 WALGREENS 1315 N WATER ST DECATUR IL 62526 (217) 429-09581472264 1366457558 WALGREENS 225 E ASH DECATUR IL 62526 (217) 872-17581486376 1225307986 WALGREENS 420 W FIRST DR DECATUR IL 62521 (217) 422-38011437905 1114932415 WALGREENS 4995 E US RT 36 DECATUR IL 62521 (217) 864-98661439252 1922013226 WALGREENS 625 W PERSHING RD DECATUR IL 62526 (217) 875-27511470359 1407873797 WAL-MART PHARMACY 4625 EAST MARYLAND AVE. DECATUR IL 62521 (217) 864-92881460865 1235156514 WAL-MART PHARMACY 10-1690 4224 NORTH PROSPECT DECATUR IL 62526 (217) 875-01901408283 1700832193 OSCO DRUG 16 S WAUKEGAN RD DEERFIELD IL 60015 (847) 498-41501490818 1376927699 WALGREENS 200 WILMOT RD DEERFIELD IL 60015 (224) 323-50931402700 1154336287 WALGREENS 780 WAUKEGAN RD DEERFIELD IL 60015 (847) 945-06111486287 1780952903 WALGREENS HEALTHY LIVING PHARMACY 108 WILMOT RD DEERFIELD IL 60015 (847) 580-00001456753 1568418234 OSCO DRUG 1322 SYCAMORE DEKALB IL 60115 (815) 756-13281467679 1255346425 WALGREENS 100 W LINCOLN HIGHWAY DEKALB IL 60115 (815) 756-18151451587 1356368617 WAL-MART PHARMACY 2300 SYCAMORE ROAD DEKALB IL 60115 (815) 758-62841441423 1548202005 HOLY FAMILY PLAZA PHARMACY 1400 GOLF RD DES PLAINES IL 60016 (847) 296-14001403702 1093761918 OSCO DRUG 1480 LEE ST DES PLAINES IL 60018 (847) 299-81851403687 1376599290 OSCO DRUG 811 ELMHURST RD DES PLAINES IL 60018 (847) 439-42301472442 1952328247 SAMS PHARMACY 101 WEST OAKTON STREET DES PLAINES IL 60018 (847) 803-01811486136 1194008318 WALGREENS 1 N BROADWAY DES PLAINES IL 60016 (847) 827-75561476983 1801803887 WALGREENS 1378 MINER ST DES PLAINES IL 60016 (847) 296-39581472707 1184639379 WALGREENS 17 W GOLF RD DES PLAINES IL 60016 (847) 296-5145

10

1476983 1801803887 WALGREENS 1378 MINER ST DES PLAINES IL 60016 (847) 296-39581472707 1184639379 WALGREENS 17 W GOLF RD DES PLAINES IL 60016 (847) 296-51451412357 1033124334 WALGREENS 1858 E OAKTON ST DES PLAINES IL 60018 (847) 299-66111403017 1316954316 WALGREENS 21 RAND ROAD DES PLAINES IL 60016 (847) 827-96591489194 1659784577 WALMART PHARMACY 10-6167 727 W GOLF RD DES PLAINES IL 60016 (630) 475-56491478456 1780625640 FELKER SNYDER PHARMACY 301 N GALENA AVE DIXON IL 61021 (815) 284-80001441182 1467467761 WALGREENS 1275 N GALENA DIXON IL 61021 (815) 288-78441477896 1396762696 WAL-MART PHARMACY 1640 SOUTH GALENA AVENUE DIXON IL 61021 (815) 288-77971409285 1619982758 WALGREENS 1150 E SIBLEY BLVD DOLTON IL 60419 (708) 841-78601478711 1235176785 OSCO DRUG 1148 OGDEN AVE DOWNERS GROVE IL 60515 (630) 963-07491403891 1962458497 OSCO DRUG 6215 S MAIN ST DOWNERS GROVE IL 60516 (630) 971-02201471046 1790790970 WALGREENS 1000 OGDEN AVE DOWNERS GROVE IL 60515 (630) 493-15671461588 1780699926 WALGREENS 6240 BELMONT DOWNERS GROVE IL 60516 (630) 960-41601464623 1033136312 WAL-MART PHARMACY 215 GRANT WAY DU QUOIN IL 62832 (618) 542-24881449974 1881600427 WALGREENS 550 W ST LOUIS AVE EAST ALTON IL 62024 (618) 258-03501487607 1023354115 LA VIDA PHARMACY INC 455 E MAIN ST EAST DUNDEE IL 60118 (847) 551-53791459925 1831116102 WALMART PHARMACY 10-1531 620 DUNDEE AVENUE EAST DUNDEE IL 60118 (847) 426-42721405629 1538115928 OSCO DRUG 107 AVENUE OF THE CITIES EAST MOLINE IL 61244 (309) 751-0960

10

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1478088 1023023132 WALGREENS 1301 AVENUE OF THE CITIES EAST MOLINE IL 61244 (309) 755-03251468140 1154336329 WALGREENS 301 30TH AVE EAST MOLINE IL 61244 (309) 755-48571469813 1447265624 WALGREENS 300 N MAIN ST EAST PEORIA IL 61611 (309) 694-76611454064 1164449427 WAL-MART PHARMACY 401 RIVER ROAD EAST PEORIA IL 61611 (309) 694-02611470006 1174538359 WALGREENS 2510 STATE ST EAST SAINT LOUIS IL 62205 (618) 875-50851473191 1447265632 WALGREENS 102 W VANDALIA EDWARDSVILLE IL 62025 (618) 692-72511456474 1740230481 ANDES HEALTH MART 805 WEST FAYETTE AVE EFFINGHAM IL 62401 (217) 342-93931463708 1386717502 BROWN'S DRUG STORE 115 W JEFFERSON AVE EFFINGHAM IL 62401 (217) 342-21851441308 1275544777 MARTINS PHARMACY 101 S MERCHANT ST EFFINGHAM IL 62401 (217) 342-43011472719 1992710180 WALGREENS 1200 W FAYETTE AVE EFFINGHAM IL 62401 (217) 342-60751453187 1619994977 WAL-MART PHARMACY 1204 AVENUE OF MID-AMERICA EFFINGHAM IL 62401 (217) 347-55831480689 1619191699 OSCO DRUG 800 N MAIN ST ELBURN IL 60119 (630) 365-42401483508 1366670960 WALGREENS 1001 N MAIN ST ELBURN IL 60119 (630) 365-91761403461 1922054840 OSCO DRUG 1038 SUMMIT ST ELGIN IL 60120 (847) 695-74671403447 1649226150 OSCO DRUG 1670 LARKIN AVE ELGIN IL 60120 (847) 695-01981486314 1952679599 PRIMISHA PHARMACY 750 FLETCHER DR ELGIN IL 60123 (847) 742-67001486807 1720349202 SAMS PHARMACY 1000 S RANDALL RD ELGIN IL 60123 (630) 503-21481483863 1104151430 WALGREENS 1435 N RANDALL RD ELGIN IL 60123 (847) 531-58931475878 1639184831 WALGREENS 1700 LARKIN ELGIN IL 60123 (847) 695-11581459583 1154336394 WALGREENS 589 N MCLEAN BLVD ELGIN IL 60123 (847) 697-98731456082 1518972744 WALGREENS 600 VILLA ST ELGIN IL 60120 (847) 695-77271463001 1255347720 WALGREENS 815 SUMMIT ELGIN IL 60120 (847) 695-58471461855 1134146418 WAL-MART PHARMACY 1100 S RANDALL RD ELGIN IL 60123 (847) 468-96961454850 1659327328 OSCO DRUG 22 BIESTERFIELD RD ELK GROVE VILLAGE IL 60007 (847) 593-12261472896 1710992904 WALGREENS 641 MEACHAM RD ELK GROVE VILLAGE IL 60007 (847) 352-40611402786 1972518009 WALGREENS 930 ELK GROVE TOWN CENTER ELK GROVE VILLAGE IL 60007 (847) 439-47101462617 1861419145 WAL-MART PHARMACY 801 MEACHAM ROAD ELK GROVE VILLAGE IL 60007 (847) 584-70821492406 1073575627 ELMHURST DERMATOLOGY 103 N HAVEN ROAD, SUITE 7 ELMHURST IL 60126 (630) 832-2111

11

1462617 1861419145 WAL-MART PHARMACY 801 MEACHAM ROAD ELK GROVE VILLAGE IL 60007 (847) 584-70821492406 1073575627 ELMHURST DERMATOLOGY 103 N HAVEN ROAD, SUITE 7 ELMHURST IL 60126 (630) 832-21111403574 1699721225 OSCO DRUG 153 SCHILLER ELMHURST IL 60126 (630) 530-94681454393 1447207808 OSCO DRUG 942 YORK RD ELMHURST IL 60126 (630) 834-20001485057 1689974313 WALGREENS 155 E BRUSH HILL RD, SUITE D1543 ELMHURST IL 60126 (630) 833-37241465005 1336154590 WALGREENS 160 N ROBERT T PALMER DR ELMHURST IL 60126 (630) 782-17031411583 1457358202 ELMWOOD PHARMACY 108 E. MAIN ST ELMWOOD IL 61529 (309) 742-26111487809 1003156068 ELMWOOD PARK PHARMACY 7613 W BELMONT AVE ELMWOOD PARK IL 60707 (708) 395-56231443720 1548275860 WALGREENS 2828 NORTH HARLEM ELMWOOD PARK IL 60707 (708) 583-01701402801 1881609915 WALGREENS 7200 W NORTH AVE ELMWOOD PARK IL 60707 (708) 456-88101448768 1326086554 OSCO DRUG 1128 CHICAGO AVE EVANSTON IL 60202 (847) 869-35201465207 1467408146 OSCO DRUG 2491 HOWARD ST EVANSTON IL 60202 (847) 328-99511473165 1942227236 SAMS PHARMACY 2450 MAIN STREET EVANSTON IL 60202 (847) 425-94281404603 1992710032 WALGREENS 2100 GREEN BAY RD EVANSTON IL 60201 (847) 475-09961457034 1972518108 WALGREENS 635 CHICAGO AVE STE#7 EVANSTON IL 60202 (847) 864-81201468443 1710993290 WALGREENS 900 DODGE AVE EVANSTON IL 60202 (847) 475-72871474749 1205853595 SAMS PHARMACY 9400 SOUTHWESTERN AVE EVERGREEN PARK IL 60805 (708) 636-47191463734 1154336303 WALGREENS 3959 W 95TH ST EVERGREEN PARK IL 60805 (708) 857-7922

11

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1450775 1255346474 WALGREENS 8700 S KEDZIE AVE EVERGREEN PARK IL 60805 (708) 499-80511478521 1578580874 WAL-MART PHARMACY 2500 W 95TH ST EVERGREEN PARK IL 60805 (708) 229-08921464750 1013935527 WAL-MART PHARMACY 2000 COMMERCE DR FAIRFIELD IL 62837 (618) 847-52051451727 1801957444 NEW VENTURE PHARMACY 815 LINCOLN HWY FAIRVIEW HEIGHTS IL 62208 (618) 628-88681459812 1972518116 WALGREENS 6505 N ILLINOIS ST FAIRVIEW HEIGHTS IL 62208 (618) 394-87441453581 1144231648 COUNTY MARKET PHARMACY 453 1050 E FORT ST FARMINGTON IL 61531 (309) 245-23351481439 1093998551 SAV MOR PHARMACY 121 W NORTH AVE FLORA IL 62839 (618) 662-94701466689 1972526036 WAL-MART PHARMACY 1540 N WORTHY FLORA IL 62839 (618) 662-45971467340 1528073798 WALGREENS 7200 ROOSEVELT RD FOREST PARK IL 60130 (708) 366-95341465031 1194743617 WAL-MART PHARMACY 1300 DES PLAINES AVEUE FOREST PARK IL 60130 (708) 771-22381468239 1124074653 OSCO DRUG 1350 S ROUTE 12 FOX LAKE IL 60020 (847) 587-42061422601 1588679880 WALGREENS 61 S ROUTE 12 FOX LAKE IL 60020 (847) 587-82221489144 1245657568 OSCO DRUG 800 NORTHWEST HWY FOX RIVER GROVE IL 60021 (847) 516-43261477098 1649285859 WALGREENS 900 NORTHWEST HWY FOX RIVER GROVE IL 60021 (847) 639-03761462388 1356398804 OSCO DRUG 354 LA GRANGE RD FRANKFORT IL 60423 (815) 464-50501477086 1730194945 WALGREENS 11200 W LARAWAY RD FRANKFORT IL 60423 (815) 806-81951470652 1346255528 WALGREENS 7209 W LINCOLN HWY FRANKFORT IL 60423 (815) 464-83741480386 1003959040 WALGREENS 9554 E LINCOLN HWY FRANKFORT IL 60423 (815) 806-04381412092 1598711129 OSCO DRUG 10203 W GRAND AVE FRANKLIN PARK IL 60131 (847) 455-06331449215 1174538391 WALGREENS 9595 GRAND AVE FRANKLIN PARK IL 60131 (847) 455-68761480134 1831289750 TOMS PHARMACY 369 MARKET PLACE DR FREEBURG IL 62243 (618) 539-31631482897 1174761381 WALGREENS 1732 S WEST AVE FREEPORT IL 61032 (815) 235-81481460978 1871508010 WALGREENS 835 W GALENA AVE FREEPORT IL 61032 (815) 232-83201461300 1598782872 WAL-MART PHARMACY 2545 IL ROUTE 26 S FREEPORT IL 61032 (815) 232-81411477682 1205853504 WAL-MART PHARMACY 10000 BARTEL BLVD GALENA IL 61036 (815) 777-13011476096 1457366650 WALGREENS 1057 E MAIN ST GALESBURG IL 61401 (309) 341-24461454115 1437164662 WALGREENS 844 W FREMONT ST GALESBURG IL 61401 (309) 343-51411451094 1447277702 WAL-MART PHARMACY 659 KNOX SQUARE DR GALESBURG IL 61401 (309) 344-2279

