regence medadvantage + rx enhanced (ppo) and regence ......e prescribe . mednow eagle pharmacy 323 e...

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Y0062_2014_PHARMACYDIR_PDP/PPO_ACCEPTED Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO) Pharmacy Directory For more information, please contact Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO)’s Customer Service at 1 (800) 541-8981 or, for TTY users, 711, from 8:00 a.m. to 8:00 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., seven days a week) or visit www.regence.com/medicare. This Pharmacy Directory was updated on 06/20/2013. Regence BlueCross BlueShield of Utah is an Independent Licensee of the Blue Cross and Blue Shield Association.

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Page 1: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Y0062_2014_PHARMACYDIR_PDP/PPO_ACCEPTED

Regence MedAdvantage + Rx Enhanced (PPO) and

Regence MedAdvantage + Rx Classic (PPO)

Pharmacy Directory

For more information, please contact Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO)’s Customer Service at 1 (800) 541-8981 or, for TTY users, 711, from 8:00 a.m. to 8:00 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., seven days a week) or visit www.regence.com/medicare. This Pharmacy Directory was updated on 06/20/2013.  

Regence BlueCross BlueShield of Utah is an Independent Licensee of the Blue Cross and Blue Shield Association.

Page 2: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

MA_Rx 1 June 20, 2013

Table of Contents

Retail Pharmacies, including Chain Pharmacies 3

Mail Order Pharmacies 27

Home Infusion Pharmacies 28

Long-Term Care Pharmacies 29

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies 32

Specialty Pharmacies 33

90-Day Supply Pharmacies 34

Pharmacy Index 47

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Page 3: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

2

Introduction

This booklet provides a list of our plans’ network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Regence MedAdvantage + Rx Enhanced and Regence MedAdvantage + Rx Classic’s formulary.

When this pharmacy directory refers to “we,” “us”, or “our,” it means Regence BlueCross BlueShield of Utah. When it refers to “plans” or “our plans,” it means Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO).

We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under our plans only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 06/20/2013. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

We also list pharmacies that are in our network but are outside Utah.

If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us.

Page 4: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name NATIONAL IDAHO

CHAIN PHARMACIES ARCO

MA_Rx 3 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

NATIONAL

CHAIN PHARMACIES

ALBERTSONS, LLC 1-877-932-7948 TTY/TDD 7 1 1

BARTELL 1-877-227-8355 TTY/TDD 7 1 1

BI-MART 1-800-456-0681 TTY/TDD 7 1 1

COSTCO 1-800-774-2678 TTY/TDD 7 1 1

FRED MEYER 1-888-247-4439 TTY/TDD 7 1 1

FRESH MARKETS 1-888-574-7100 TTY/TDD 7 1 1

HAGGEN/TOP 1-360-733-8720 TTY/TDD 7 1 1

HARMONS 1-866-957-8499 TTY/TDD 7 1 1

HI-SCHOOL PHARMACY 1-360-693-5879 TTY/TDD 7 1 1

INTERMOUNTAIN HEALTHCARE (IHC) 1-801-442-2000 TTY/TDD 7 1 1

K-MART 1-800-562-7848 TTY/TDD 7 1 1

LONGS 1-800-865-6647 TTY/TDD 7 1 1

MEDICAP 1-800-445-2244 TTY/TDD 7 1 1

MEDICINE SHOPPE 1-800-445-2244 TTY/TDD 7 1 1

OHSU 1-503-494-8007 TTY/TDD 7 1 1

OSCO 1-877-932-7948 TTY/TDD 7 1 1

PAC MED CLINICS 1-800-687-8629 TTY/TDD 7 1 1

QFC 1-800-576-4377 TTY/TDD 7 1 1

RIDLEYS 1-208-324-4633 TTY/TDD 7 1 1

RITE-AID 1-800-748-3243 TTY/TDD 7 1 1

ROSAUERS 1-509-326-8900 TTY/TDD 7 1 1

SAFEWAY 1-877-723-3929 TTY/TDD 7 1 1

SHOPKO 1-800-653-5993 TTY/TDD 7 1 1

SMITHS FOOD & DRUG 1-888-247-4439 TTY/TDD 7 1 1

SUPERVALU 1-800-443-5701 TTY/TDD 7 1 1

TARGET 1-800-800-8800 TTY/TDD 7 1 1

UNIVERSITY OF UTAH 1-801-581-2147 TTY/TDD 7 1 1

WALGREEN DRUG STORES 1-800-925-4733 TTY/TDD 1-800-573-1833

WAL-MART/SAMS 1-800-925-6278 TTY/TDD 7 1 1

YOKES 1-509-921-2292 TTY/TDD 7 1 1

IDAHO

ABERDEEN

WALLACE DRUG 44 S MAIN ABERDEEN, 83210 208-397-4540

ANCILLARY SERVICES: COMPOUNDING DELIVERY

AMERICAN FALLS

ROCKLAND PHARMACY 524 TYHEE AVE AMERICAN FALLS, 83211 208-226-2411

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

ARCO

LOST RIVER DRUG 210 W GRAND AVE ARCO, 83213 208-527-8201

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

Page 5: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name IDAHO IDAHO

ARCO BOISE

June 20, 2013 4 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

ARCO (CONTINUED)

LOST RIVERS HOSPITAL 551 HIGHLAND DR ARCO, 83213 208-527-8206

ANCILLARY SERVICES: 24 HOUR SERVICE

ASHTON

ASHTON COMMUNITY PHARMACY 23 SOUTH 8TH STREET SUITE 2 ASHTON, 83420 208-652-3932

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

BLACKFOOT

BINGHAM MEMORIAL HOSPITAL PHARMACY 98 POPLAR ST BLACKFOOT, 83221 208-785-3866

ANCILLARY SERVICES: 24 HOUR SERVICE HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MEDICAL PLAZA PHARMACY 98 POPLAR ST MOB BUILDING BLACKFOOT, 83221 208-782-2990

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

PHARMACY SHOP 69 N PINE ST BLACKFOOT, 83221 208-785-3510

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PHARMACY SHOP EXPRESS 1441 PARKWAY DR BLACKFOOT, 83221 208-684-7011

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

STATE HOSPITAL SOUTH PHARMACY 700 E ALICE ST BLACKFOOT, 83221 208-785-8432

BOISE

BOISE VAMC PHARMACY 500 W FORT ST BOISE, 83702 208-422-1000

FAMILY MEDICINE HEALTH CENTER PHARMACY 6094 W EMERALD ST BOISE, 83704 208-514-2512

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

IDAHO PAIN MEDICINE LLP 8950 WEST EMERALD STE 168 BOISE, 83704 208-323-6273

ANCILLARY SERVICES: E PRESCRIBE

LADD FAMILY PHARMACY 1109 S BROADWAY BOISE, 83706 208-947-0877

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

LEMPS APOTHECARY 222 N 2ND ST BOISE, 83702 208-342-5691

ANCILLARY SERVICES: COMPOUNDING DELIVERY

MEDNOW ST ALPHONSUS REGIONAL OUTPATIENT PHARMACY 999 N CURTIS RD STE 102 BOISE, 83706 208-367-4847

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PAULS PHARMACY 10565 LAKE HAZEL RD BOISE, 83709 208-319-0882

PRIMARY HEALTH MEDICAL GROUP 11197 W FAIRVIEW AVE BOISE, 83713 208-378-8011

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

1907 S BROADWAY AVE BOISE, 83706 208-345-1222

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

Page 6: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

IDAHO Sorted by state, then city, then name

IDAHO

BOISE CHUBBUCK

MA_Rx 5 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

BOISE (CONTINUED)

PRIMARY HEALTH MEDICAL GROUP (CONTINUED)

6052 W STATE ST BOISE, 83703 208-344-7799

ANCILLARY SERVICES: E PRESCRIBE

6348 EMERALD BOISE, 83704 208-377-4400

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

8971 W OVERLAND ROAD BOISE, 83709 208-378-4288

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ST LUKES REG MED CTR OUTPATIENT PHARMACY 190 E BANNOCK ST BOISE, 83712 208-381-4354

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

BONNERS FERRY

MEDICINE MAN PHARMACY 6452 MAIN ST BONNERS FERRY, 83805 208-267-4021

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

WELL LIFE BOUNDARY PHARMACY 6603 MAIN ST BONNERS FERRY, 83805 208-267-4004

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE

BUHL

BUHL DRUG 419 BROADWAY AVE S BUHL, 83316 208-543-5353

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

BURLEY

KWIK-MEDS 256 OVERLAND AVE BURLEY, 83318 208-878-6337

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE

CALDWELL

MEDICAL RETAIL 315 E ELM ST SUITE150 CALDWELL, 83605 208-459-1503

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PAULS PHARMACY 425 N 10TH AVE CALDWELL, 83605 208-454-1111