12

1454115 1437164662 WALGREENS 844 W FREMONT ST GALESBURG IL 61401 (309) 343-51411451094 1447277702 WAL-MART PHARMACY 659 KNOX SQUARE DR GALESBURG IL 61401 (309) 344-22791407255 1407954431 NORTHSIDE REXALL DRUG 201 N STATE ST GENESEO IL 61254 (309) 944-24421483243 1295979789 WALGREENS 1009 S OAKWOOD AVE GENESEO IL 61254 (309) 944-37841452870 1174540439 WAL-MART PHARMACY 125 EAST BESTER DRIVE GENESEO IL 61254 (309) 944-56751409110 1285661553 RILEY DRUGS INC 415 W STATE ST GENEVA IL 60134 (630) 232-06501448605 1992710115 WALGREENS 2100 W STATE GENEVA IL 60134 (630) 262-09701422865 1134104219 SULLIVAN DRUGS 113 S MACOUPIN ST GILLESPIE IL 62033 (217) 839-28771488041 1003158676 SAM'S PHARMACY 10-4878 5 ILLINI DR GLEN CARBON IL 62034 (618) 692-75681456018 1609881838 WALGREENS 2 COTTONWOOD RD GLEN CARBON IL 62034 (618) 288-46841467390 1598782880 WAL-MART PHARMACY 400 JUNCTION DRIVE GLEN CARBON IL 62034 (618) 659-13951450129 1013963784 OSCO DRUG 599 ROOSEVELT RD GLEN ELLYN IL 60137 (630) 790-22941402849 1689681678 WALGREENS 324 ROOSEVELT RD GLEN ELLYN IL 60137 (630) 858-29301476806 1003821216 WALGREENS 840 N MAIN ST GLEN ELLYN IL 60137 (630) 790-20871463518 1104844612 WAL-MART PHARMACY 3S100 IL ROUTE 53 GLEN ELLYN IL 60137 (630) 545-10801485110 1225346711 PARKWAY DRUGS, A WALGREENS PHARMACY 353 PARK AVE GLENCOE IL 60022 (847) 835-03871452983 1972518199 WALGREENS 63 GREEN BAY RD GLENCOE IL 60022 (847) 835-84171482467 1518114750 ADVENTIST GLENOAKS HOSPITAL OUTPATI 701 WINTHROP AVENUE GLENDALE HEIGHTS IL 60139 (630) 545-7310

12

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1488382 1740615061 CENTRAL DUPAGE PHARMACY 155 E NORTH AVE GLENDALE HEIGHTS IL 60139 (630) 682-88881441031 1942256615 OSCO DRUG 2164 BLOOMINGDALE RD GLENDALE HEIGHTS IL 60139 (630) 980-43011469318 1871508044 WALGREENS 2040 GLEN ELLYN RD GLENDALE HEIGHTS IL 60139 (630) 539-65971467516 1518982180 C & M PHARMACY 4339 DI PAOLO CENTER GLENVIEW IL 60025 (847) 299-19201488510 1336578368 OSCO DRUG 1340 PATRIOT BLVD GLENVIEW IL 60025 (847) 657-91511468227 1215983747 OSCO DRUG 2502 WAUKEGAN RD GLENVIEW IL 60025 (847) 486-05711404122 1639125552 OSCO DRUG 2775 PFINGSTEN GLENVIEW IL 60025 (847) 564-84801441005 1053327643 WALGREENS 1403 WAUKEGAN RD GLENVIEW IL 60025 (847) 998-14421491175 1356710446 WALGREENS 1403 WAUKEGAN RD STE A GLENVIEW IL 60025 (847) 998-14421477529 1447267422 WALGREENS 2690 GOLF RD GLENVIEW IL 60025 (847) 657-98631461918 1326053570 WALGREENS 2871 PFINGSTEN RD GLENVIEW IL 60026 (847) 559-92271471630 1093720286 WALGREENS 3301 GLENVIEW RD GLENVIEW IL 60025 (847) 724-07591478177 1841217148 WAL-MART PHARMACY 103 HOLBROOK ROAD GLENWOOD IL 60425 (708) 755-13201485021 1609176304 WAL-MART PHARMACY 6660 GODFREY RD GODFREY IL 62035 (618) 466-49271471426 1235146317 WALGREENS 2001 MADISON AVE GRANITE CITY IL 62040 (618) 876-50951411925 1215942511 WALGREENS 3732 NAMEOKI GRANITE CITY IL 62040 (618) 877-68801492367 1083060156 WALGREENS PRESCRIPTION CENTER 2100 MADISON AVE GRANITE CITY IL 62040 (314) 739-45031461312 1407873789 WAL-MART PHARMACY 379 W PONTOON ROAD GRANITE CITY IL 62040 (618) 451-60021472593 1760438295 OSCO DRUG 885 E BELVIDERE RD GRAYSLAKE IL 60030 (847) 543-90821463950 1972518124 WALGREENS 295 S US HWY 45 GRAYSLAKE IL 60030 (847) 223-92611472909 1275549677 WALGREENS 460 E WASHINGTON ST GRAYSLAKE IL 60030 (847) 231-41221465776 1285680967 OSCO DRUG 6507 GRAND AVE GURNEE IL 60031 (847) 855-09901473052 1306863691 SAMS PHARMACY 6570 GRAND AVENUE GURNEE IL 60031 (847) 855-86201491896 1093142135 VISTA CANCER CENTER 202 S GREENLEAF ST STE E GURNEE IL 60031 (847) 336-61111474701 1306852785 WALGREENS 4830 GRAND AVE GURNEE IL 60031 (847) 662-25851467681 1164437331 WALGREENS 7501 GRAND AVE GURNEE IL 60031 (847) 265-96411460726 1386661650 WAL-MART PHARMACY 6590 GRAND AVENUE GURNEE IL 60031 (847) 855-12451477757 1487669693 WALGREENS 40 E BELVIDERE HAINESVILLE IL 60030 (847) 223-0612

13

1460726 1386661650 WAL-MART PHARMACY 6590 GRAND AVENUE GURNEE IL 60031 (847) 855-12451477757 1487669693 WALGREENS 40 E BELVIDERE HAINESVILLE IL 60030 (847) 223-06121463568 1336154582 WALGREENS 2040 ARMY TRAIL RD HANOVER PARK IL 60133 (630) 830-65581474294 1841207826 WALGREENS 5500 COUNTY FARM RD HANOVER PARK IL 60133 (630) 213-18091405617 1558378588 WALGREENS 7350 BARRINGTON RD HANOVER PARK IL 60133 (630) 289-41431481530 1598948622 WALGREENS 4 S COMMERIAL ST HARRISBURG IL 62946 (618) 252-01341461021 1487672994 WAL-MART PHARMACY 710 S COMMERCIAL ST HARRISBURG IL 62946 (618) 252-74161482760 1447405923 WALGREENS 395 S DIVISION ST HARVARD IL 60033 (815) 943-43761455763 1306863675 WAL-MART PHARMACY 21101 MCGUIRE RD HARVARD IL 60033 (815) 943-74591460346 1356357818 WALGREENS 14700 HALSTED ST HARVEY IL 60426 (708) 333-35721467441 1437164605 WALGREENS 18301 PULASKI HAZELCREST IL 60429 (708) 335-41801423348 1417947870 HERRIN DRUG 116 N PARK HERRIN IL 62948 (618) 942-53151475513 1124116827 LOGAN PRIMARY PHARMACY 401 RUSHING DR HERRIN IL 62948 (618) 997-99971492343 1306870233 SOUTHERN ILLINOIS DERMATOLOGY 220 NORTH PARK AVENUE HERRIN IL 62948 (618) 942-33441482900 1366680571 WALGREENS 1606 S PARK AVE HERRIN IL 62948 (618) 942-52911448883 1457378713 WAL-MART PHARMACY 1713 SOUTH PARK AVENUE HERRIN IL 62948 (618) 942-66411403942 1598711020 OSCO DRUG 9534 S ROBERTS RD HICKORY HILLS IL 60457 (708) 598-05001473949 1700891991 WALGREENS 7945 W 95TH ST HICKORY HILLS IL 60457 (708) 599-5603

13

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1408207 1700891843 WALGREENS 8800 W 95TH ST HICKORY HILLS IL 60457 (708) 598-32711477581 1639184849 WALGREENS 110 WALNUT ST HIGHLAND IL 62249 (618) 651-12041453290 1528085883 WAL-MART PHARMACY 12495 STATE RTE 143 HIGHLAND IL 62249 (618) 654-23971403675 1467408385 OSCO DRUG 1600 DEERFIELD RD HIGHLAND PARK IL 60035 (847) 579-08841473785 1598772675 WALGREENS 632 ROGER WILLIAMS AVE HIGHLAND PARK IL 60035 (847) 432-81701464988 1427063684 WALGREENS 655 ELM PLACE HIGHLAND PARK IL 60035 (847) 266-85201476159 1366457566 WALGREENS 320 WAUKEGAN AVE HIGHWOOD IL 60040 (847) 433-51381448023 1073528394 WALGREENS 2151 S WOLF RD HILLSIDE IL 60162 (708) 562-61051467213 1235144494 WALGREENS 4730 BUTTERFIELD RD HILLSIDE IL 60162 (708) 547-63161435848 1053415653 HINSDALE HOSPITAL PHARMACY OUTPATIE 120 N OAK ST HINSDALE IL 60521 (630) 856-39661452995 1881609006 WALGREENS 15 GRANT SQUARE HINSDALE IL 60521 (630) 323-70591473278 1760409056 SAMS PHARMACY 9500 W JOLIET ROAD HODGKINS IL 60525 (708) 485-75631462263 1952328239 WAL-MART PHARMACY 9450 WEST JOLIET ROAD HODGKINS IL 60525 (708) 387-20991407863 1104864347 OSCO DRUG 1071 N ROSELLE RD HOFFMAN ESTATES IL 60195 (847) 882-64771462984 1558317230 OSCO DRUG 1489 PALATINE RD HOFFMAN ESTATES IL 60195 (847) 202-92321403207 1548275688 WALGREENS 1000 N ROSELLE RD HOFFMAN ESTATES IL 60169 (847) 882-72401475032 1467467662 WALGREENS 1550 W ALGONQUIN RD HOFFMAN ESTATES IL 60192 (847) 705-79401486453 1811268881 WALGREENS 1555 BARRINGTON RD STE 105 HOFFMAN ESTATES IL 60169 (847) 490-42161438111 1669487963 WALGREENS 2560 WEST GOLF ROAD HOFFMAN ESTATES IL 60169 (847) 843-04401490173 1629469945 DR. Z'S PHARMACY 14322 S WILL COOK RD HOMER GLEN IL 60491 (708) 966-07851488534 1548699309 OSCO DRUG 14200 S BELL RD HOMER GLEN IL 60441 (708) 301-32461438072 1841205143 WALGREENS 8701 S CICERO AVE HOMETOWN IL 60456 (708) 423-64301411292 1871549402 OSCO DRUG 17705 S HALSTED ST HOMEWOOD IL 60430 (708) 957-17501403764 1093762544 OSCO DRUG 3153 W 183RD AVE HOMEWOOD IL 60430 (708) 799-84111404540 1184639221 WALGREENS 18300 GOVERNORS HWY HOMEWOOD IL 60430 (708) 799-83011411937 1124033428 WALGREENS 820 W 183RD HOMEWOOD IL 60430 (708) 957-94021465120 1114002136 WALTS PHARMACY 2345 W 183RD ST HOMEWOOD IL 60430 (708) 957-29741475486 1073569463 OSCO DRUG 13200 VILLAGE GREEN DR HUNTLEY IL 60142 (847) 961-5625

14

1465120 1114002136 WALTS PHARMACY 2345 W 183RD ST HOMEWOOD IL 60430 (708) 957-29741475486 1073569463 OSCO DRUG 13200 VILLAGE GREEN DR HUNTLEY IL 60142 (847) 961-56251476236 1184639387 WALGREENS 12000 PRINCETON DR HUNTLEY IL 60142 (224) 569-65181484423 1497073571 WALGREENS 9950 N IL ROUTE 47 HUNTLEY IL 60142 (847) 669-75901483039 1023258944 WAL-MART PHARMACY 12300 S IL ROUTE 47 HUNTLEY IL 60142 (847) 669-75631477430 1891736062 BANDYS PHARMACY II 207 HURON IRVINGTON IL 62848 (618) 249-69051481388 1003096496 WALGREENS 442 W STATE RD ISLAND LAKE IL 60042 (847) 487-25321466499 1699780858 WALGREENS 1325 E IRVING PARK RD ITASCA IL 60143 (630) 875-02441455939 1073528204 WALGREENS 134 W MORTON AVE JACKSONVILLE IL 62650 (217) 243-78181477721 1578578787 WALGREENS 1802 W MORTON AVE JACKSONVILLE IL 62650 (217) 479-06931459975 1568489839 WAL-MART PHARMACY 1941 W MORTON AVE JACKSONVILLE IL 62650 (217) 243-21521479799 1104847375 WALGREENS 705 S STATE ST JERSEYVILLE IL 62052 (618) 498-49891453478 1437176799 WAL-MART PHARMACY 1316 SOUTH STATE STREET JERSEYVILLE IL 62052 (618) 498-68641458074 1588681852 WAL-MART PHARMACY 3801 RUNNING BROOK FARM BLVD JOHNSBURG IL 60051 (815) 363-01051472581 1801989249 JOHA PHARMACY 2614 W JEFFERSON ST JOILET IL 60435 (815) 730-30301406330 1891720314 J D BROWN AND CO 837 PLAINFIELD RD JOLIET IL 60435 (815) 723-06111403473 1831145754 OSCO DRUG 1403 W JEFFERSON JOLIET IL 60435 (815) 725-12901407560 1295773430 OSCO DRUG 1535 N LARKIN AVE JOLIET IL 60435 (815) 729-2487

14

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1481061 1144429770 SAMS PHARMACY 321 S LARKIN JOLIET IL 60436 (815) 725-51241485033 1003117243 WALGREENS 1106 NEAL AVE JOLIET IL 60433 (815) 727-50541461677 1073529533 WALGREENS 1163 W JEFFERSON ST JOLIET IL 60435 (815) 744-40021491428 1538531363 WALGREENS 1163 W JEFFERSON ST JOLIET IL 60435 (224) 323-50781411470 1306851605 WALGREENS 1514 ESSINGTON JOLIET IL 60432 (815) 744-55221402899 1538175906 WALGREENS 1801 INGALLS AVE JOLIET IL 60435 (815) 729-16801477707 1356358337 WALGREENS 2101 W JEFFERSON ST JOLIET IL 60435 (815) 730-38671481302 1285820605 WALGREENS 301 MADISON ST STE 114 JOLIET IL 60435 (815) 744-41731450218 1528073749 WALGREENS 358 E CASS ST JOLIET IL 60432 (815) 727-00331456892 1942227210 WAL-MART PHARMACY 2424 W JEFFERSON ST JOLIET IL 60436 (815) 744-76011480259 1083776959 OSCO DRUG 446 S WASHINGTON AVE KANKAKEE IL 60901 (815) 935-20411454759 1740323096 RIVERSIDE FAMILY PHARMACY 350 N WALL ST KANKAKEE IL 60901 (815) 935-43561402914 1598772592 WALGREENS 1050 N KENNEDY DR KANKAKEE IL 60901 (815) 932-96151483724 1326270828 WALGREENS 222 W COURT ST KANKAKEE IL 60901 (815) 936-08171491391 1720450554 WALGREENS 222 W COURT ST KANKAKEE IL 60901 (224) 323-50811481681 1386826014 WAL-MART PHARMACY 505 RIVERSTONE PKWY KANKAKEE IL 60901 (815) 802-31661470828 1982619169 WALGREENS 500 S MAIN ST KEWANEE IL 61443 (309) 853-44121448744 1548287808 WAL-MART PHARMACY 730 TENNEY ST KEWANEE IL 61443 (309) 852-46761438109 1750396057 WALGREENS 6600 WILLOW SPRINGS RD LA GRANGE HIGHLANDS IL 60525 (708) 588-12531403649 1285681734 OSCO DRUG 507 WOODLAWN DR LA GRANGE PARK IL 60526 (708) 352-57471491543 1699146720 PHARMBLUE ILLINOIS LLC 2960 CHARTRES ST STE 100 LA SALLE IL 61301 (724) 779-47201457553 1407830003 LOW COST PHARMACY 415 5TH ST LACON IL 61540 (309) 246-25551460702 1962417105 WALGREENS 2 N LAGRANGE RD LAGRANGE IL 60525 (708) 352-31161481249 1831385269 WALGREENS 12700 ROCKLAND RD LAKE BLUFF IL 60044 (847) 615-20881464457 1902853450 OSCO DRUG 892 N WESTERN AVE LAKE FOREST IL 60045 (847) 735-10321402940 1508871633 WALGREENS 296 E DEERPATH LAKE FOREST IL 60045 (847) 234-24131491163 1447629530 WALGREENS 100 N RANDALL RD STE A LAKE IN THE HILLS IL 60156 (847) 658-70511466285 1972518132 WALGREENS 100 N RANDALL ROAD LAKE IN THE HILLS IL 60156 (847) 658-7051

15

1491163 1447629530 WALGREENS 100 N RANDALL RD STE A LAKE IN THE HILLS IL 60156 (847) 658-70511466285 1972518132 WALGREENS 100 N RANDALL ROAD LAKE IN THE HILLS IL 60156 (847) 658-70511470195 1700891983 WALGREENS 305 E GRAND AVE LAKE VILLA IL 60046 (847) 265-52491489118 1518384445 OSCO DRUG 345 S RAND RD LAKE ZURICH IL 60047 (847) 438-24501444140 1679529341 OSCO DRUG 485 ELA RD LAKE ZURICH IL 60047 (847) 540-01301457844 1962417196 WALGREENS 1285 RAND ROAD LAKE ZURICH IL 60047 (847) 438-85651469623 1083620587 WALGREENS 910 NORTH RAND RD LAKE ZURICH IL 60047 (847) 550-94751458137 1396762662 WAL-MART PHARMACY 820 SOUTH RAND LAKE ZURICH IL 60047 (847) 438-49491488433 1740617984 WALGREENS 28895 W IL ROUTE 120 LAKEMOOR IL 60051 (815) 578-93461490779 1871975268 LANARK PHARMACY 102 N BROAD ST LANARK IL 61046 (815) 493-20801470119 1952322273 FAGEN PHARMACY 31 16831 TORRENCE HWY LANSING IL 60438 (708) 418-31591470121 1619983111 WALGREENS 18133 TORRENCE AVE LANSING IL 60438 (708) 889-01301448592 1184639304 WALGREENS 3564 RIDGE RD LANSING IL 60438 (708) 895-79371473507 1679590962 WAL-MART PHARMACY 17625 TORRENCE AVE LANSING IL 60438 (708) 474-92341464748 1942227228 WAL-MART PHARMACY 2610 WEST HAVEN ROAD LAWRENCEVILLE IL 62439 (618) 943-55151467314 1225076466 OSCO DRUG 1202 STATE ST LEMONT IL 60439 (630) 243-18031443403 1720093040 WALGREENS 15575 E 127TH ST LEMONT IL 60439 (630) 257-92501424100 1578677167 LENA DRUG STORE 154 W MAIN ST LENA IL 61048 (815) 369-4111

15

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1486667 1841558012 COUNTY MARKET PHARMACY 458 518 S MAIN ST LEWISTOWN IL 61542 (309) 547-37311443566 1760438436 OSCO DRUG 1300 S MILWAUKEE AVE LIBERTYVILLE IL 60048 (847) 680-83001475474 1104832591 WALGREENS 1470 S MILWAUKEE AVE LIBERTYVILLE IL 60048 (847) 247-06821472252 1457366643 WALGREENS 1770 N MILWAUKEE LIBERTYVILLE IL 60048 (847) 327-97061472721 1801801097 WALGREENS 603 WOODLAWN RD LINCOLN IL 62656 (217) 732-18251459507 1295752566 WAL-MART PHARMACY 825 MALERICH DRIVE LINCOLN IL 62656 (217) 735-33441473228 1174538367 WALGREENS 225 N MILWAUKEE AVE LINCOLNSHIRE IL 60069 (847) 913-16271446651 1265447585 WALGREENS 6798 N LINCOLN AVE LINCOLNWOOD IL 60712 (847) 674-63501481592 1326222316 WALGREENS 399 SOUTH RTE 45 LINDENHURST IL 60046 (847) 356-20661405693 1447206834 OSCO DRUG 1156 MAPLE AVE LISLE IL 60532 (630) 964-71001476969 1821003039 WALGREENS 1010 MAPLE AVE LISLE IL 60532 (630) 353-02521486415 1568733673 SULLIVAN DRUGS 320 E UNION AVE LITCHFIELD IL 62056 (217) 324-20011480944 1548467996 WALGREENS 1202 W UNION AVE LITCHFIELD IL 62056 (217) 324-76701458808 1841217114 WAL-MART PHARMACY 1205 WEST FERDON ST LITCHFIELD IL 62056 (217) 324-61971475575 1790731180 OSCO DRUG 16625 W 159TH ST LOCKPORT IL 60441 (815) 834-99101463722 1245245497 WALGREENS 16750 W 159TH ST LOCKPORT IL 60441 (815) 834-13511481124 1255530739 WAL-MART PHARMACY 16241 SOUTH FARRELL ROAD LOCKPORT IL 60441 (815) 836-34221490375 1992198766 HIGHLAND PHARMACY 2340 S HIGHLAND AVE STE 140 LOMBARD IL 60148 (630) 705-00201408574 1467442673 LOMBARD PHARMACY 805 S MAIN ST LOMBARD IL 60148 (630) 495-23331403699 1285680108 OSCO DRUG 1177 S MAIN ST LOMBARD IL 60148 (630) 629-50501489067 1740604214 RX AT HOME LLC 892 E ROOSEVELT RD LOMBARD IL 60148 (630) 755-61151471058 1518972793 WALGREENS 225 E ROOSEVELT RD LOMBARD IL 60148 (630) 627-97841447261 1437164753 WALGREENS 309 W SAINT CHARLES RD LOMBARD IL 60148 (630) 953-05081491961 1316307994 SAV MOR PHARMACY 326 ROUTE 45 N LOUISVILLE IL 62858 (618) 665-48281482520 1033368618 WALGREENS 1704 E RIVERSIDE BLVD LOVES PARK IL 61111 (815) 633-04751450422 1437164654 WALGREENS 5900 NORTH SECOND LOVES PARK IL 61111 (815) 282-20771451498 1790790913 WALGREENS 4101 1ST AVE LYONS IL 60534 (708) 447-68511491226 1912376310 WALGREENS 4101 1ST AVE STE A LYONS IL 60534 (708) 447-6851