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

PENNY WISE DRUG 802 CLEVELAND BOULEVARD CALDWELL, 83605 208-459-3691

ANCILLARY SERVICES: COMPOUNDING DELIVERY

PRIMARY HEALTH MEDICAL GROUP 4815 CLEVELAND BLVD CALDWELL, 83605 208-455-3545

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

CASCADE

WHEELERS PHARMACY 104 N MAIN CASCADE, 83611 208-382-4204

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

CHALLIS

VILLAGE PHARMACY HWY 93 SOUTH CHALLIS, 83226 208-879-4600

ANCILLARY SERVICES: E PRESCRIBE

CHUBBUCK

PHYSICIANS IMMEDIATE CARE CENTER 134 W CHUBBUCK RD CHUBBUCK, 83202 208-237-7911

Page 7: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name IDAHO IDAHO

COEUR D ALENE GRACE

June 20, 2013 6 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

COEUR D ALENE

INTERLAKE PHARMACY 700 IRONWOOD DR STE 100 COEUR D ALENE, 83814 208-664-6664

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

KOOTENAI CANCER CENTER 700 IRONWOOD DR STE 250 COEUR D ALENE, 83814 208-666-3056

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

MEDICINE MAN PHARMACY 1114 W IRONWOOD DR COEUR D ALENE, 83814 208-666-2502

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

305 W KATHLEEN AVE COEUR D ALENE, 83815 208-765-2268

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

COTTONWOOD

ARNZEN DRUG 429 MAIN ST COTTONWOOD, 83522 208-962-3401

ANCILLARY SERVICES: COMPOUNDING

DRIGGS

BROULIMS PHARMACY 240 S MAIN ST DRIGGS, 83422 208-354-0057

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

CORNER DRUG 10 SOUTH MAIN DRIGGS, 83422 208-354-2334

EAGLE

CUSTOMEDICA PHARMACY 149 W STATE ST STE 101 EAGLE, 83616 208-939-8008

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

MEDNOW EAGLE PHARMACY 323 E RIVERSIDE DR STE 120 EAGLE, 83616 208-938-2136

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

OASIS MEDICAL CENTER 3217 W BAVARIA ST EAGLE, 83616 208-887-3595

PRIMARY HEALTH MEDICAL GROUP 435 S EAGLE RD EAGLE, 83616 208-939-8200

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

FRUITLAND

MEDNOW FRUITLAND PHARMACY 1118 NW 16TH ST FRUITLAND, 83619 208-452-6506

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

GOODING

KENDRICK PHARMACY 414 MAIN ST GOODING, 83330 208-934-4000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

GRACE

LONDON DRUG 6 S MAIN ST GRACE, 83241 208-425-3766

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

Page 8: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name IDAHO IDAHO

GRANGEVILLE JEROME

MA_Rx 7 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

GRANGEVILLE

IRWIN DRUG INC 146 W MAIN ST GRANGEVILLE, 83530 208-983-1090

ANCILLARY SERVICES: COMPOUNDING DELIVERY

HAILEY

LUKE'S FAMILY PHARMACY 101 S MAIN ST HAILEY, 83333 208-788-4970

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

THE DRUG STORE 91 E CROY HAILEY, 83333 208-788-9714

ANCILLARY SERVICES: DELIVERY

HAYDEN

MEDICINE MAN PHARMACY 240 W HAYDEN HAYDEN, 83835 208-772-3311

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

8093 CORNERSTONE DR HAYDEN, 83835 208-762-9355

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

HOMEDALE

HOMEDALE DRUG 5 N MAIN HOMEDALE, 83628 208-337-3898

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

PAULS PHARMACY 20 E WYOMING HOMEDALE, 83628 208-337-4888

ANCILLARY SERVICES: DRIVE THRU SERVICE

IDAHO FALLS

B AND B DRUG AND FLY SHOP 2425 CHANNING WAY IDAHO FALLS, 83404 208-523-2277

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

HYWAY DRUG 120 NORTHGATE MILE IDAHO FALLS, 83401 208-522-8357

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

MIKES PHARMACY 180 S HOLMES AVE IDAHO FALLS, 83401 208-525-8700

ANCILLARY SERVICES: COMPOUNDING DELIVERY

PRESCRIPTION CENTER INC 2252 CORONADO ST IDAHO FALLS, 83404 208-523-3360

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SNAKE RIVER ONCOLOGY OF EASTERN IDAHO 2330 DESOTO ST IDAHO FALLS, 83404 208-523-1100

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

TETON PHARMACY 2470 JAFER CT IDAHO FALLS, 83404 208-529-3636

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

JEROME

JEROME DRUG 111 PIONEER CT STE 2 JEROME, 83338 208-324-2440

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

Page 9: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

IDAHO Sorted by state, then city, then name

IDAHO

KAMIAH MERIDIAN

June 20, 2013 8 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

KAMIAH

ARNZENS KAMIAH DRUG 318 MAIN ST KAMIAH, 83536 208-935-2301

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

KELLOGG

KOHAL PHARMACY 740 MCKINLEY AVE STE B KELLOGG, 83837 208-786-9303

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

SUNNYSIDE DRUG 131 W CAMERON AVE KELLOGG, 83837 208-784-6221

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

KENDRICK

RED CROSS PHARMACY INC 509 E MAIN ST KENDRICK, 83537 208-289-5941

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

KETCHUM

CHATEAU DRUG 451 4TH ST KETCHUM, 83340 208-726-2596

VALLEY APOTHECARY 201 N WASHINGTON AVE KETCHUM, 83340 208-726-2679

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

KUNA

CUSTOM RX 173 W 4TH ST KUNA, 83634 208-922-4400

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PAULS PHARMACY 700 E AVALON KUNA, 83634 208-922-9836

LEWISTON

ORCHARDS PHARMACY 523 THAIN RD LEWISTON, 83501 208-743-5515

ANCILLARY SERVICES: DELIVERY

SJRMC LIMITED OUTPT PHARMACY 415 6TH ST LEWISTON, 83501 208-799-5617

ANCILLARY SERVICES: E PRESCRIBE

THE OWL PHARMACY 720 16TH AVE LEWISTON, 83501 208-743-5528

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

MALAD

ALLEN DRUG 4 N MAIN ST MALAD, 83252 208-766-2241

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

MCCALL

MCCALL DRUG 1001 N 2ND ST MCCALL, 83638 208-634-2433

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

MERIDIAN

MERIDIAN PAIN CENTER 3875 E OVERLAND RD STE 200 MERIDIAN, 83642 208-955-7246

PORTICO PHARMACY 3355 E LOUISE DR MERIDIAN, 83642 208-288-4341

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

Page 10: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name IDAHO IDAHO

MERIDIAN NAMPA

MA_Rx 9 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

MERIDIAN (CONTINUED)

PRIMARY HEALTH MEDICAL GROUP 1130 E FAIRVIEW AVENUE MERIDIAN, 83642 208-888-9393

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

3115 E FLORENCE MERIDIAN, 83642 208-895-8670

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ST LUKES MERIDIAN MEDICAL CTR PHARMACY 520 S EAGLE RD STE 1000 MERIDIAN, 83642 208-706-5255

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

MONTPELIER

BEAR LAKE DRUG 836 WASHINGTON ST MONTPELIER, 83254 208-847-1421

ANCILLARY SERVICES: DRIVE THRU SERVICE

BEAR LAKE MEMORIAL HOSPITAL PHARMACY 164 S 5TH ST MONTPELIER, 83254 208-847-4437

BROULIMS PHARMACY 130 S 4TH STREETMONTPELIER, 83254 208-847-0806

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

MOSCOW

HODGINS DRUG STORE INC 307 S MAIN ST MOSCOW, 83843 208-882-5536

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

MARKETIME DRUG 209 E 3RD ST MOSCOW, 83843 208-882-7541

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

STUDENT HEALTH SERVICES 231 ASH STREET MOSCOW, 83844 208-885-6535

ANCILLARY SERVICES: COMPOUNDING

MOUNTAIN HOME

SAV MOR DRUG 490 N 2ND EAST MOUNTAIN HOME, 83647 208-587-3346

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

NAMPA

JOHNS MEDIC PHARMACY 523 11TH AVE N NAMPA, 83687 208-466-2431

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

MED NOW ER PHARMACY 1512 12TH AVE RD NAMPA, 83686 208-463-5355

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MEDNOW MERCY NORTH PHARMACY 4400 E FLAMINGO AVE NAMPA, 83687 208-288-4660

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PAULS PHARMACY 407 12TH AVE RD NAMPA, 83686 208-467-3913

PRIMARY HEALTH MEDICAL GROUP 700 CALDWELL BLVD NAMPA, 83651 208-466-6567

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

Page 11: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name IDAHO IDAHO

NAMPA POST FALLS

June 20, 2013 10 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

NAMPA (CONTINUED)

REDDISH PHARMACY 215 E HAWAII AVE STE 100 NAMPA, 83686 208-466-7823

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

TERRY REILLY HEALTH SERVICES 223 16TH AVE N NAMPA, 83687 208-318-1376

ANCILLARY SERVICES: E PRESCRIBE

VIC'S FAMILY PHARMACY 118 S MIDLAND BLVD NAMPA, 83686 208-442-1000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

1603-A 12TH AVE RD NAMPA, 83686 208-465-7000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

OROFINO

GLENWOOD PHARMACY 1105 MICHIGAN AVE OROFINO, 83544 208-476-5727

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

RIVERSIDE PHARMACY 13040 HIGHWAY 12 OROFINO, 83544 208-476-0329

OSBURN

OSBURN DRUG 805 MULLAN AVE OSBURN, 83849 208-556-1139

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

PINEHURST

KOHAL PHARMACY 504 N DIVISION PINEHURST, 83850 208-682-3920

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

POCATELLO

BOBS PHARMACY 777 HOSPITAL WAY STE 303 POCATELLO, 83201 208-269-7135

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

ED SNELLS PHARMACY SHOP 1015 E YOUNG ST POCATELLO, 83201 208-232-0049

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY

MAAG PRESCRIPTION AND MEDICAL SUPPLY 333 W CENTER ST POCATELLO, 83204 208-233-2063

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

PHYSICIANS IMMEDIATE CARE CENTER 495 YELLOWSTONE AVE POCATELLO, 83201 208-478-7422

950 HOSPITAL WAY POCATELLO, 83201 208-232-0021

SHAVER PHARMACY AND COMPOUNDING CTR 235 S 4TH AVE POCATELLO, 83201 208-233-3341

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

POST FALLS

MEDICINE MAN PHARMACY 802 E MEDICAL CT POST FALLS, 83854 208-773-3566

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

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Sorted by state, then city, then name IDAHO IDAHO