16

1451498 1790790913 WALGREENS 4101 1ST AVE LYONS IL 60534 (708) 447-68511491226 1912376310 WALGREENS 4101 1ST AVE STE A LYONS IL 60534 (708) 447-68511405770 1841319027 NORTH PARK PHARMACY 7924 N 2ND ST MACHESNEY PARK IL 61115 (815) 633-34311482203 1336302512 WALGREENS 1680 W LANE RD MACHESNEY PARK IL 61115 (815) 282-12031465017 1245245406 WALGREENS 300 EAST JACKSON MACOMB IL 61455 (309) 837-24361450460 1992722250 WAL-MART PHARMACY 1730 E JACKSON ROAD MACOMB IL 61455 (309) 833-14561485627 1003108135 WALGREENS 1001 HEATHER DR MAHOMET IL 61853 (217) 586-23171483748 1710119201 WALGREENS 104 N LOMBARD ST MAHOMET IL 61853 (217) 586-34601487328 1114282266 MARENGO COMMUNITY PHARMACY INC 308 S STATE ST MARENGO IL 60152 (815) 568-78661483041 1306087820 SAM'S PHARMACY 2709 WALTON WAY MARION IL 62959 (618) 997-89451476363 1831104041 WALGREENS 1710 W DEYOUNG ST MARION IL 62959 (618) 998-16031445700 1639196991 WAL-MART PHARMACY 2802 OUTER DR MARION IL 62959 (618) 997-20211458517 1003980111 MARISSA DISCOUNT PHARMACY 700 E LYONS MARISSA IL 62257 (618) 295-23171402952 1417962549 WALGREENS 3148 W 159TH STREET MARKHAM IL 60428 (708) 339-11841450472 1801813167 WAL-MART PHARMACY 108 BRYSTA DR MARSHALL IL 62441 (217) 826-80131480196 1295810422 MARTINSVILLE PHARMACIE SHOPPE 890 E RIDGELAWN RD MARTINSVILLE IL 62442 (217) 382-40041431561 1326082173 MARYVILLE PHARMACY 2700 N CENTER ST MARYVILLE IL 62062 (618) 288-74741482645 1346494176 WALGREENS 6607 STATE ROUTE 162 MARYVILLE IL 62062 (618) 288-2130

16

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1473153 1033136320 SAMS PHARMACY 21430 SOUTH CICERO AVE MATTESON IL 60443 (708) 747-46911481821 1518139286 WALGREENS 5640 211TH ST MATTESON IL 60443 (708) 720-20361459355 1487671756 WAL-MART PHARMACY 21410 S CICERO AVE MATTESON IL 60443 (708) 503-04951406481 1629083761 WALGREENS 212 S LOGAN AVE MATTOON IL 61938 (217) 235-31261464421 1124045406 WAL-MART PHARMACY 101 DETTRO DRIVE MATTOON IL 61938 (217) 258-63131467491 1932256401 J AND P PHARMACY 1516 W MADISON ST MAYWOOD IL 60153 (708) 345-46581467338 1053326215 WALGREENS 100 LAKE STREET MAYWOOD IL 60153 (708) 344-98851406582 1457307373 OSCO DRUG 4222 ELM ST MCHENRY IL 60050 (815) 385-70301459660 1063427201 WALGREENS 3925 W ELM ST MCHENRY IL 60050 (815) 363-07221409780 1396827184 YORK PHARMACY 107 E MAIN STREET MCLEANSBORO IL 62859 (618) 643-35241471945 1861551079 BROADWAY AVE PHARMACY 151 BROADWAY AVE MELROSE PARK IL 60160 (708) 450-04001463304 1346296738 OSCO DRUG 806 W N AVE MELROSE PARK IL 60160 (708) 547-87351476173 1801966627 SAAHIL PHARMACY LTD 1905 RICE ST MELROSE PARK IL 60160 (708) 450-00641402964 1326053455 WALGREENS 1445 W NORTH AVE MELROSE PARK IL 60160 (708) 345-60801489106 1609293539 OSCO DRUG 3243 W 115TH ST MERRIONETTE PARK IL 60803 (708) 389-90211411014 1821073156 METAMORA PHARMACY 117 W MT VERNON ST METAMORA IL 61548 (309) 367-23851463582 1194866053 METROLPOLIS DRUGS II 1201 W 10TH ST METROPOLIS IL 62960 (618) 524-84001441497 1205941234 METROPOLIS DRUGS 1001 E 5 TH ST METROPOLIS IL 62960 (618) 524-83161483522 1356579338 WALGREENS 110 W 10TH ST METROPOLIS IL 62960 (618) 524-48191448922 1710992938 WALGREENS 4800 148TH ST MIDLOTHIAN IL 60445 (708) 687-16041478026 1114932225 WALGREENS 440 10TH AVE W MILAN IL 61264 (309) 787-21611478379 1811944366 OSCO DRUG 2051 RIDGE RD MINOOKA IL 60447 (815) 467-12541471654 1811902000 WALGREENS 20002 WOLF RD MOKENA IL 60448 (708) 478-32441410416 1962458596 OSCO DRUG 2014 1ST STREET A MOLINE IL 61265 (309) 797-93201489043 1114344231 SAM'S CLUB PHARMACY 10-4061 6600 44TH AVE MOLINE IL 61265 (309) 581-71361409273 1609883644 WALGREENS 3601 16TH ST MOLINE IL 61265 (309) 797-58651402990 1407863400 WALGREENS 4000 AVENUE OF THE CITIES MOLINE IL 61265 (309) 797-25881449760 1700891926 WALGREENS 555 19TH AVE MOLINE IL 61265 (309) 762-1820

17

1402990 1407863400 WALGREENS 4000 AVENUE OF THE CITIES MOLINE IL 61265 (309) 797-25881449760 1700891926 WALGREENS 555 19TH AVE MOLINE IL 61265 (309) 762-18201466691 1871510164 WAL-MART PHARMACY 3930 44TH AVENUE DRIVE MOLINE IL 61265 (309) 736-22751483988 1811225915 WALGREENS 600 N MAIN ST MONMOUTH IL 61462 (309) 734-66441489031 1295152635 SAM'S CLUB PHARMACY 10-6388 1050 OGDEN AVE MONTGOMERY IL 60538 (630) 449-19531482861 1861639767 WALGREENS 1212 OGDEN AVE MONTGOMERY IL 60538 (630) 820-40981447677 1164437489 WALGREENS 1799 DOUGLAS MONTGOMERY IL 60538 (630) 896-69601482049 1235397068 WALGREENS 2091 ORCHARD RD MONTGOMERY IL 60538 (630) 801-69771481136 1043419526 WAL-MART PHARMACY 2000 ORCHARD ROAD MONTGOMERY IL 60538 (630) 844-35091485677 1427340462 WALGREENS 108 N MARKET ST MONTICELLO IL 61856 (217) 762-20561485184 1649573460 MORRIS PHARMACY 1600 W US ROUTE 6 RM 111 MORRIS IL 60450 (815) 942-09851476539 1427004811 OSCO DRUG 1414 DIVISION ST MORRIS IL 60450 (815) 941-23531467984 1427063692 WALGREENS 100 BEDFORD RD MORRIS IL 60450 (815) 941-12841452692 1447278957 WAL-MART PHARMACY 333 E US ROUTE 6 MORRIS IL 60450 (815) 942-16621477442 1588681886 WAL-MART PHARMACY 155 EAST COURTLAND STREET MORTON IL 61550 (309) 263-67281472389 1053328138 WALGREENS 5730 DEMPSTER ST MORTON GROVE IL 60053 (847) 583-93091438060 1932114238 WALGREENS 9301 WAUKEGAN RD MORTON GROVE IL 60053 (847) 965-24441425037 1871578583 SULLIVANS DRUGS 103 W MAIN ST MOUNT OLIVE IL 62069 (217) 999-7321

17

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1488863 1457776148 MT. PROSPECT HEALTH MART PHARMACY 1012 S ELMHURST RD MOUNT PROSPECT IL 60056 (224) 735-22181405819 1407802937 OSCO DRUG 335 E EUCLID AVE MOUNT PROSPECT IL 60056 (847) 255-60301402712 1063427193 WALGREENS 1028 S ELMHURST RD MOUNT PROSPECT IL 60056 (847) 437-18581471402 1184639361 WALGREENS 1701 E KENSINGTON RD MOUNT PROSPECT IL 60056 (847) 635-99621483469 1609003524 WAL-MART PHARMACY 930 E MT PROSPECT PLAZA MOUNT PROSPECT IL 60056 (847) 590-00111411038 1598775413 BYRD WATSON TIMES SQUARE DRUG 3401 BROADWAY MOUNT VERNON IL 62864 (618) 244-54001462821 1053326207 WALGREENS 3001 BROADWAY MOUNT VERNON IL 62864 (618) 242-14421454824 1700803079 WAL-MART PHARMACY 110 DAVIDSON AVENUE MOUNT VERNON IL 62864 (618) 244-07351441120 1407806607 MOWEAQUA PHARMACY 620 N PUTNAM STREET MOWEAQUA IL 62550 (217) 768-38321487986 1699119644 SAV-MOR PHARMACY 1410 E. VILLAGE PKWY MT. ZION IL 62549 (217) 864-09101403613 1144276775 OSCO DRUG 1501 S LAKE ST MUNDELEIN IL 60060 (847) 566-09841445306 1629083944 WALGREENS 345 N LAKE ST MUNDELEIN IL 60060 (847) 566-60011470664 1588679914 WALGREENS 701 S MIDLOTHIAN RD MUNDELEIN IL 60060 (847) 949-71981481528 1205019338 WALGREENS 951 N IL RTE 83 MUNDELEIN IL 60060 (847) 566-72081482215 1982868774 WALGREENS 503 WALNUT ST MURPHYSBORO IL 62966 (618) 565-23291463265 1306863683 WAL-MART PHARMACY 6495 COUNTRY CLUB ROAD MURPHYSBORO IL 62966 (618) 684-44191490565 1922485077 GOOD HEALTH PHARMACY 1999 SPRINGBROOK SQUARE DRIVE NAPERVILLE IL 60564 (630) 210-89951483015 1013157932 NAPERVILLE PHARMACY 1020 E OGDEN AVE NAPERVILLE IL 60563 (630) 922-11001440027 1962458638 OSCO DRUG 1225 NAPER BLVD NAPERVILLE IL 60540 (630) 961-32101472935 1710933494 OSCO DRUG 127 E OGDEN AVE NAPERVILLE IL 60563 (630) 357-10401465308 1295773513 OSCO DRUG 1755 W OGDEN AVE NAPERVILLE IL 60540 (630) 637-13701468241 1033165568 OSCO DRUG 2855 W 95TH ST NAPERVILLE IL 60564 (630) 904-77091410086 1386649762 OSWALD'S HEALTH MART PHARMACY 88 W GARTNER RD NAPERVILLE IL 60540 (630) 355-25001475599 1841217130 SAMS PHARMACY 808 S ROUTE 59 NAPERVILLE IL 60540 (630) 416-50411485766 1538455233 WALGREENS 1303 WEHRLI RD NAPERVILLE IL 60565 (630) 428-04961477125 1467467670 WALGREENS 1779 SEQUOIA RD NAPERVILLE IL 60540 (630) 416-84321471414 1932114360 WALGREENS 2111 WINDING RIVER DR NAPERVILLE IL 60564 (630) 904-47601474066 1619982808 WALGREENS 2719 HASSERT BLVD NAPERVILLE IL 60564 (630) 922-6360