POST FALLS RIGBY

MA_Rx 11 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

POST FALLS (CONTINUED)

MEDICINE MAN PHARMACY (CONTINUED)

805 E POLSTON AVE POST FALLS, 83854 208-777-7732

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

WELL LIFE POST FALLS PHARMACY 1501 E SELTICE WAY POST FALLS, 83854 208-773-2499

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

POTLATCH

NORTHWEST PHARMACY SERVICES 525 PINE ST POTLATCH, 83855 208-875-1212

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

PRESTON

FRANKLIN COUNTY MED CTR PHARMACY 44 N FIRST E PRESTON, 83263 208-852-4129

ANCILLARY SERVICES: DELIVERY

LARRYS FAMILY HM PHARMACY 217 SOUTH STATE PRESTON, 83263 208-852-0163

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

PRESTON DRUG INC 39 N 1ST E PRESTON, 83263 208-852-1563

ANCILLARY SERVICES: DRIVE THRU SERVICE

PRIEST RIVER

WHITE CROSS PHARMACY 5453 HIGHWAY 2 PRIEST RIVER, 83856 208-448-1633

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

RATHDRUM

MEDICINE MAN PHARMACY 15837 N WESTWOOD DR RATHDRUM, 83858 208-687-5717

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

RATHDRUM DRUG 16376 N HIGHWAY 41 RATHDRUM, 83858 208-687-0731

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

REXBURG

BROULIMS PHARMACY 124 W MAIN ST REXBURG, 83440 208-356-5416

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

BYU-IDAHO STUDENT HEALTH CENTER PHARMACY 179 STUDENT HLTH CNTR REXBURG, 83460 208-496-9342

ANCILLARY SERVICES: E PRESCRIBE

RIGBY

BROULIMS PHARMACY 150 N STATE ST RIGBY, 83442 208-745-0267

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

IDAHO DRUG 139 E MAIN ST RIGBY, 83442 208-745-6831

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

UPPER VALLEY FAMILY MEDICINE PLLC 711 RIGBY LAKE DR STE 115 RIGBY, 83442 208-745-5021

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IDAHO Sorted by state, then city, then name

IDAHO

RUPERT TWIN FALLS

June 20, 2013 12 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

RUPERT

MINIDOKA MEMORIAL HOSPITAL PHARMACY 1224 8TH STREET RUPERT, 83350 208-436-0481

SAINT ANTHONY

FALLS DRUG AND HARDWARE 23 N BRIDGE ST SAINT ANTHONY, 83445 208-624-3202

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

SALMON

RIGBYS PHARMACY 1200 SHOUP ST SALMON, 83467 208-756-2241

ANCILLARY SERVICES: COMPOUNDING DELIVERY

SANDPOINT

MEDICINE MAN PHARMACY 624 LARCH ST SANDPOINT, 83864 208-597-7466

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

SANDPOINT SUPER DRUG 604 N 5TH AVE SANDPOINT, 83864 208-263-1408

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

WHITE CROSS PHARMACY 1319 HIGHWAY 2 STE A SANDPOINT, 83864 208-263-9080

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SHELLEY

BROULIMS PHARMACY 570 S STATE ST SHELLEY, 83274 208-357-0473

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

SODA SPRINGS

BROULIMS PHARMACY 89 WEST 2ND ST SOUTH SODA SPRINGS, 83276 208-547-3300

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

EASTMAN DRUG STORE 116 S MAIN ST SODA SPRINGS, 83276 208-547-3585

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

ST MARIES

JACKS PHARMACY INC 103 E COLLEGE AVE ST MARIES, 83861 208-245-4578

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

STAR

STAR PHARMACY 9732 W STATE ST STAR, 83669 208-286-0906

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

TWIN FALLS

DICKS PHARMACY 526K SHOUP AVE W TWIN FALLS, 83301 208-734-7373

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

KJ'S PHARMACY 615 FILER AVE TWIN FALLS, 83301 208-733-9242

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

KURTS PHARMACY 1203 FILER AVE E TWIN FALLS, 83301 208-734-8177

ANCILLARY SERVICES: DELIVERY

MEDICAL OFFICE PHARMACY 476 CHENEY DR W SUITE 140 TWIN FALLS, 83301 208-734-3007

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

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Sorted by state, then city, then name IDAHO UTAH

TWIN FALLS CASTLEDALE

MA_Rx 13 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

IDAHO (CONTINUED)

TWIN FALLS (CONTINUED)

ORCHARD DRUG 995 WASHINGTON ST SOUTH TWIN FALLS, 83301 208-736-7060

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE

SAV MOR DRUG 139 MAIN AVE W TWIN FALLS, 83301 208-733-8323

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

WEISER

PARK VU PHARMACY 604 E 3RD ST WEISER, 83672 208-414-2750

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

WENDELL

WENDELL PHARMACY 280 S IDAHO ST WENDELL, 83355 208-536-5761

ANCILLARY SERVICES: COMPOUNDING DELIVERY

UTAH

AMERICAN FORK

TAYLOR DRUG 76 N 1100 E AMERICAN FORK, 84003 801-756-4021

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

BEAVER

BEAVER DRUG AND GIFT 98 N MAIN BEAVER, 84713 435-438-2588

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

BICKNELL

WAYNE COMMUNITY HLTH CTR PHARMACY 128 SOUTH 300 WEST BICKNELL, 84715 435-425-3744

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

BLANDING

BLUE MOUNTAIN PHARMACY 802 SOUTH 200 WEST BLANDING, 84511 435-678-3993

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

SAN JUAN PHARMACY 65 S MAIN ST BLANDING, 84511 435-678-2781

ANCILLARY SERVICES: DELIVERY

BOUNTIFUL

DICKS FAMILY PHARMACY 2280 S ORCHARD DR BOUNTIFUL, 84010 801-296-2222

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

MOUNTAIN VIEW PHARMACY 425 S MEDICAL DR STE 100 BOUNTIFUL, 84010 801-295-3439

WINEGARS PHARMACY 3341 S ORCHARD DR BOUNTIFUL, 84010 801-292-5558

BRIGHAM CITY

BRIGHAM PHARMACY 1017 S MEDICAL DRIVE BRIGHAM CITY, 84302 435-723-5211

ANCILLARY SERVICES: DRIVE THRU SERVICE DELIVERY

KENTS PHARMACY 260 N MAIN BRIGHAM CITY, 84302 435-734-8841

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

CASTLEDALE

BOYDS FAMILY PHARMACY 25 W MAIN ST CASTLEDALE, 84513 435-381-5464

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

CEDAR CITY EDEN

June 20, 2013 14 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

CEDAR CITY

BULLOCHS DRUG STORE 91 N MAIN ST CEDAR CITY, 84720 435-586-9651

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

LINS SUPERMARKET PHARMACY 150 N MAIN CEDAR CITY, 84720 435-865-6665

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

TOWNSHIP PROFESSIONAL PHARMACY 108 WEST 1325 NORTH CEDAR CITY, 84720 435-867-0800

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE

CENTERVILLE

DICKS PHARMACY 84 W PARRISH LN CENTERVILLE, 84014 801-677-0171

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

CLEARFIELD

KENTS PHARMACY 580 SO STATE STREET CLEARFIELD, 84015 801-773-8703

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

VALU DRUG 1080 W 300 NORTH CLEARFIELD, 84015 801-773-7330

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

CLINTON

MACEYS PHARMACY 2062 W 1800 N CLINTON, 84015 801-776-8161

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DELTA

LOVELL PHARMACY 111 E MAIN ST DELTA, 84624 435-864-5122

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SERVICE DRUG COMPANY INC 215 W MAIN DELTA, 84624 435-864-2545

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

DRAPER

MT. OLYMPUS COMPOUNDING 392 E 12300 S STE E2 DRAPER, 84020 801-278-9008

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

DUCHESNE

DUCHESNE VALLEY MEDICAL RETAIL 50 EAST 200 SOUTH DUCHESNE, 84021 435-738-5403

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

EAST CARBON

CARBON MED SERV PHARMACY 305 CENTER ST EAST CARBON, 84520 435-888-0422

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

EDEN

VALLEY PHARMACY 2555 N WOLF CREEK DR EDEN, 84310 801-745-1800

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

ENTERPRISE HURRICANE

MA_Rx 15 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

ENTERPRISE

ENTERPRISE VALLEY PHARMACY 660 E MAIN ST B700 BLDG A ENTERPRISE, 84725 435-878-2760

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

EPHRAIM

ANDERSON DRUG 1 N MAIN ST 435-283-4444

ANCILLARY SERVICES: DELIVERY

KENTS PHARMACY 475 S MAIN EPHRAIM, 84627 435-283-0340

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

FILLMORE

SERVICE DRUG 40 N MAIN ST FILLMORE, 84631 435-743-6540

GARDEN CITY

BEAR LAKE COMM HLTH CTR PHARMACY 325 W LOGAN HWY GARDEN CITY, 84028 435-946-3660

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

GRANTSVILLE

BIRCH FAMILY PHARMACY 213 E MAIN ST GRANTSVILLE, 84029 435-884-9990

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

GUNNISON

JENSEN DRUG AND FLORAL 77 S MAIN GUNNISON, 84634 435-528-3455

ANCILLARY SERVICES: DELIVERY

SUPER DRUG AND HERBAL STORE 520 S MAIN GUNNISON, 84634 435-528-7555

ANCILLARY SERVICES: DELIVERY

HEBER CITY

DAY'S MARKET INC 890 S MAIN HEBER CITY, 84032 435-654-0414

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

HIGHLAND

KOHLERS FOOD STOERS PHARMACY 5353 W 11000 NORTH HIGHLAND, 84003 801-756-8353

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

HOLLADAY

MEIER'S PHARMACY 4698 HOLLADAY BLVD HOLLADAY, 84117 801-679-3278

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

HURRICANE

HURRICANE FAMILY PHARMACY 25 NORTH 2000 WEST HURRICANE, 84737 435-635-8200

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

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UTAH Sorted by state, then city, then name

UTAH

HURRICANE LAYTON

June 20, 2013 16 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

HURRICANE (CONTINUED)

LINS SUPERMARKET PHARMACY 1120 W STATE ST HURRICANE, 84737 435-635-3840

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

HYRUM

REEDS PHARMACY 790 E MAIN HYRUM, 84319 435-245-6422

ANCILLARY SERVICES: DRIVE THRU SERVICE DELIVERY

KAMAS

HI MOUNTAIN DRUG 40 N MAIN KAMAS, 84036 435-783-4466

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

KAMAS FOODTOWN PHARMACY 146 W 200 S KAMAS, 84036 435-783-4316

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

KANAB

KANAB UNITED DRUG 57 W CENTER ST KANAB, 84741 435-644-2418

ANCILLARY SERVICES: E PRESCRIBE

ZION PHARMACY 14 E CENTER ST KANAB, 84741 435-644-2702

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

KAYSVILLE

BOWMANS PHARMACY 326 N MAIN ST KAYSVILLE, 84037 801-544-1462

ANCILLARY SERVICES: DRIVE THRU SERVICE DELIVERY

KEARNS

APOTHECARY WEST 4188 W 5415 SOUTH KEARNS, 84118 801-969-1986

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

LA VERKIN

DAVIS FOOD AND DRUG 495 N MAIN ST LA VERKIN, 84745 435-635-6944

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

MARKET PHARMACY 495 N STATE ST LA VERKIN, 84745 435-635-8880

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

LAYTON

DAVIS DRUG 1580 W ANTELOPE DR STE 130A LAYTON, 84041 801-525-5277

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

DAVIS PHARMACY 1492 W ANTELOPE DR STE 150 LAYTON, 84041 801-779-7820

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

NORTH VIEW PHARMACY 2121 N ROBBINS DR LAYTON, 84041 801-773-5666

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

LAYTON MOAB

MA_Rx 17 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

LAYTON (CONTINUED)

PROFESSIONAL PLAZA PHARMACY INC 2065 N ROBBINS DR LAYTON, 84041 801-773-3863

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

TIBBITTS FAMILY PHARMACY 2940 N CHURCH ST STE 201 LAYTON, 84040 801-771-0363

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

LEHI

CECIL'S PHARMACY 300 MAIN ST LEHI, 84043 801-768-4244

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

DRY CREEK PHARMACY 3300 N RUNNING CREEK WAY BLDG G SUITE 100

LEHI, 84043 801-331-6630

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MACEYS PHARMACY 760 E MAINLEHI, 84043 801-766-0355

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

MOYER RX 2940 WEST MAPLE LOOP SUITE 304A

LEHI, 84043 801-997-0532

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

LOGAN

LEES MARKETPLACE - LOGAN PHARMACY 555 EAST 1400 NORTH LOGAN, 84341 435-750-0258

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

SPENCES NORTH PHARMACY 550 E 1400 N LOGAN, 84341 435-753-8500

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

MAGNA

OQUIRRH MOUNTAIN PHARMACY 3665 S 8400 W MAGNA, 84044 801-252-1000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MAPLETON

MAPLE MOUNTAIN PHARMACY 724 S 1600 W MAPLETON, 84664 801-515-6048

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MIDWAY

MIDWAY MARKET PHARMACY 42 W MAIN ST MIDWAY, 84049 435-654-1926

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

MOAB

CITY MARKET PHARMACY 425 S MAIN STREET MOAB, 84532 435-259-8971

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

MOAB NORTH LOGAN

June 20, 2013 18 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

MOAB (CONTINUED)

WALKER DRUG 290 S MAIN ST MOAB, 84532 435-259-5959

ANCILLARY SERVICES: E PRESCRIBE

MONTEZUMA CREEK

MONTEZUMA CREEK CHC PHARMACY EAST HWY 262 MONTEZUMA CREEK, 84534 435-651-3291

MONTICELLO

SAN JUAN PHARMACY 140 S MAIN ST MONTICELLO, 84535 435-587-2302

MONUMENT VALLEY

MONUMENT VALLEY HEALTH CENTER 30 WEST MEDICAL DRIVE MONUMENT VALLEY, 84536 435-727-3018

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

MORGAN

MORGAN DRUG 109 N COMMERCIAL MORGAN, 84050 801-829-3262

MOUNT PLEASANT

SKYLINE PHARMACY 1 W MAIN ST MOUNT PLEASANT, 84647 435-462-2434

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

TERRELS PHARMACY 1050 SOUTH STATE MOUNT PLEASANT, 84647 435-462-6300

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MT PLEASANT

PLEASANT CREEK FAMILY PHARMACY 1050 S MEDICAL DR STE B MT PLEASANT, 84647 435-462-0116

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MURRAY

GIBSONS PHARMACY 240 E 6400 S MURRAY, 84107 801-262-5526

ANCILLARY SERVICES: COMPOUNDING DELIVERY

NEPHI

CENTRAL VALLEY COMM PHARMACY 152 W 1500 N NEPHI, 84648 435-623-3700

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

NEPHI PROFESSIONAL PHARMACY 965 N MAIN ST NEPHI, 84648 435-623-2183

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

NORTH LOGAN

CACHE VALLEY COMMUNITY HEALTH CENTER PHARMACY 1515 N 400 E SUITE 104 NORTH LOGAN, 84341 435-755-8424

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

CACHE VALLEY PHARMACY 2380 N 400E STE E NORTH LOGAN, 84341 435-787-1212

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

NORTH OGDEN OREM

MA_Rx 19 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

NORTH OGDEN

LEES MARKETPLACE - NORTH OGDEN PHARMACY 2645 N WASHINGTON BLVD NORTH OGDEN, 84414 801-782-6116

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

NORTH SALT LAKE

ORCHARD DRUG 51 S 130 E NORTH SALT LAKE, 84054 801-936-5583

ANCILLARY SERVICES: DELIVERY

OGDEN

12TH STREET PHARMACY 698 E 12TH ST OGDEN, 84404 801-621-2154

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

CANYON VIEW HEALTH MART PHARMACY 1159 E 12TH ST OGDEN, 84404 801-334-3190

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

KWIK STOP DRUG 325 36TH ST OGDEN, 84405 801-399-5866

MIDTOWN COMM HEALTH CNTR PHARMACY 2240 ADAMS AVE OGDEN, 84401 801-395-8200

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

OGDEN CLINIC HEALTH MART PHARMACY 4650 HARRISON BLVD OGDEN, 84403 801-475-3295

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

WANGSGARD HEALTH MART PHARMACY 120 WASHINGTON BLVD OGDEN, 84404 801-399-4400

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

WASATCH PHARMACY CARE 4387 HARRISON BLVD D-7 OGDEN, 84403 801-479-0331

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

WEBER HUMAN SERVICES PHARMACY 237 26TH ST OGDEN, 84401 801-625-3662

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

OREM

MACEYS PHARMACY 880 N STATE ST OREM, 84057 801-225-4621

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

OREM FAMILY PHARMACY 406 N STATE STREET OREM, 84057 801-434-7670

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PRECISION MEDICAL PHARMACY 726 S 400 E OREM, 84097 801-221-9355

SALMON PHARMACY 450 WEST 800 N OREM, 84057 801-225-2150

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

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UTAH Sorted by state, then city, then name

UTAH

PANGUITCH PROVO

June 20, 2013 20 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

PANGUITCH

PANGUITCH DRUG CO 95 E CENTER PANGUITCH, 84759 435-676-2212

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

PARK CITY

PARK CITY RETAIL 750 ROUND VALLEY DRIVE #203 PARK CITY, 84098 435-644-2702

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

PHARMACY AT PARK CITY CLINIC 1665 BONANZA DR PARK CITY, 84060 435-776-9312

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

THE MARKET PHARMACY 1500 SNOW CREEK DR PARK CITY, 84060 435-645-7916

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

PAROWAN

PAROWAN DRUG AND GIFT 20 N MAIN PAROWAN, 84761 435-477-3000

ANCILLARY SERVICES: DELIVERY

PAYSON

FAMILY PHARMACY 1172 E 100 N STE 1 PAYSON, 84651 801-465-4322

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MOUNTAIN VIEW HOSPITAL PHARMACY 1000 E HWY 91 PAYSON, 84651 801-465-9201