18

1471414 1932114360 WALGREENS 2111 WINDING RIVER DR NAPERVILLE IL 60564 (630) 904-47601474066 1619982808 WALGREENS 2719 HASSERT BLVD NAPERVILLE IL 60564 (630) 922-63601467617 1346255510 WALGREENS 3035 BOOK ROAD NAPERVILLE IL 60564 (630) 904-49711466350 1881609048 WALGREENS 400 S MAIN STREET NAPERVILLE IL 60540 (630) 357-06761467706 1073528246 WALGREENS 612 RAYMOND NAPERVILLE IL 60563 (630) 428-91711464596 1518972777 WALGREENS 63 W 87TH STREET NAPERVILLE IL 60565 (630) 778-76451455941 1982619110 WALGREENS 6S235 STEEPLE RUN DR NAPERVILLE IL 60540 (630) 717-93331429871 1396750691 WALGREENS 713 E OGDEN AVE NAPERVILLE IL 60563 (630) 357-68201459494 1336167840 WAL-MART PHARMACY 2552 W 75TH ST NAPERVILLE IL 60564 (630) 416-13901447968 1558465500 DOEHRINGS PHARMACY 143 S WASHINGTON ST NASHVILLE IL 62263 (618) 327-32141411824 1437175031 NASHVILLE PHARMACY 1251 S MILL ST NASHVILLE IL 62263 (618) 327-85221425215 1376554873 SAV MOR PHARMACY 596 OAK ST NEOGA IL 62447 (217) 895-22381481085 1831389204 OSCO DRUG 2021 E LARAWAY NEW LENOX IL 60451 (815) 463-49541467388 1255387643 OSCO DRUG 475 N NELSON RD NEW LENOX IL 60451 (815) 462-19981486198 1891071502 WALGREENS 1890 SILVER CROSS BLVD NEW LENOX IL 60451 (815) 485-25781473331 1083629273 WALGREENS 450 S SCHOOLHOUSE RD NEW LENOX IL 60451 (815) 485-72941444683 1992710214 WALGREENS 466 NELSON NEW LENOX IL 60451 (815) 485-27351484764 1124335187 WAL-MART PHARMACY 501 E LINCOLN HWY NEW LENOX IL 60451 (815) 485-4219

18

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1475993 1649343864 ILLINOIS CANCER SPECIALISTS PHARMAC 8915 W GOLF RD NILES IL 60714 (847) 954-34801457123 1235177460 OSCO DRUG 5665 W TOUHY AVE NILES IL 60714 (847) 647-19331410668 1316985559 OSCO DRUG 7900 N MILWAUKEE AVE NILES IL 60714 (847) 965-39161403966 1811943731 OSCO DRUG 8730 W DEMPSTER NILES IL 60714 (847) 296-88471471060 1427063601 WALGREENS 5600 W TOUHY AVE NILES IL 60714 (847) 588-17041474713 1487661468 WALGREENS 8001 N MILWAUKEE AVE NILES IL 60714 (847) 583-04091403120 1114934148 WALGREENS 9000 N GREENWOOD AVE NILES IL 60714 (847) 298-30501472000 1134146426 WAL-MART PHARMACY 5630 TOUHY AVENUE NILES IL 60714 (847) 647-86831480007 1033203179 WAL-MART PHARMACY 8500 WEST GOLF ROAD NILES IL 60714 (847) 966-94651437753 1366453862 SAV MOR PHARMACY 110 E STATE ST NOKOMIS IL 62075 (217) 563-83461449001 1487600151 OSCO DRUG 901 S COTTAGE AVE NORMAL IL 61761 (309) 454-60801476387 1215954516 SAMS PHARMACY 2151 SHEPARD ROAD NORMAL IL 61761 (309) 454-54781477985 1396750402 WALGREENS 1502 FORT JESSE RD NORMAL IL 61761 (309) 862-41561460485 1235144478 WALGREENS 505 W RAAB RD NORMAL IL 61761 (309) 454-73471455042 1619994985 WAL-MART PHARMACY 300 NORTH GREENBRIAR DRIVE NORMAL IL 61761 (309) 451-12001438325 1578578878 WALGREENS 4101 N HARLEM AVE NORRIDGE IL 60706 (708) 457-06061474686 1578570552 WALGREENS #5962 4820 N CUMBERLAND AVE NORRIDGE IL 60706 (708) 583-21331477694 1275548489 WALGREENS 1051 OAK ST NORTH AURORA IL 60542 (630) 907-99241403928 1780630210 OSCO DRUG 7201 W 24TH ST NORTH RIVERSIDE IL 60546 (708) 447-51701403055 1235144361 WALGREENS 1050 WAUKEGAN RD NORTHBROOK IL 60062 (847) 272-31551468429 1801802384 WALGREENS 1825 WILLOW RD NORTHFIELD IL 60093 (847) 784-80321473026 1770500068 SAMS PHARMACY 141 WEST NORTH AVENUE NORTHLAKE IL 60164 (708) 492-14171456335 1336154566 WALGREENS 6 E NORTH AVENUE NORTHLAKE IL 60164 (708) 836-03481463277 1215954599 WAL-MART PHARMACY 137 WEST NORTH AVE NORTHLAKE IL 60164 (708) 409-00461458151 1518985027 WAL-MART PHARMACY 1530 W US HIGHWAY 50 O FALLON IL 62269 (618) 632-93811470183 1891700076 WALGREENS 2205 W 22ND ST OAK BROOK IL 60523 (630) 928-03861461324 1821044504 OSCO DRUG 5610 W 159TH ST OAK FOREST IL 60452 (708) 687-01221471399 1154336337 WALGREENS 5525 159TH ST OAK FOREST IL 60452 (708) 535-6018

19

1461324 1821044504 OSCO DRUG 5610 W 159TH ST OAK FOREST IL 60452 (708) 687-01221471399 1154336337 WALGREENS 5525 159TH ST OAK FOREST IL 60452 (708) 535-60181486439 1437420460 AVICENNA PHARMACY 10837 S CICERO AVE STE 110C OAK LAWN IL 60453 (708) 529-72221403827 1184662322 OSCO DRUG 4650 W 103RD ST OAK LAWN IL 60453 (708) 422-23341408257 1407894645 OSCO DRUG 8801 S RIDGELAND OAK LAWN IL 60453 (708) 599-63001466475 1093761777 OSCO DRUG 9424 S PULASKI RD OAK LAWN IL 60453 (708) 857-82741451501 1609881820 WALGREENS 10639 SOUTH CICERO OAK LAWN IL 60453 (708) 424-35941488786 1881018182 WALGREENS 4440 W 95TH ST OAK LAWN IL 60453 (708) 857-19351403067 1144235276 WALGREENS 4740 W 95TH ST OAK LAWN IL 60453 (708) 425-69601465221 1982610457 WALGREENS 6001 W 95TH ST OAK LAWN IL 60453 (708) 636-56151470955 1942256474 OSCO DRUG 438 W MADISON OAK PARK IL 60302 (708) 358-09351474511 1003821208 WALGREENS 6412 ROOSEVELT RD OAK PARK IL 60304 (708) 386-93591453858 1619982840 WALGREENS 811 MADISON ST OAK PARK IL 60302 (708) 383-90091461843 1295753705 WAL-MART PHARMACY 0S900 IL ROUTE 83 OAKBROOK TERRACE IL 60181 (630) 530-53051480970 1659561736 WALGREENS 11349 W 159TH ST OAKLAND PARK IL 60467 (708) 364-73011425708 1295885218 HARMONS HEALTH MART 111 E MAIN ST OBLONG IL 62449 (618) 592-42311472543 1558389973 SAMS PHARMACY 1350 WEST HIGHWAY 50 OFALLON IL 62269 (618) 622-05071468417 1508871773 WALGREENS 704 CAMBRIDGE BLVD OFALLON IL 62269 (618) 632-6920

19

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1455775 1215954581 WAL-MART PHARMACY 1001 NORTH WEST OLNEY IL 62450 (618) 392-34641487164 1063767424 WEBER MEDICAL CLINIC PHARMACY 1200 N EAST ST OLNEY IL 62450 (618) 395-85611441017 1558376855 WALGREENS 20950 GOVERNORS HWY OLYMPIA FIELDS IL 60461 (708) 747-01211476503 1740295955 WALGREENS 3200 VOLLMER RD OLYMPIA FIELDS IL 60461 (708) 503-36171464940 1740346014 OREGON SNYDER PHARMACY 201 N 4TH ST OREGON IL 61061 (815) 732-73401460714 1477570745 WAL-MART PHARMACY 9245 WEST 159TH STREET ORLAND HILLS IL 60477 (708) 349-43401488015 1679918403 MEDSCRIPT PHARMACY 14400 JOHN HUMPHREY DR ORLAND PARK IL 60462 (708) 460-49301475981 1518913904 OSCO DRUG 17930 WOLF RD ORLAND PARK IL 60467 (708) 479-17441445279 1396791067 OSCO DRUG 9352 W 159TH ST ORLAND PARK IL 60462 (708) 460-82121457452 1326053554 WALGREENS 11981 W 143RD ST ORLAND PARK IL 60467 (708) 403-92211443174 1285649509 WALGREENS 14680 S LA GRANGE RD ORLAND PARK IL 60462 (708) 460-20211475537 1811902018 WALGREENS 17955 S WOLF RD ORLAND PARK IL 60467 (708) 478-37581468087 1245245414 WALGREENS 7960 W 159TH ST ORLAND PARK IL 60462 (708) 532-77811457806 1861449316 OSCO DRUG 2530 US ROUTE 30 OSWEGO IL 60543 (630) 892-00301481794 1164694022 OSCO DRUG 3795 ORCHARD RD OSWEGO IL 60543 (630) 551-26721478052 1962419945 WALGREENS 3401 ORCHARD RD OSWEGO IL 60543 (630) 551-03671473204 1356356547 WALGREENS 410 CHICAGO RD OSWEGO IL 60543 (630) 551-45871480968 1619174968 WAL-MART PHARMACY 2300 ROUTE 34 OSWEGO IL 60543 (630) 554-56161407281 1750332763 MEDI-RX PHARMACY INC 411 W MAIN ST OTTAWA IL 61350 (815) 433-22551484120 1194057646 OTTAWA HEALTH MART 900 1ST AVE OTTAWA IL 61350 (815) 434-63371403093 1962417097 WALGREENS 545 E NORRIS DR OTTAWA IL 61350 (815) 433-04851451575 1629096136 WAL-MART PHARMACY 4041 VETERANS DRIVE OTTAWA IL 61350 (815) 434-01761403536 1942257316 OSCO DRUG 33 PLUM GROVE PALATINE IL 60067 (847) 358-12001468013 1386691848 OSCO DRUG 423 E DUNDEE RD PALATINE IL 60074 (847) 358-58901407483 1447265582 WALGREENS 12 N NORTHWEST HWY PALATINE IL 60067 (847) 359-36241468289 1881609055 WALGREENS 375 E DUNDEE RD PALATINE IL 60074 (847) 934-57411459901 1699780833 WALGREENS 805 W EUCLID AVE PALATINE IL 60067 (847) 303-56421477303 1760409064 WAL-MART PHARMACY 1555 NORTH RAND ROAD PALATINE IL 60074 (847) 202-9441

20

1459901 1699780833 WALGREENS 805 W EUCLID AVE PALATINE IL 60067 (847) 303-56421477303 1760409064 WAL-MART PHARMACY 1555 NORTH RAND ROAD PALATINE IL 60074 (847) 202-94411489764 1700289808 HARMON'S HEALTHMART PALESTINE 101 N MAIN ST PALESTINE IL 62451 (618) 586-50101403916 1871549303 OSCO DRUG 12803 S HARLEM AVE PALOS HEIGHTS IL 60463 (708) 671-15741478230 1750396867 WALGREENS 12659 S RIDGELAND AVE PALOS HEIGHTS IL 60463 (708) 385-02181476921 1912912122 WALGREENS 11053 SOUTHWEST HWY PALOS HILLS IL 60465 (708) 974-05321457135 1235179417 OSCO DRUG 9650 W 131ST ST PALOS PARK IL 60464 (708) 361-80901475373 1902811102 WALGREENS 13023 S LA GRANGE RD PALOS PARK IL 60464 (708) 361-22911483368 1003041674 WALGREENS 108 S POPLAR ST PANA IL 62557 (217) 562-27701466677 1962429258 WAL-MART PHARMACY 10 WEST SECOND PANA IL 62557 (217) 562-72051473040 1497772784 WAL-MART PHARMACY 15150 US HWY 150 PARIS IL 61944 (217) 466-58181449126 1265447486 WALGREENS 15 S ORCHARD DR PARK FOREST IL 60466 (708) 481-78781407712 1356397749 OSCO DRUG 481 BUSSE HWY PARK RIDGE IL 60068 (847) 696-36801484461 1174843940 WALGREENS 1775 DEMPSTER ST STE TO1116 PARK RIDGE IL 60068 (847) 692-21841403106 1871508903 WALGREENS 800 DEVON AVE PARK RIDGE IL 60068 (847) 825-71941468582 1326053596 WALGREENS 901 W TOUHY PARK RIDGE IL 60068 (847) 384-01251443706 1649387838 PECATONICA PHARMACY 413 MAIN ST PECATONICA IL 61063 (815) 239-12001401075 1487603296 PEKIN PRESCRIPTION LABORATORY 1016 COURT STREET PEKIN IL 61554 (309) 346-2141