PAYSON MARKET 586 N MAIN PAYSON, 84651 801-465-2343

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

PLEASANT GROVE

MACEYS PHARMACY 931 W STATE ST PLEASANT GROVE, 84062 801-796-6580

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

SMITH DRUG CO 10 S MAIN ST PLEASANT GROVE, 84062 801-785-3221

ANCILLARY SERVICES: COMPOUNDING DELIVERY

PLEASANT VIEW

MOUNTAIN VIEW HEALTH MART 1100 W 2700 N PLEASANT VIEW, 84414 801-475-3695

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

PROVIDENCE

MACEYS PHARMACY 50 NORTH HWY 165 PROVIDENCE, 84332 435-752-1111

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

PROVO

ALLENS SUPER SAVE MARKET #1 655 E 300 S PROVO, 84606 801-375-5005

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

PROVO ROY

MA_Rx 21 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

PROVO (CONTINUED)

B AND H PHARMACY 286 W CENTER PROVO, 84601 801-373-7288

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

BRIGHAM YOUNG UNIVERSITY PHARMACY 1750 N WYMOUNT TERRACE DR PROVO, 84602 801-422-5171

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

CENTRAL UTAH PHARMACY 1055 N 500 W PROVO, 84604 801-418-0800

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

EDGEMONT PHARMACY 3661 N CANYON RD PROVO, 84604 801-226-7994

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MACEYS PHARMACY 1402 N STATE ST PROVO, 84604 801-377-0307

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

MOUNTAINLANDS FAMILY PHARMACY 589 S STATE ST PROVO, 84606 801-429-2020

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ROCK CANYON PHARMACY 3179 N CANYON RD PROVO, 84604 801-377-2002

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

RICHFIELD

LENNYS RICHFIELD FAMILY PHARMACY 508 N MAIN ST RICHFIELD, 84701 435-896-6000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

RIVERTON

PETERSONS PHARMACY 1777 W 12600 S RIVERTON, 84065 801-254-0809

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

SOUTH VALLEY RETAIL 12447 S CROSSING DR STE 14 RIVERTON, 84096 801-676-7880

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

ROOSEVELT

BASIN FAMILY PHARMACY 245 WEST HWY 40 ROOSEVELT, 84066 435-722-2454

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

DAVIS FOOD AND DRUG 750 E 200 N ROOSEVELT, 84066 435-722-2255

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

UINTAH BASIN MED CNT PHARMACY OP 250 W 300 N 75-2 ROOSEVELT, 84066 435-722-6123

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

ROY

KENTS PHARMACY 3535 W 5600 S ROY, 84067 801-985-3942

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

ROY SALT LAKE CITY

June 20, 2013 22 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

ROY (CONTINUED)

ROY WINEGARS PHARMACY 3444 W 4800 S ROY, 84067 801-732-0202

ANCILLARY SERVICES: DELIVERY

SALEM

SALEM HILLS PHARMACY 118 N MAIN SALEM, 84653 801-723-0570

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

SALT LAKE CITY

ACCREDO HEALTH GROUP INC 3488 S MAIN ST SALT LAKE CITY, 84115 801-832-0222

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

AMPHEX PHARMACY, LLC 2180 E 4500 S STE 210 SALT LAKE CITY, 84117 801-341-1300

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

BROADWAY PHARMACY 242 E BROADWAY SALT LAKE CITY, 84111 801-363-3939

COMMUNITY PHARMACY 1220 E 3900 S STE 1H SALT LAKE CITY, 84124 801-270-0600

DANS DRUG #2 2330 E 3300 S SALT LAKE CITY, 84109 801-487-7585

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DANS DRUG #5 2029 E 7000 S SALT LAKE CITY, 84121 801-943-0951

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DANS DRUG #8 1360 S FOOTHILL DR SALT LAKE CITY, 84108 801-581-1700

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DANS DRUGS #3 3981 S WASATCH BLVD SALT LAKE CITY, 84124 801-272-9494

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DIABETES SPECIALTY CENTER LLC 3744 SECORD ST STE A SALT LAKE CITY, 84115 801-268-9699

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

FIVE STAR SPECIALTY PHARMACY 2235 S 1300 W STE D SALT LAKE CITY, 84119 801-302-8555

ANCILLARY SERVICES: 24 HOUR SERVICE DELIVERY

HYLAND PHARMACY 1295 MILLER AVE STE 6 SALT LAKE CITY, 84106 801-485-9281

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

JOLLEYS CORNER PHARMACY 1676 E 1300 SOUTH SALT LAKE CITY, 84105 801-582-1999

ANCILLARY SERVICES: COMPOUNDING DELIVERY

1702 S 1100 E SALT LAKE CITY, 84105 801-484-4393

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MEDICAL CENTER PHARMACY 1050 E SOUTH TEMPLE SALT LAKE CITY, 84102 801-350-8140

ANCILLARY SERVICES: DELIVERY

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Sorted by state, then city, then name UTAH UTAH

SALT LAKE CITY SANDY

MA_Rx 23 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

SALT LAKE CITY (CONTINUED)

MEDICAL PLAZA PHARMACY 508 E S TEMPLE SUITE124 SALT LAKE CITY, 84102 801-539-0231

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

MEDIPHARM 1260 E VINE ST STE 5 SALT LAKE CITY, 84121 801-733-9902

MEDS IN MOTION 3798 S 700 E STE 7 SALT LAKE CITY, 84106 801-506-6999

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MILLCREEK PHARMACY 1260 E VINE ST SALT LAKE CITY, 84121 801-262-7455

ANCILLARY SERVICES: COMPOUNDING DELIVERY

REAMS PHARMACY 2783 S STATE ST SALT LAKE CITY, 84115 801-485-0054

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

SALT LAKE CITY VAMC PHARMACY 500 FOOTHILL BLVD SALT LAKE CITY, 84148 801-582-1565

SOUTHEAST PHARMACY PC 2670 S 2000 E SALT LAKE CITY, 84109 801-466-2181

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

THE APOTHECARY SHOPPE 82 SOUTH 1100 EAST SUITE 104 SALT LAKE CITY, 84102 801-521-6353

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

THE MEDICINE CENTER 2036 E 6200 SOUTH SALT LAKE CITY, 84121 801-278-2101

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

UNIVERSITY PHARMACY 1320 E 200 SOUTH SALT LAKE CITY, 84102 801-582-7624

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY

UNIVERSITY UTAH NEUROPHSYCHIATRIC INST 501 CHIPETA WAY SALT LAKE CITY, 84108 801-587-3202

UTAH CANCER SPECIALISTS 3838 S 700 EAST STE 100 SALT LAKE CITY, 84106 801-270-2253

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

VRX PHARMACY @ CITY CREEK 60 E SOUTH TEMPLE STE 110 SALT LAKE CITY, 84111 801-236-8879

ANCILLARY SERVICES: E PRESCRIBE

SANDY

EVEREST PHARMACY 588 W 8360 S SANDY, 84070 801-727-1964

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

JOLLEYS SANDY PHARMACY 9829 S 1300 E SUITE 100 SANDY, 84094 801-571-0201

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

MACEYS PHARMACY 7850 S 1300 E SANDY, 84094 801-567-1423

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

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UTAH Sorted by state, then city, then name

UTAH

SANDY SPRINGVILLE

June 20, 2013 24 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

SANDY (CONTINUED)

MEDSOURCE RX PHARMACY 9883 S 500 W SANDY, 84070 801-727-1979

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

SANTA CLARA

FUSION SPECIALTY PHARMACY 1100 CANYON VIEW DR STE C SANTA CLARA, 84765 435-703-9680

ANCILLARY SERVICES: COMPOUNDING DELIVERY

SANTAQUIN

SANTAQUIN PHARMACY AND DIABETES CENTER 27 W MAIN ST STE C1 SANTAQUIN, 84655 801-754-1141

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

SARATOGA SPRINGS

KIRKPATRICK DRUG 270 E STATE RD 73 SARATOGA SPRINGS, 84043 801-766-4894

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

SMITHFIELD

LARRYS SMITHFIELD PHARMACY INC 502 S MAIN STE B SMITHFIELD, 84335 435-563-6262

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

LEES MARKETPLACE PHARMACY-SMITHFIELD PHARMACY 850 S MAIN SMITHFIELD, 84335 435-563-6201

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SNOWBIRD

SNOWBIRD PHARMACY 9500 E LITTLE COTTONWOOD CNY RD

SNOWBIRD, 84092 801-933-2275

SPANISH FORK

MACEYS PHARMACY 187 E 1000 N SPANISH FORK, 84660 801-798-8832

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

STONE DRUG COMPANY 159 N MAIN ST SPANISH FORK, 84660 801-798-8611

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

SPRINGVILLE

ALLEN'S SUPER SAVE MARKET #4 340 S MAIN ST SPRINGVILLE, 84663 801-489-7327

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ART CITY PHARMACY 405 S MAIN SPRINGVILLE, 84660 801-489-5618

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SOS DRUG COMPANY 214 S MAIN ST SPRINGVILLE, 84663 801-489-6041

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

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Sorted by state, then city, then name UTAH UTAH

ST GEORGE WEST POINT

MA_Rx 25 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

ST GEORGE

BRENT'S PHARMACY & DIABETES CARE 1091 N BLUFF ST ST GEORGE, 84770 435-674-5667

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

LINS SUPERMARKET PHARMACY 1930 W SUNSET BLVD ST GEORGE, 84770 435-673-9781

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

PROFESSIONAL PARK 736 S 900 E STE 102 ST GEORGE, 84790 435-652-1548

STAPLEY PHARMACY 102 E CITY CENTER ST GEORGE, 84770 435-673-3575

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

SYRACUSE

ISLAND VIEW PHARMACY 2038 W 1900 S SYRACUSE, 84075 801-773-7899

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

TOOELE

BIRCH FAMILY PHARMACY 493 N MAIN ST TOOELE, 84074 435-882-7775

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

6727 N HWY 36 TOOELE, 84074 435-882-8880

ANCILLARY SERVICES: DRIVE THRU SERVICE DELIVERY

MACEYS PHARMACY 972 N MAIN ST TOOELE, 84074 435-843-8821

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

TREMONTON

KENTS PHARMACY 300 E MAIN ST TREMONTON, 84337 435-257-0445

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

TREMONTON COMMUNITY PHARMACY INC 44 E MAIN ST TREMONTON, 84337 435-257-5249

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

VERNAL

DAVIS FOOD AND DRUG 575 W MAIN ST VERNAL, 84078 435-789-7010

WEST JORDAN

FAMILY PLAZA PHARMACY 3570 W 9000 S STE 150 WEST JORDAN, 84088 801-569-0175

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

JOLLEYS PHARMACY REDWOOD 8806 S REDWOOD RD WEST JORDAN, 84088 801-747-7500

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

MACEYS PHARMACY 7859 S 3200 W WEST JORDAN, 84088 801-255-7557

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

WEST POINT

APOTHECARY POINTE PHARMACY 3110 W 300 N SUITE C WEST POINT, 84015 801-825-6400

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

WEST VALLEY CITY WEST VALLEY CITY

June 20, 2013 26 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Retail Pharmacies, including Chain Pharmacies

UTAH (CONTINUED)

WEST VALLEY CITY

DAVIS FOOD AND DRUG 3765 S 2700 WEST WEST VALLEY CITY, 84119 801-969-1493

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

GRANGER PHARMACY,LLC 3725 W 4100 S WEST VALLEY CITY, 84120 801-965-3639

OLIVE PHARMACY 2290 S REDWOOD RD WEST VALLEY CITY, 84119 801-972-5155

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

PIONEER VALLEY PHARMACY 4052 W PIONEER PARKWAY SUITE 111

WEST VALLEY CITY, 84120 801-964-3935

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

VALLEY PHARMACY 1819 W 3500 S STE 1G WEST VALLEY CITY, 84119 801-978-9655

ANCILLARY SERVICES: DELIVERY

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Sorted by state, then city, then name NATIONAL NATIONAL

AVON LAKE, OHIO TEMPE, AZ

MA_Rx 27 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Mail Order Pharmacies

NATIONAL

AVON LAKE, OHIO

CATAMARAN HOME DELIVERY 33381 WALKER ROAD AVON LAKE OH, 44012 1-888-437-1508 TTY/TDD 7 1 1

PORTLAND, OR

POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND OR, 97202 1-800-552-6694 TTY/TDD 7 1 1

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

TEMPE, AZ

WALGREENS 8350 S RIVER PKWY TEMPE, AZ 82584 1-800-345-1985 TTY/TDD 7 1 1

ANCILLARY SERVICES: 24 HOUR SERVICE HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name IDAHO UTAH BOISE SALT LAKE CITY

June 20, 2013 28 MA_Rx

This pharmacy provides an extended day (90-Day) supply

Home Infusion Pharmacies

For members on our plans that cover both medical and Rx, Home Infusion Medications may be covered under your medical benefit. For more information, call Customer Service. Phone numbers and hours are listed on the front and back of this book.

IDAHO

BOISE

CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY 11660 W EXECUTIVE DR BOISE, 83713 208-323-0303

MERIDIAN

MEDNOW HOME INFUSION, A WALGREENS AFFILIATE 800 S INDUSTRY WAY SUITE 240 MERIDIAN, 83642 208-884-0669

ANCILLARY SERVICES: 24 HOUR SERVICE HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

UTAH

MURRAY

CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY 120 W VINE ST STE 140 MURRAY, 84107 801-713-1800

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

SALT LAKE CITY

INFUSION INNOVATIONS 2446 S PROGRESS DR SALT LAKE CITY, 84119 801-908-6100

ANCILLARY SERVICES: 24 HOUR SERVICE COMPOUNDING DELIVERY

UNIVERSITY OF UTAH HOSPITAL INFUSION PHARMACY 675 ARAPEEN DR SUITE 100 SALT LAKE CITY, 84108 801-587-8600

ANCILLARY SERVICES: 24 HOUR SERVICE HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

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Sorted by state, then city, then name IDAHO UTAH AMMON BOUNTIFUL

MA_Rx 29 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Long-Term Care Pharmacies

Residents of a long-term care facility may access their prescription drugs covered under our plans through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Customer Service. Phone numbers and hours are listed on the front and back of this book.

IDAHO

AMMON

HEARTLAND PHARMACY 3250 E 17TH ST AMMON, 83406 208-552-7677

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

BOISE

HEARTLAND LTC PHARMACY 3320 N MILWAUKEE ST BOISE, 83704 208-323-0067

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

INNOVATIVE CARE PHARMACY LLC 9196 E EMERALD ST STE 110 BOISE, 83704 208-323-1259

ANCILLARY SERVICES: DELIVERY

MOUNTAIN CARE PHARMACY 286 N MAPLE GROVE RD BOISE, 83704 208-287-4667

ANCILLARY SERVICES: DELIVERY

LEWISTON

IDAHO STATE VETERANS HOME LEWISTON 821 21ST AVE LEWISTON, 83501 208-799-3422

ANCILLARY SERVICES: 24 HOUR SERVICE

OWL CONTRACTED PRESCRIPTION SERVICE 720 16TH AVE STE 2 LEWISTON, 83501 208-746-6755

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

MERIDIAN

PHARMERICA 2950 E MAGIC VIEW DR STE 190 MERIDIAN, 83642 208-887-1951

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

SUPERIOR CARE PHARMACY IDAHO 320 E CORPORATE DR SUITE 320 MERIDIAN, 83642 208-895-8399

MOUNTAIN HOME

ST LUKES ELMORE PHARMACY 895 N 6TH E MOUNTAIN HOME, 83647 208-587-8401

POCATELLO

IDAHO STATE VETERANS HOME POCATELLO 1957 ALVIN RICKEN DR POCATELLO, 83201 208-236-6340

KEYMED INC 231 S ARTHUR AVE POCATELLO, 83204 208-233-2444

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

SODA SPRINGS

CARIBOU MEMORIAL HOSPITAL PHARMACY 300 SOUTH 3RD WEST SODA SPRINGS, 83276 208-547-3341

UTAH

AMERICAN FORK

CARE FIRST PHARMACY SOUTH 895 N 900 E AMERICAN FORK, 84003 801-763-4160

ANCILLARY SERVICES: DELIVERY

BOUNTIFUL

FIRESTONE PHARMACY, LLC 450 S 400 E BOUNTIFUL, 84010 801-397-5900

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Sorted by state, then city, then name UTAH UTAH LAYTON SANDY

June 20, 2013 30 MA_Rx

Long-Term Care Pharmacies

Residents of a long-term care facility may access their prescription drugs covered under our plans through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Customer Service. Phone numbers and hours are listed on the front and back of this book.

UTAH (CONTINUED)

LAYTON

4 CARE PHARMACY 109 W GENTILE ST LAYTON, 84041 801-336-3690

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

LEHI

MERIDIAN MEDS, LLC 220 N 1200 E STE 104 LEHI, 84043 801-331-8291

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MAPLETON

HEALTHWISE PHARMACY 724 S 1600 W MAPLETON, 84664 801-489-7300

ANCILLARY SERVICES: DELIVERY

MIDVALE

SPECIALIZED PHARMACY SERVICES 7351 UNION PARK AVE MIDVALE, 84047 801-316-1146

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

MURRAY

MOUNTAIN CARE PHARMACY 1030 W BELLWOOD LN MURRAY, 84123 801-747-7191

ANCILLARY SERVICES: COMPOUNDING DELIVERY

SHARED PHARMACY SVCS 4843 MURRAY BLVD MURRAY, 84123 801-262-6980

ANCILLARY SERVICES: DELIVERY

SALT LAKE CITY

ACUPHARM, LLC 1018 W ATHERTON DR #202 SALT LAKE CITY, 84123 801-456-4505

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

GENOA HEALTHCARE 1020 S MAIN ST STE 100 SALT LAKE CITY, 84101 385-212-2934

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

HEALTHCARE PHARMACEUTICALS INC 3950 S 700 EAST STE 205 SALT LAKE CITY, 84107 801-270-5656

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

PHARMERICA 376 W LAWNDALE DR SALT LAKE CITY, 84115 801-486-9555

ANCILLARY SERVICES: DELIVERY

SENIOR CARE PHARMACY OF THE WEST, LLC 380 LAWNDALE DR SALT LAKE CITY, 84115 801-413-2850

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

SUPERIOR CARE PHARMACY SALT LAKE CITY 2280 W ALEXANDER ST SALT LAKE CITY, 84119 801-266-3999

SANDY

M AND M PRESCRIPTION SERVICE INC 8679 SANDY PKWY SANDY, 84070 801-252-9790

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UTAH Sorted by state, then city, then name

UTAH ST GEORGE WASHINGTON TERRACE

MA_Rx 31 June 20, 2013

Long-Term Care Pharmacies

Residents of a long-term care facility may access their prescription drugs covered under our plans through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Customer Service. Phone numbers and hours are listed on the front and back of this book.