20

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1456777 1063427292 WALGREENS 1400 BROADWAY ST PEKIN IL 61554 (309) 346-78801491404 1962873208 WALGREENS 1400 BROADWAY ST PEKIN IL 61554 (224) 323-50801407534 1376550301 WALGREENS 2020 COURT PEKIN IL 61554 (309) 347-55891451082 1538186895 WAL-MART PHARMACY 3320 VETERANS DRIVE PEKIN IL 61554 (309) 353-29951475335 1114944402 SAMS PHARMACY 4100 WEST WILLOW/KNOLLS DRIVE PEORIA IL 61615 (309) 692-15081451652 1518972736 WALGREENS 1919 W PIONEER PKWY PEORIA IL 61615 (309) 692-00451491466 1235501057 WALGREENS 1919 W PIONEER PKWY PEORIA IL 61615 (224) 323-50751487734 1659610509 WALGREENS 221 NE GLEN OAK AVE STE A PEORIA IL 61636 (309) 671-51511411052 1518974559 WALGREENS 2324 W WAR MEMORIAL DR PEORIA IL 61614 (309) 685-52091403144 1023025053 WALGREENS 2515 N KNOXVILLE AVE PEORIA IL 61604 (309) 685-20121457351 1508871732 WALGREENS 3524 N UNIVERSITY PEORIA IL 61604 (309) 686-19331472694 1275548463 WALGREENS 4814 N SHERIDAN RD PEORIA IL 61614 (309) 688-67521491416 1629440458 WALGREENS 4814 N SHERIDAN RD PEORIA IL 61614 (224) 323-50791461968 1043237324 WAL-MART PHARMACY 3315 NORTH UNIVERSITY STREET PEORIA IL 61604 (309) 682-02801476351 1578580866 WAL-MART PHARMACY 8915 NORTH ALLEN ROAD PEORIA IL 61615 (309) 693-98541450434 1346255569 WALGREENS 1200 E WAR MEMORIAL DR PEORIA HEIGHTS IL 61616 (309) 682-38441439644 1740295047 WALGREENS 1033 SHOOTING PARK RD PERU IL 61354 (815) 223-78531452224 1538187042 WAL-MART PHARMACY 5307 STATE ROUTE 251 PERU IL 61354 (815) 224-15081426370 1871604678 STOTLAR DRUG COMPANY 1 N WALNUT ST PINCKNEYVILLE IL 62274 (618) 357-87811438200 1619024767 COUNTY MARKET PHARMACY 026 825 W WASHINGTON PITTSFIELD IL 62363 (217) 285-55151451234 1346392024 ILLINI HEALTH SERVICES INC LLC 121 N FRANKLIN ST PITTSFIELD IL 62363 (217) 285-42141466297 1912925439 WAL-MART PHARMACY 151 SHETLAND DR PITTSFIELD IL 62363 (217) 285-97091474270 1629024302 OSCO DRUG 13460 S ROUTE 59 PLAINFIELD IL 60544 (815) 577-26131467415 1497701924 OSCO DRUG 2480 ROUTE 59 PLAINFIELD IL 60544 (815) 254-33911480829 1821208315 WALGREENS 14902 S RTE 59 PLAINFIELD IL 60544 (815) 254-57921474725 1821003021 WALGREENS 24801 WEST 135TH ST PLAINFIELD IL 60544 (815) 577-10391470753 1073528253 WALGREENS 4822 CATON FARM RD PLAINFIELD IL 60586 (815) 439-58821481326 1629265277 WALGREENS 7851 CANTON FARM RD PLAINFIELD IL 60586 (815) 436-2123

21

1470753 1073528253 WALGREENS 4822 CATON FARM RD PLAINFIELD IL 60586 (815) 439-58821481326 1629265277 WALGREENS 7851 CANTON FARM RD PLAINFIELD IL 60586 (815) 436-21231477290 1851318158 WAL-MART PHARMACY 12690 SOUTH ROUTE 59 PLAINFIELD IL 60544 (815) 267-30531453771 1255358511 WAL-MART PHARMACY 6800 WEST ROUTE 34 PLANO IL 60545 (630) 552-31041437741 1023154630 CHARLEYS PHARMACY 110 E MASON ST POLO IL 61064 (815) 946-40731471363 1245245422 WALGREENS 1001 W REYNOLDS ST PONTIAC IL 61764 (815) 844-47671459759 1922025295 WAL-MART PHARMACY 1706 WEST REYNOLDS STREET PONTIAC IL 61764 (815) 842-22301482126 1326202441 SNYDER PHARMACY 13521 ILLINOIS RT 76 POPLAR GROVE IL 61065 (815) 765-13001471072 1336154517 WALGREENS 3145 147TH ST POSEN IL 60469 (708) 385-89221449607 1275550535 WAL-MART PHARMACY 2111 CLAUDE BAILEY PKWY PRINCETON IL 61356 (815) 875-45511452274 1336154558 WALGREENS 1 N ELMHURST RD PROSPECT HEIGHTS IL 60070 (847) 398-46731408170 1790868636 BROWN DRUG COMPANY 1121 MAINE ST QUINCY IL 62301 (217) 228-64001482431 1881841690 SAMS PHARMACY 700 NORTH 54TH ST QUINCY IL 62301 (217) 222-66821403156 1811902950 WALGREENS 1723 BROADWAY QUINCY IL 62301 (217) 222-07921458341 1427076934 WAL-MART PHARMACY 5211 BROADWAY ST QUINCY IL 62301 (217) 228-23311479864 1306949433 WALGREENS 220 S CENTURY BLVD RANTOUL IL 61866 (217) 892-84151455410 1528085891 WAL-MART PHARMACY 845 BROADMEADOW RD RANTOUL IL 61866 (217) 892-91711450600 1770508749 SULLIVAN DRUG OF RAYMOND 801 N OBANNON RAYMOND IL 62560 (217) 229-3022

21

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1442502 1114915584 DETERDING DRUGS INC 1506 S MAIN ST RED BUD IL 62278 (618) 282-62311472911 1629083811 WALGREENS 4889 SAUK TRAIL RICHTON PARK IL 60471 (708) 679-05981459317 1003862772 OSCO DRUG 7523 W LAKE ST RIVER FOREST IL 60305 (708) 771-44451403079 1053326181 WALGREENS 7251 WEST LAKE ST RIVER FOREST IL 60305 (708) 366-99601403168 1720093867 WALGREENS 8361 BELMONT AVE RIVER GROVE IL 60171 (708) 452-80621429960 1386747616 ROANOKE PHARMACY 322 N MAIN ST ROANOKE IL 61561 (309) 923-74311426700 1285645788 BERTRAM PHARMACY 1300 N ALLEN ST ROBINSON IL 62454 (618) 544-21671455787 1124045497 WAL-MART PHARMACY 1304 EAST MAIN STREET ROBINSON IL 62454 (618) 544-85221481908 1073787164 WALGREENS 1080 N 7TH ST ROCHELLE IL 61068 (815) 562-64731453062 1083631345 WAL-MART PHARMACY 311 E IL ROUTE 38 ROCHELLE IL 61068 (815) 562-34141452971 1063427284 WALGREENS 1700 1ST AVE ROCK FALLS IL 61071 (815) 626-95621451599 1265459523 WAL-MART PHARMACY 1901 FIRST AVENUE ROCK FALLS IL 61071 (815) 626-68031468291 1275549750 WALGREENS 2955 18TH AVE ROCK ISLAND IL 61201 (309) 786-43621450787 1164437380 WALGREENS 3100 11TH STREET ROCK ISLAND IL 61201 (309) 786-43121476109 1750308045 SAMS PHARMACY 7151 WALTON STREET ROCKFORD IL 61108 (815) 397-42911488471 1588093942 SWEDISH AMERICAN HOSPITAL 1401 E STATE ST ROCKFORD IL 61104 (779) 696-11301460322 1326053562 WALGREENS 1145 ALPINE RD ROCKFORD IL 61107 (815) 398-24431492038 1861851438 WALGREENS 1200 W STATE ST ROCKFORD IL 61102 (815) 490-16301474371 1467467654 WALGREENS 1201 E STATE ST ROCKFORD IL 61104 (815) 962-28121462833 1164437315 WALGREENS 1602 KISHWAUKEE ROCKFORD IL 61104 (815) 967-90541403170 1932116969 WALGREENS 2323 CHARLES ST ROCKFORD IL 61104 (815) 399-14741483166 1376785667 WALGREENS 2404 S PERRYVILLE RD ROCKFORD IL 61108 (815) 332-32561468859 1235144403 WALGREENS 2525 S ALPINE RD ROCKFORD IL 61108 (815) 227-98611403182 1639184773 WALGREENS 3325 NORTH MAIN ST ROCKFORD IL 61103 (815) 877-60841473470 1891700084 WALGREENS 3336 11TH ST ROCKFORD IL 61109 (815) 394-03571491478 1346612165 WALGREENS 3336 11TH ST ROCKFORD IL 61109 (224) 323-50761461603 1699780841 WALGREENS 3803 AUBURN ROCKFORD IL 61101 (815) 963-37051476589 1659386860 WALGREENS 3929 N MULFORD RD ROCKFORD IL 61114 (815) 633-9157

22

1461603 1699780841 WALGREENS 3803 AUBURN ROCKFORD IL 61101 (815) 963-37051476589 1659386860 WALGREENS 3929 N MULFORD RD ROCKFORD IL 61114 (815) 633-91571475323 1093720294 WALGREENS 5690 E STATE ST ROCKFORD IL 61108 (815) 395-18281492026 1831558618 WALGREENS PRESCRIPTION CENTER 1100 BROADWAY STREET ROCKFORD IL 61104 (224) 323-50691462946 1497772776 WAL-MART PHARMACY 3849 NORTHRIDGE DRIVE ROCKFORD IL 61114 (815) 636-03331477858 1114944410 WAL-MART PHARMACY 3902 WEST RIVERSIDE BLVD ROCKFORD IL 61101 (815) 962-47631459088 1669499935 WAL-MART PHARMACY 7219 WALTON ST ROCKFORD IL 61108 (815) 399-71951457793 1386690055 OSCO DRUG 3004 KIRCHOFF RD ROLLING MEADOWS IL 60008 (847) 818-00951472288 1043237332 WAL-MART PHARMACY 1460 GOLF ROAD ROLLING MEADOWS IL 60008 (847) 734-04381406924 1154377869 OSCO DRUG 20 S WEBER RD ROMEOVILLE IL 60446 (815) 293-08581488180 1396185864 SAM'S PHARMACY 10-6237 460 S WEBER RD ROMEOVILLE IL 60446 (815) 254-37141482417 1972750750 WALGREENS 347 N INDEPENDENCE BLVD ROMEOVILLE IL 60446 (815) 293-11521474535 1912912114 WALGREENS 498 N WEBER RD ROMEOVILLE IL 60446 (815) 293-34651491238 1174992267 WALGREENS 498 N WEBER RD STE A ROMEOVILLE IL 60446 (815) 293-34651477000 1710994793 WALGREENS 680 S WEBER RD ROMEOVILLE IL 60446 (815) 436-16281481477 1326229998 WAL-MART PHARMACY 420 S WEBER RD ROMEOVILLE IL 60446 (815) 439-33081473216 1265447452 WALGREENS 5065 HONONEGAH RD ROSCOE IL 61073 (815) 623-50791480552 1104950906 WAL-MART PHARMACY 4781 E. ROCKTON ROAD ROSCOE IL 61073 (815) 389-4940

22

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1456397 1457387714 WALGREENS 445 E MAPLE AVE ROSELLE IL 60172 (630) 893-51711455383 1891977120 HARDIN COUNTY DISCOUNT PHARMACY 7 FERRELL RD ROSICLARE IL 62982 (618) 285-66181441043 1851347520 OSCO DRUG 900 E ROLLINS RD ROUND LAKE BEACH IL 60073 (847) 223-70561407495 1356356497 WALGREENS 305 W ROLLINS RD ROUND LAKE BEACH IL 60073 (847) 546-71931456462 1033136304 WAL-MART PHARMACY 2680 N IL ROUTE 83 ROUND LAKE BEACH IL 60073 (847) 546-06001486390 1821369224 COUNTY MARKET PHARMACY 212 520 W CLINTON ST RUSHVILLE IL 62681 (217) 322-33831459658 1538175096 WALGREENS 3120 CHICAGO RD S CHICAGO HEIGHTS IL 60411 (708) 755-79721441574 1801834049 OSCO DRUG 2038 PRAIRIE AVE SAINT CHARLES IL 60174 (630) 377-16551470400 1720034408 OSCO DRUG 652 KIRK RD SAINT CHARLES IL 60174 (630) 587-08551460512 1053326298 WALGREENS 2751 E MAIN ST SAINT CHARLES IL 60174 (630) 513-90601474939 1649285842 WALGREENS 3351 W MAIN ST SAINT CHARLES IL 60175 (630) 443-87351462782 1770500050 WAL-MART PHARMACY 150 SMITH ROAD SAINT CHARLES IL 60174 (630) 513-95601427726 1285668830 ST JOSEPH APOTHECARY 204 N MAIN SAINT JOSEPH IL 61873 (217) 469-22321429819 1306894787 BANDYS PHARMACY INC 1413 W WHITTAKER STREET SALEM IL 62881 (618) 548-40001466627 1588681860 WAL-MART PHARMACY 1870 WEST MAIN ST. SALEM IL 62881 (618) 548-36911476755 1386659597 WALGREENS 30 W CHURCH ST SANDWICH IL 60548 (815) 786-86531469952 1700892205 WALGREENS 2601 SAUK TRAIL SAUK VILLAGE IL 60411 (708) 757-69061474369 1588681878 WAL-MART PHARMACY 505 SO. DUNLAP AVENUE SAVOY IL 61874 (217) 356-28671442211 1104872753 OSCO DRUG 1151 S ROSELLE RD SCHAUMBURG IL 60193 (847) 895-16001456260 1437105822 OSCO DRUG 2503 SCHAUMBURG RD SCHAUMBURG IL 60194 (847) 524-16601439240 1013922319 WALGREENS 1180 S ROSELLE RD SCHAUMBURG IL 60193 (847) 895-86461460334 1447266903 WALGREENS 1461 W SCHAUMBURG RD SCHAUMBURG IL 60194 (847) 923-91831478569 1598772576 WALGREENS 770 E SCHAUMBURG RD SCHAUMBURG IL 60194 (847) 884-07521470133 1083629265 WALGREENS 9800 IRVING PARK RD SCHILLER PARK IL 60176 (847) 233-05761491769 1962867929 SHEFFIELD TELEPHARMACY 134 S MAIN ST SHEFFIELD IL 61361 (815) 454-80541472860 1992792345 FAMILY DRUG STORE 1603 W MAIN ST SHELBYVILLE IL 62565 (217) 774-78381480285 1710042833 WAL-MART PHARMACY 2607 W MAIN ST SHELBYVILLE IL 62565 (217) 774-15711485588 1215229836 WALGREENS 106 ILLINI BLVD SHERMAN IL 62684 (217) 496-2392

23

1480285 1710042833 WAL-MART PHARMACY 2607 W MAIN ST SHELBYVILLE IL 62565 (217) 774-15711485588 1215229836 WALGREENS 106 ILLINI BLVD SHERMAN IL 62684 (217) 496-23921491442 1407228224 WALGREENS 106 ILLINI BLVD SHERMAN IL 62684 (224) 323-50741477199 1285649491 WALGREENS 1108 HARTMAN LN SHILOH IL 62221 (618) 239-66171475501 1982650370 OSCO DRUG 199 BROOK FOREST AVE SHOREWOOD IL 60431 (815) 730-39731482289 1770748535 WALGREENS 1160 W JEFFERSON ST SHOREWOOD IL 60404 (815) 744-24391477353 1679590970 WAL-MART PHARMACY 1401 IL ROUTE 59 SHOREWOOD IL 60431 (815) 609-54081450840 1831145507 OSCO DRUG 1312 JOHN DEERE EXPY SILVIS IL 61282 (309) 792-59901481706 1306022793 WAL-MART PHARMACY 1601 18TH STREET SILVIS IL 61282 (309) 796-36731471488 1851347389 OSCO DRUG 9449 SKOKIE BLVD SKOKIE IL 60077 (847) 677-25641449099 1538174750 WALGREENS 3945 DEMPSTER SKOKIE IL 60076 (847) 674-58761485108 1124336615 WALGREENS 4009 OLD ORCHARD RD SKOKIE IL 60076 (847) 256-10001463443 1609881853 WALGREENS 4850 OAKTON STREET SKOKIE IL 60077 (847) 933-04181470234 1528074028 WALGREENS 9150 SKOKIE BLVD SKOKIE IL 60077 (847) 673-80631489283 1760896534 WALMART PHARMACY 10-1998 3626 TOUHY AVE SKOKIE IL 60076 (847) 983-14111491341 1326419912 SMITHTON PHARMACY 3981 STATE ROUTE 159 SMITHTON IL 62285 (618) 207-31861445546 1619923000 OSCO DRUG 3240 CHICAGO RD SOUTH CHICAGO HEIGHT IL 60411 (708) 756-77751471490 1164478558 OSCO DRUG 375 RANDALL RD SOUTH ELGIN IL 60177 (847) 622-1220

23

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1468277 1972518140 WALGREENS 1201 W SPRING ST SOUTH ELGIN IL 60177 (847) 695-05561475183 1376558577 WALGREENS 290 RANDALL RD SOUTH ELGIN IL 60177 (847) 289-10951403663 1558317479 OSCO DRUG 763 E 162ND ST SOUTH HOLLAND IL 60473 (708) 339-04531456006 1790790921 WALGREENS 390 E 162ND ST SOUTH HOLLAND IL 60473 (708) 339-77991465106 1568547594 WALTS PHARMACY 16145 S STATE ST SOUTH HOLLAND IL 60473 (708) 333-44921427310 1558433243 MOODY PHARMACY 109 E BROADWAY ST SPARTA IL 62286 (618) 443-27151454761 1073530333 WAL-MART PHARMACY 1410 N MARKET ST SPARTA IL 62286 (618) 443-24361480754 1083828370 OSCO DRUG 2401 ROUTE 12 SPRING GROVE IL 60081 (815) 675-69841481542 1982887014 WALGREENS 7880 WINN RD SPRING GROVE IL 60081 (815) 675-24081440584 1972676328 JOHNSONS PHARMACY 203 E SAINT PAUL ST SPRING VALLEY IL 61362 (815) 664-50501480564 1568593663 COUNTY MARKET PHARMACY 083 3001 VETERANS PARKWAY SPRINGFIELD IL 62704 (217) 793-40911487570 1558606327 COUNTY MARKET PHARMACY 225 210 E CARPENTER ST SPRINGFIELD IL 62702 (217) 528-31931479989 1558473496 COUNTY MARKET PHARMACY 227 2777 S SIXTH AVE SPRINGFIELD IL 62703 (217) 744-22961479977 1821100769 COUNTY MARKET PHARMACY 228 1903 W MONROE ST SPRINGFIELD IL 62704 (217) 787-28301477175 1033136338 SAMS PHARMACY 2300 WHITE OAKS DRIVE SPRINGFIELD IL 62704 (217) 698-59381457197 1528074069 WALGREENS 1155 N 9TH ST SPRINGFIELD IL 62702 (217) 789-65141469938 1891701397 WALGREENS 1310 S 5TH ST SPRINGFIELD IL 62703 (217) 544-27091477567 1720093933 WALGREENS 1900 W JEFFERSON ST SPRINGFIELD IL 62702 (217) 787-06481403219 1457366593 WALGREENS 2020 S MACARTHUR BLVD SPRINGFIELD IL 62704 (217) 744-18801440724 1730194036 WALGREENS 2140 NORTH PEORIA RD SPRINGFIELD IL 62702 (217) 544-29251457464 1235144460 WALGREENS 2305 W MONROE ST SPRINGFIELD IL 62704 (217) 546-95581481554 1407039159 WALGREENS 2500 KOKE MILL RD SPRINGFIELD IL 62711 (217) 726-09791477113 1558376764 WALGREENS 2625 STEVENSON DR SPRINGFIELD IL 62703 (217) 529-81851467263 1144235300 WALGREENS 2945 S 6TH STREET RD SPRINGFIELD IL 62703 (217) 788-58461480045 1194898056 WALGREENS 3132 OLD JACKSON RD SPRINGFIELD IL 62704 (217) 793-03881459292 1629084181 WALGREENS 3216 E CLEAR LAKE AVE SPRINGFIELD IL 62702 (217) 544-79481470537 1437165933 WALGREENS 3400 FREEDOM DR SPRINGFIELD IL 62704 (217) 726-01771480184 1841364635 WALGREENS 747 N RUTLEDGE ST SPRINGFIELD IL 62702 (217) 523-0846

24

1470537 1437165933 WALGREENS 3400 FREEDOM DR SPRINGFIELD IL 62704 (217) 726-01771480184 1841364635 WALGREENS 747 N RUTLEDGE ST SPRINGFIELD IL 62702 (217) 523-08461492266 1992169668 WALGREENS PRESCRIPTION CENTER 3220 ATLANTA ST SPRINGFIELD IL 62707 (224) 323-50921482138 1649432782 WAL-MART PHARMACY 1100 LEJUNE DRIVE SPRINGFIELD IL 62703 (217) 529-62211474597 1396762688 WAL-MART PHARMACY 2760 NO. DIRKSEN PKWY SPRINGFIELD IL 62702 (217) 522-40541459949 1659398923 WAL-MART PHARMACY 3401 FREEDOM DRIVE SPRINGFIELD IL 62704 (217) 793-33681427625 1902881097 SULLIVAN DRUGS 101 E MAIN ST STAUNTON IL 62088 (618) 635-25951456587 1922112994 TONY'S MEDICENTER PHARMACY 324 W BROADWAY STEELVILLE IL 62288 (618) 965-35111407697 1174538219 WALGREENS 2506 E LINCOLNWAY STERLING IL 61081 (815) 626-49201453769 1346267606 WAL-MART PHARMACY 4115 E LINCOLN WAY STERLING IL 61081 (815) 626-77031466968 1861448391 OSCO DRUG 7122 W 40TH ST STICKNEY IL 60402 (708) 484-84101450131 1922054691 OSCO DRUG 217 IRVING PARK RD STREAMWOOD IL 60107 (630) 837-20201473088 1124045414 SAMS PHARMACY 900 SOUTH BARRINGTON ROAD STREAMWOOD IL 60107 (630) 483-76271470385 1528073707 WALGREENS 13 E IRVING PARK ROAD STREAMWOOD IL 60107 (630) 540-52131458163 1205853579 WAL-MART PHARMACY 850 SOUTH BARRINGTON ROAD STREAMWOOD IL 60107 (630) 213-71991463962 1881609030 WALGREENS 120 E MAIN STREATOR IL 61364 (815) 673-24391485906 1316226376 WAL-MART PHARMACY 2415 N BLOOMINGTON ST STREATOR IL 61364 (815) 672-35171478735 1225076318 OSCO DRUG 465 N ROUTE 47 SUGAR GROVE IL 60554 (630) 466-3769