UTAH (CONTINUED)

ST GEORGE

SUPERIOR CARE PHARMACY ST GEORGE 595 S BLUFF ST STE 3 ST GEORGE, 84770 435-652-3999

ANCILLARY SERVICES: COMPOUNDING DELIVERY

WASHINGTON TERRACE

CARE FIRST PHARMACY, LLC 5492 S ADAMS AVE WASHINGTON TERRACE, 84405 801-479-4485

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Sorted by state, then city, then name IDAHO UTAH LAPWAI FORT DUCHESNE

June 20, 2013 32 MA_Rx

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies

Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through our plans' pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information please contact Customer Service. Phone numbers and hours are listed on the front and back of this book.

IDAHO

LAPWAI

NORTHERN IDAHO INDIAN HEALTH 111 BEAVER GRADE RD LAPWAI, 83540 208-843-2271

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

PLUMMER

BENEWAH MEDICAL CENTER PHARMACY 1115 B ST PLUMMER, 83851 208-686-1007

UTAH

FORT DUCHESNE

UNITAH & OURAY HEALTH CENTER 6822 E 1000 SOUTH FORT DUCHESNE, 84026 435-725-6874

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

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IDAHO Sorted by state, then city, then name

IDAHO

BOISE SANDPOINT

MA_Rx 33 June 20, 2013

This pharmacy provides an extended day (90-Day) supply

Specialty Pharmacies

IDAHO

BOISE

LIFES DOORS HCS PHARMACY 420 S ORCHARD BOISE, 83705 208-947-0967

ANCILLARY SERVICES: DELIVERY

SANDPOINT

BONNER PROFESSIONAL COMPOUNDING 520 N 3RD AVE SANDPOINT, 83864 208-265-1138

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Sorted by state, then city, then name NATIONAL IDAHO

CHAIN PHARMACIES BOISE

June 20, 2013 34 MA_Rx

90-Day Supply Pharmacies

NATIONAL

CHAIN PHARMACIES

ALBERTSONS, LLC 1-877-932-7948 TTY/TDD 7 1 1

BARTELL 1-877-227-8355 TTY/TDD 7 1 1

BI-MART 1-800-456-0681 TTY/TDD 7 1 1

COSTCO 1-800-774-2678 TTY/TDD 7 1 1

FRED MEYER 1-888-247-4439 TTY/TDD 7 1 1

FRESH MARKETS 1-888-574-7100 TTY/TDD 7 1 1

HARMONS 1-866-957-8499 TTY/TDD 7 1 1

INTERMOUNTAIN HEALTHCARE (IHC) 1-801-442-2000 TTY/TDD 7 1 1

K-MART 1-800-562-7848 TTY/TDD 7 1 1

LONGS 1-800-865-6647 TTY/TDD 7 1 1

OHSU 1-503-494-8007 TTY/TDD 7 1 1

OSCO 1-877-932-7948 TTY/TDD 7 1 1

PAC MED CLINICS 1-800-687-8629 TTY/TDD 7 1 1

QFC 1-800-576-4377 TTY/TDD 7 1 1

RIDLEYS 1-208-324-4633 TTY/TDD 7 1 1

RITE-AID 1-800-748-3243 TTY/TDD 7 1 1

SAFEWAY 1-877-723-3929 TTY/TDD 7 1 1

SHOPKO 1-800-653-5993 TTY/TDD 7 1 1

SMITHS FOOD & DRUG 1-888-247-4439 TTY/TDD 7 1 1

SUPERVALU 1-800-443-5701 TTY/TDD 7 1 1

UNIVERSITY OF UTAH 1-801-581-2147 TTY/TDD 7 1 1

WALGREEN DRUG STORES 1-800-925-4733 TTY/TDD 1-800-573-1833

WAL-MART/SAMS 1-800-925-6278 TTY/TDD 7 1 1

IDAHO

BLACKFOOT

MEDICAL PLAZA PHARMACY 98 POPLAR ST MOB BUILDING BLACKFOOT, 83221 208-782-2990

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

BOISE

LIFES DOORS HCS PHARMACY 420 S ORCHARD BOISE, 83705 208-947-0967

ANCILLARY SERVICES: DELIVERY

MEDNOW ST ALPHONSUS REGIONAL OUTPATIENT PHARMACY 999 N CURTIS RD STE 102 BOISE, 83706 208-367-4847

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MOUNTAIN CARE PHARMACY 286 N MAPLE GROVE RD BOISE, 83704 208-287-4667

ANCILLARY SERVICES: DELIVERY

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Sorted by state, then city, then name IDAHO IDAHO

BONNERS FERRY KELLOGG

MA_Rx 35 June 20, 2013

90-Day Supply Pharmacies

IDAHO (CONTINUED)

BONNERS FERRY

MEDICINE MAN PHARMACY 6452 MAIN ST BONNERS FERRY, 83805 208-267-4021

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

CALDWELL

PENNY WISE DRUG 802 CLEVELAND BOULEVARD CALDWELL, 83605 208-459-3691

ANCILLARY SERVICES: COMPOUNDING DELIVERY

CHUBBUCK

PHYSICIANS IMMEDIATE CARE CENTER 134 W CHUBBUCK RD CHUBBUCK, 83202 208-237-7911

COEUR D ALENE

MEDICINE MAN PHARMACY 1114 W IRONWOOD DR COEUR D ALENE, 83814 208-666-2502

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

305 W KATHLEEN AVE COEUR D ALENE, 83815 208-765-2268

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

DRIGGS

BROULIMS PHARMACY 240 S MAIN ST DRIGGS, 83422 208-354-0057

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

EAGLE

MEDNOW EAGLE PHARMACY 323 E RIVERSIDE DR STE 120 EAGLE, 83616 208-938-2136

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

GOODING

KENDRICK PHARMACY 414 MAIN ST GOODING, 83330 208-934-4000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

GRANGEVILLE

IRWIN DRUG INC 146 W MAIN ST GRANGEVILLE, 83530 208-983-1090

ANCILLARY SERVICES: COMPOUNDING DELIVERY

HAYDEN

MEDICINE MAN PHARMACY 240 W HAYDEN HAYDEN, 83835 208-772-3311

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

8093 CORNERSTONE DR HAYDEN, 83835 208-762-9355

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

IDAHO FALLS

MIKES PHARMACY 180 S HOLMES AVE IDAHO FALLS, 83401 208-525-8700

ANCILLARY SERVICES: COMPOUNDING DELIVERY

SNAKE RIVER ONCOLOGY OF EASTERN IDAHO 2330 DESOTO ST IDAHO FALLS, 83404 208-523-1100

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

KELLOGG

SUNNYSIDE DRUG 131 W CAMERON AVE KELLOGG, 83837 208-784-6221

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

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Sorted by state, then city, then name IDAHO IDAHO

KETCHUM NAMPA

June 20, 2013 36 MA_Rx

90-Day Supply Pharmacies

IDAHO (CONTINUED)

KETCHUM

CHATEAU DRUG 451 4TH ST KETCHUM, 83340 208-726-2596

LEWISTON

IDAHO STATE VETERANS HOME LEWISTON 821 21ST AVE LEWISTON, 83501 208-799-3422

ANCILLARY SERVICES: 24 HOUR SERVICE

OWL CONTRACTED PRESCRIPTION SERVICE 720 16TH AVE STE 2 LEWISTON, 83501 208-746-6755

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

MERIDIAN

MEDNOW HOME INFUSION, A WALGREENS AFFILIATE 800 S INDUSTRY WAY SUITE 240 MERIDIAN, 83642 208-884-0669

ANCILLARY SERVICES: 24 HOUR SERVICE HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

ST LUKES MERIDIAN MEDICAL CTR PHARMACY 520 S EAGLE RD STE 1000 MERIDIAN, 83642 208-706-5255

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

MONTPELIER

BROULIMS PHARMACY 130 S 4TH STREET MONTPELIER, 83254 208-847-0806

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

MOSCOW

MARKETIME DRUG 209 E 3RD ST MOSCOW, 83843 208-882-7541

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

MOUNTAIN HOME

ST LUKES ELMORE PHARMACY 895 N 6TH E MOUNTAIN HOME, 83647 208-587-8401

NAMPA

MED NOW ER PHARMACY 1512 12TH AVE RD NAMPA, 83686 208-463-5355

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MEDNOW MERCY NORTH PHARMACY 4400 E FLAMINGO AVE NAMPA, 83687 208-288-4660

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

VIC'S FAMILY PHARMACY 118 S MIDLAND BLVD NAMPA, 83686 208-442-1000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

1603-A 12TH AVE RD NAMPA, 83686 208-465-7000

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

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IDAHO Sorted by state, then city, then name

IDAHO

OROFINO SANDPOINT

MA_Rx 37 June 20, 2013

90-Day Supply Pharmacies

IDAHO (CONTINUED)