24

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1487265 1831449172 WALGREENS 376 STATE ROUTE 47 SUGAR GROVE IL 60554 (630) 466-83211467605 1548276025 WALGREENS 2532 N ILLINOIS ST SWANSEA IL 62226 (618) 236-39281481756 1689845075 OSCO DRUG 220 WEST PEACE RD SYCAMORE IL 60178 (815) 895-94351472074 1548275738 WALGREENS 1340 DEKALB AVE SYCAMORE IL 60178 (815) 895-46091478533 1831104942 WALGREENS 315 N WEBSTER ST TAYLORVILLE IL 62568 (217) 824-81541457096 1609894112 WAL-MART PHARMACY 1530 W. SPRINGFIELD RD TAYLORVILLE IL 62568 (217) 287-11211407837 1265488654 OSCO DRUG 17113 S HARLEM AVE TINLEY PARK IL 60477 (708) 532-74771408093 1285641217 WALGREENS 16675 OAK PARK AVE TINLEY PARK IL 60477 (708) 429-08801461920 1235144486 WALGREENS 8400 171ST ST TINLEY PARK IL 60487 (708) 429-33241465118 1740365782 WALTS PHARMACY 16039 S HARLEM AVE TINLEY PARK IL 60477 (708) 532-57751427928 1326061284 TOLEDO PHARMACY 170 COURTHOUSE SQ TOLEDO IL 62468 (217) 849-26661483560 1700016417 WALGREENS 640 EDWARDSVILLE RD TROY IL 62294 (618) 667-42671491454 1043682867 WALGREENS 640 EDWARDSVILLE RD TROY IL 62294 (224) 323-50731427942 1093726598 SAV MOR PHARMACY 104 E. SOUTHLINE ROAD TUSCOLA IL 61953 (217) 253-23091405403 1649287673 WALGREENS 1801 PHILO RD URBANA IL 61802 (217) 367-54861478343 1578578688 WALGREENS 302 E UNIVERSITY AVE URBANA IL 61802 (217) 344-72011485639 1083906267 WALGREENS 602 W UNIVERSITY AVE URBANA IL 61801 (217) 344-91481478519 1669499968 WAL-MART PHARMACY 100 SOUTH HIGH CROSS ROAD URBANA IL 61802 (217) 344-61901428021 1568486165 CAINS DRUG STORE 1401 N 8TH ST VANDALIA IL 62471 (618) 283-01961453175 1700803061 WAL-MART PHARMACY 201 NO. MATTES AVENUE VANDALIA IL 62471 (618) 283-04401471313 1225055510 SAMS PHARMACY 335 NORTH MILWAUKEE AVE. VERNON HILLS IL 60061 (847) 955-92541440471 1851346696 WALGREENS 261 W TOWNLINE RD VERNON HILLS IL 60061 (847) 367-46521459076 1750308029 WAL-MART PHARMACY 555 TOWNLINE ROAD VERNON HILLS IL 60061 (847) 918-05601485552 1700178670 VILLA GROVE PHARMACY 4 N MAIN ST VILLA GROVE IL 61956 (217) 681-10141453543 1134176688 OSCO DRUG 31 ST CHARLES RD VILLA PARK IL 60181 (630) 279-89001403245 1841207875 WALGREENS 10 E ST CHARLES VILLA PARK IL 60181 (630) 832-60301445990 1538174859 WALGREENS 200 E ROOSEVELT RD VILLA PARK IL 60181 (630) 993-08691428095 1902817406 SAV MOR PHARMACY 105 E JACKSON ST VIRDEN IL 62690 (217) 965-4926

25

1445990 1538174859 WALGREENS 200 E ROOSEVELT RD VILLA PARK IL 60181 (630) 993-08691428095 1902817406 SAV MOR PHARMACY 105 E JACKSON ST VIRDEN IL 62690 (217) 965-49261476488 1942388038 WARREN DRUG STORE 137 E MAIN ST WARREN IL 61087 (815) 745-37001474333 1558376749 WALGREENS 28W104 WARRENVILLE RD WARRENVILLE IL 60555 (630) 836-94161480831 1164623617 WALGREENS 2S613 STATE ROUTE 59 WARRENVILLE IL 60555 (630) 836-17881478002 1205841319 WALGREENS 1011 PEORIA ST WASHINGTON IL 61571 (309) 444-16811458175 1114944485 WAL-MART PHARMACY 1980 FREEDOM PARKWAY WASHINGTON IL 61571 (309) 745-34761480033 1467533844 WALGREENS 913 N MARKET ST WATERLOO IL 62298 (618) 939-99441457565 1679590947 WAL-MART PHARMACY 961 N MARKET STREET WATERLOO IL 62298 (618) 939-40881491719 1104281138 WATERMAN TELEPHARMACY 140 W LINCOLN HWY WATERMAN IL 60556 (815) 283-10541459672 1104843473 WALMART PHARMACY 10-1548 1790 E WALNUT ST WATSEKA IL 60970 (815) 432-22081454406 1043267594 OSCO DRUG 543 LIBERTY ST WAUCONDA IL 60084 (847) 526-12391467895 1518972785 WALGREENS 602 W LIBERTY ST WAUCONDA IL 60084 (847) 487-93831403740 1902852825 OSCO DRUG 3124 N LEWIS AVE WAUKEGAN IL 60087 (847) 336-13001458391 1477591782 OSCO DRUG 920 N GREEN BAY RD WAUKEGAN IL 60085 (847) 623-70661403257 1750398780 WALGREENS 1811 BELVIDERE RD WAUKEGAN IL 60085 (847) 244-75501403271 1366457400 WALGREENS 2200 NORTH LEWIS WAUKEGAN IL 60087 (847) 623-63751469433 1598770760 WALGREENS #3750 709 N GREENBAY RD WAUKEGAN IL 60085 (847) 662-8091

25

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1492242 1447614193 WALGREENS PRESCRIPTION CENTER 1324 N SHERIDAN RD STE A WAUKEGAN IL 60085 (224) 323-50661479775 1487671780 WAL-MART PHARMACY 3900 FOUNTAIN SQUARE PLACE WAUKEGAN IL 60085 (847) 473-24871458783 1083793962 SHOE CREEK PHARMACY 310 S MAIN ST WAYNE CITY IL 62895 (618) 895-28441444746 1740236397 OSCO DRUG 177 E ROOSEVELT RD WEST CHICAGO IL 60185 (630) 293-53601469077 1053326223 WALGREENS 125 N NELTNOR BLVD WEST CHICAGO IL 60185 (630) 293-89511461336 1730135419 OSCO DRUG 1260 W MAIN ST WEST DUNDEE IL 60118 (847) 428-55221469457 1801801089 WALGREENS 810 WEST MAIN ST WEST DUNDEE IL 60118 (847) 426-17731411189 1659483592 J AND S PROFESSIONAL PHARMACY 309 W ST LOUIS ST WEST FRANKFORT IL 62896 (618) 937-24161450143 1619982832 WALGREENS 221 N WESTERN AVE WEST PEORIA IL 61604 (309) 673-06651449493 1093809402 THE APOTHECARY SHOPPE W SALEM 108 S MAIN ST WEST SALEM IL 62476 (618) 456-37161447641 1023064797 OSCO DRUG 2128 S MANNHEIM RD WESTCHESTER IL 60154 (708) 562-73341469926 1356356539 WALGREENS 10345 W ROOSEVELT RD WESTCHESTER IL 60154 (708) 681-40341490224 1104217389 WESTCHESTER PHARMACY 947 S MANNHEIM RD WESTCHESTER IL 60154 (630) 543-09881403283 1275548315 WALGREENS 4700 GILBERT AVE STE 58 WESTERN SPRINGS IL 60558 (708) 246-51201412030 1780630319 OSCO DRUG 50 E OGDEN WESTMONT IL 60559 (630) 986-80651485401 1538467444 WALGREENS 1 EAST OGDEN AVE WESTMONT IL 60559 (630) 437-51371405794 1801801949 WALGREENS 8 W 63RD ST WESTMONT IL 60559 (630) 852-93901486097 1982987251 WESTMONT PHARMACY 2 N CASS AVE WESTMONT IL 60559 (630) 969-20441407902 1114965357 OSCO DRUG 2031 N MAIN WHEATON IL 60187 (630) 668-72351455179 1356397277 OSCO DRUG 30 DANADA SQUARE W WHEATON IL 60189 (630) 668-12111406835 1538174677 WALGREENS 1601 N MAIN ST WHEATON IL 60187 (630) 653-69401463102 1073528220 WALGREENS 2020 S NAPERVILLE RD WHEATON IL 60189 (630) 682-25821488419 1467889832 WALGREENS 2191 W ROOSEVELT RD WHEATON IL 60187 (630) 668-33591473038 1689691974 SAMS PHARMACY 1055 MCHENRY ROAD WHEELING IL 60090 (847) 459-85411440128 1821003120 WALGREENS 10 MILWAUKEE AVE WHEELING IL 60090 (847) 215-83461491187 1538538624 WALGREENS 10 N MILWAUKEE AVE STE A WHEELING IL 60090 (847) 215-83461473848 1407863582 WALGREENS 1199 W DUNDEE WHEELING IL 60090 (847) 465-86821461297 1780601062 WAL-MART PHARMACY 1455 LAKE COOK ROAD WHEELING IL 60090 (847) 537-5527

26

1473848 1407863582 WALGREENS 1199 W DUNDEE WHEELING IL 60090 (847) 465-86821461297 1780601062 WAL-MART PHARMACY 1455 LAKE COOK ROAD WHEELING IL 60090 (847) 537-55271474751 1730194937 WALGREENS 10 S 370 KINGERY HWY WILLOWBROOK IL 60527 (630) 655-27331468861 1144235318 WALGREENS 501 PLAINFIELD RD WILLOWBROOK IL 60527 (630) 789-17971468621 1902852684 OSCO DRUG 411 N GREEN BAY RD WILMETTE IL 60091 (847) 853-80011487289 1447501234 WALGREENS 3232 LAKE AVE WILMETTE IL 60091 (847) 251-14131444556 1184639403 WALGREENS 811 GREEN BAY RD WILMETTE IL 60091 (847) 256-08811486908 1770844623 WALGREENS 10613 N. KNOXVILLE AVE WILMINGTON IL 61615 (309) 243-11761477997 1003822438 WALGREENS 25 WINFIELD RD WINFIELD IL 60190 (630) 407-03401475866 1720093925 WALGREENS 27 W 171 GENEVA RD WINFIELD IL 60190 (630) 681-84821473456 1730246158 WINNEBAGO SNYDER PHARMACY 101 LANDMARK DR WINNEBAGO IL 61088 (815) 335-35351489980 1073917225 CONNEYS PHARMACY 736 ELM ST WINNETKA IL 60093 (847) 446-00321403637 1053367680 OSCO DRUG 341 W IRVING PARK RD WOOD DALE IL 60191 (630) 773-80681478747 1043264153 WALGREENS 1122 VAUGHN RD WOOD RIVER IL 62095 (618) 259-20131454785 1891712162 WAL-MART PHARMACY 610 WESLEY DRIVE WOOD RIVER IL 62095 (618) 259-02931440255 1871549543 OSCO DRUG 2317 75TH ST WOODRIDGE IL 60517 (630) 985-53831478165 1932126232 SAMS PHARMACY 7300 WOODWARD AVE WOODRIDGE IL 60517 (630) 434-14161464281 1790790954 WALGREENS 2501 75TH ST WOODRIDGE IL 60517 (630) 910-6142

26

2017 Preferred Pharmacy Network

NCPDP NPI Pharmacy Name Address City State Zip Phone Number1470361 1366536773 MERCY WOODSTOCK PHARMACY 2000 LAKE AVE WOODSTOCK IL 60098 (815) 337-41161444455 1629024229 OSCO DRUG 145 S EASTWOOD DR WOODSTOCK IL 60098 (815) 206-07161441358 1376558676 WALGREENS 305 S EASTWOOD DR WOODSTOCK IL 60098 (815) 338-78801480261 1992860019 WAL-MART PHARMACY 1275 LAKE AVENUE WOODSTOCK IL 60098 (815) 206-09381452856 1154336378 WALGREENS 6430 W 111TH ST WORTH IL 60482 (708) 448-25401475210 1356397038 OSCO DRUG 234 E VETERANS PKWY YORKVILLE IL 60560 (630) 553-86151474941 1558376756 WALGREENS 100 W VETERANS PKWY YORKVILLE IL 60560 (630) 553-37591480247 1952453037 WALGREENS 1991 S BRIDGE ST YORKVILLE IL 60560 (630) 553-61121491505 1265804637 WALGREENS PRESCRIPTION CENTER #1646 1122 W VETERANS PKWY YORKVILLE IL 60560 (224) 323-50701449013 1295781961 OSCO DRUG 1402 21ST ST ZION IL 60099 (847) 746-26161459280 1245245489 WALGREENS 2100 SHERIDAN RD ZION IL 60099 (847) 872-32281481516 1609057215 WAL-MART PHARMACY 4000 IL ROUTE 173 ZION IL 60099 (847) 731-8172

2727