OROFINO

GLENWOOD PHARMACY 1105 MICHIGAN AVE OROFINO, 83544 208-476-5727

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

OSBURN

OSBURN DRUG 805 MULLAN AVE OSBURN, 83849 208-556-1139

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

POCATELLO

MAAG PRESCRIPTION AND MEDICAL SUPPLY 333 W CENTER ST POCATELLO, 83204 208-233-2063

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

PHYSICIANS IMMEDIATE CARE CENTER 495 YELLOWSTONE AVE POCATELLO, 83201 208-478-7422

950 HOSPITAL WAY POCATELLO, 83201 208-232-0021

POST FALLS

MEDICINE MAN PHARMACY 802 E MEDICAL CT POST FALLS, 83854 208-773-3566

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

805 E POLSTON AVE POST FALLS, 83854 208-777-7732

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

RATHDRUM

MEDICINE MAN PHARMACY 15837 N WESTWOOD DR RATHDRUM, 83858 208-687-5717

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

RATHDRUM DRUG 16376 N HIGHWAY 41 RATHDRUM, 83858 208-687-0731

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

REXBURG

BROULIMS PHARMACY 124 W MAIN ST REXBURG, 83440 208-356-5416

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

BYU-IDAHO STUDENT HEALTH CENTER PHARMACY 179 STUDENT HLTH CNTR REXBURG, 83460 208-496-9342

ANCILLARY SERVICES: E PRESCRIBE

RIGBY

BROULIMS PHARMACY 150 N STATE ST RIGBY, 83442 208-745-0267

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

IDAHO DRUG 139 E MAIN ST RIGBY, 83442 208-745-6831

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

UPPER VALLEY FAMILY MEDICINE PLLC 711 RIGBY LAKE DR STE 115 RIGBY, 83442 208-745-5021

SANDPOINT

MEDICINE MAN PHARMACY 624 LARCH ST SANDPOINT, 83864 208-597-7466

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

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Sorted by state, then city, then name IDAHO UTAH

SHELLEY CENTERVILLE

June 20, 2013 38 MA_Rx

90-Day Supply Pharmacies

IDAHO (CONTINUED)

SHELLEY

BROULIMS PHARMACY 570 S STATE ST SHELLEY, 83274 208-357-0473

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

SODA SPRINGS

BROULIMS PHARMACY 89 WEST 2ND ST SOUTH SODA SPRINGS, 83276 208-547-3300

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ST MARIES

JACKS PHARMACY INC 103 E COLLEGE AVE ST MARIES, 83861 208-245-4578

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

STAR

STAR PHARMACY 9732 W STATE ST STAR, 83669 208-286-0906

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

TWIN FALLS

SAV MOR DRUG 139 MAIN AVE W TWIN FALLS, 83301 208-733-8323

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

WEISER

PARK VU PHARMACY 604 E 3RD ST WEISER, 83672 208-414-2750

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

NATIONAL

AVON LAKE, OHIO

CATAMARAN HOME DELIVERY 33381 WALKER ROAD AVON LAKE OH, 44012 1-888-437-1508 TTY/TDD 7 1 1

UTAH

BOUNTIFUL

DICKS FAMILY PHARMACY 2280 S ORCHARD DR BOUNTIFUL, 84010 801-296-2222

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

BRIGHAM CITY

KENTS PHARMACY 260 N MAIN BRIGHAM CITY, 84302 435-734-8841

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

CEDAR CITY

BULLOCHS DRUG STORE 91 N MAIN ST CEDAR CITY, 84720 435-586-9651

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

LINS SUPERMARKET PHARMACY 150 N MAIN CEDAR CITY, 84720 435-865-6665

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

CENTERVILLE

DICKS PHARMACY 84 W PARRISH LN CENTERVILLE, 84014 801-677-0171

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

CLEARFIELD HOLLADAY

MA_Rx 39 June 20, 2013

90-Day Supply Pharmacies

UTAH (CONTINUED)

CLEARFIELD

KENTS PHARMACY 580 SO STATE STREET CLEARFIELD, 84015 801-773-8703

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

CLINTON

MACEYS PHARMACY 2062 W 1800 N CLINTON, 84015 801-776-8161

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DELTA

SERVICE DRUG COMPANY INC 215 W MAIN DELTA, 84624 435-864-2545

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

EDEN

VALLEY PHARMACY 2555 N WOLF CREEK DR EDEN, 84310 801-745-1800

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

ENTERPRISE

ENTERPRISE VALLEY PHARMACY 660 E MAIN ST B700 BLDG A ENTERPRISE, 84725 435-878-2760

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY

EPHRAIM

ANDERSON DRUG 1 N MAIN ST 435-283-4444

ANCILLARY SERVICES: DELIVERY

KENTS PHARMACY 475 S MAIN EPHRAIM, 84627 435-283-0340

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

FILLMORE

SERVICE DRUG 40 N MAIN ST FILLMORE, 84631 435-743-6540

GRANTSVILLE

BIRCH FAMILY PHARMACY 213 E MAIN ST GRANTSVILLE, 84029 435-884-9990

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

GUNNISON

JENSEN DRUG AND FLORAL 77 S MAIN GUNNISON, 84634 435-528-3455

ANCILLARY SERVICES: DELIVERY

HEBER CITY

DAY'S MARKET INC 890 S MAIN HEBER CITY, 84032 435-654-0414

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

HIGHLAND

KOHLERS FOOD STOERS PHARMACY 5353 W 11000 NORTH HIGHLAND, 84003 801-756-8353

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

HOLLADAY

MEIER'S PHARMACY 4698 HOLLADAY BLVD HOLLADAY, 84117 801-679-3278

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

HURRICANE LEHI

June 20, 2013 40 MA_Rx

90-Day Supply Pharmacies

UTAH (CONTINUED)

HURRICANE

HURRICANE FAMILY PHARMACY 25 NORTH 2000 WEST HURRICANE, 84737 435-635-8200

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

LINS SUPERMARKET PHARMACY 1120 W STATE ST HURRICANE, 84737 435-635-3840

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

KAMAS

HI MOUNTAIN DRUG 40 N MAIN KAMAS, 84036 435-783-4466

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

KAMAS FOODTOWN PHARMACY 146 W 200 S KAMAS, 84036 435-783-4316

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

KANAB

ZION PHARMACY 14 E CENTER ST KANAB, 84741 435-644-2702

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

KAYSVILLE

BOWMANS PHARMACY 326 N MAIN ST KAYSVILLE, 84037 801-544-1462

ANCILLARY SERVICES: DRIVE THRU SERVICE DELIVERY

KEARNS

APOTHECARY WEST 4188 W 5415 SOUTH KEARNS, 84118 801-969-1986

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

LA VERKIN

DAVIS FOOD AND DRUG 495 N MAIN ST LA VERKIN, 84745 435-635-6944

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

LAYTON

DAVIS DRUG 1580 W ANTELOPE DR STE 130A LAYTON, 84041 801-525-5277

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

DAVIS PHARMACY 1492 W ANTELOPE DR STE 150 LAYTON, 84041 801-779-7820

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

NORTH VIEW PHARMACY 2121 N ROBBINS DR LAYTON, 84041 801-773-5666

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

LEHI

CECIL'S PHARMACY 300 MAIN ST LEHI, 84043 801-768-4244

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

LEHI NORTH OGDEN

MA_Rx 41 June 20, 2013

90-Day Supply Pharmacies

UTAH (CONTINUED)

LEHI (CONTINUED)

DRY CREEK PHARMACY 3300 N RUNNING CREEK WAY BLDG G SUITE 100

LEHI, 84043 801-331-6630

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MACEYS PHARMACY 760 E MAIN LEHI, 84043 801-766-0355

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

MOYER RX 2940 WEST MAPLE LOOP SUITE 304A

LEHI, 84043 801-997-0532

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

LOGAN

LEES MARKETPLACE - LOGAN PHARMACY 555 EAST 1400 NORTH LOGAN, 84341 435-750-0258

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

MIDWAY

MIDWAY MARKET PHARMACY 42 W MAIN ST MIDWAY, 84049 435-654-1926

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

MOAB

CITY MARKET PHARMACY 425 S MAIN STREET MOAB, 84532 435-259-8971

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

MOUNT PLEASANT

TERRELS PHARMACY 1050 SOUTH STATE MOUNT PLEASANT, 84647 435-462-6300

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

MURRAY

GIBSONS PHARMACY 240 E 6400 S MURRAY, 84107 801-262-5526

ANCILLARY SERVICES: COMPOUNDING DELIVERY

NEPHI

CENTRAL VALLEY COMM PHARMACY 152 W 1500 N NEPHI, 84648 435-623-3700

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

NORTH LOGAN

CACHE VALLEY COMMUNITY HEALTH CENTER PHARMACY 1515 N 400 E SUITE 104 NORTH LOGAN, 84341 435-755-8424

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

CACHE VALLEY PHARMACY 2380 N 400E STE E NORTH LOGAN, 84341 435-787-1212

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

NORTH OGDEN

LEES MARKETPLACE - NORTH OGDEN PHARMACY 2645 N WASHINGTON BLVD NORTH OGDEN, 84414 801-782-6116

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

OGDEN PROVIDENCE

June 20, 2013 42 MA_Rx

90-Day Supply Pharmacies

UTAH (CONTINUED)

OGDEN

12TH STREET PHARMACY 698 E 12TH ST OGDEN, 84404 801-621-2154

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

MIDTOWN COMM HEALTH CNTR PHARMACY 2240 ADAMS AVE OGDEN, 84401 801-395-8200

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

OGDEN CLINIC HEALTH MART PHARMACY 4650 HARRISON BLVD OGDEN, 84403 801-475-3295

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

WANGSGARD HEALTH MART PHARMACY 120 WASHINGTON BLVD OGDEN, 84404 801-399-4400

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

WEBER HUMAN SERVICES PHARMACY 237 26TH ST OGDEN, 84401 801-625-3662

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

OREM

MACEYS PHARMACY 880 N STATE ST OREM, 84057 801-225-4621

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

SALMON PHARMACY 450 WEST 800 N OREM, 84057 801-225-2150

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

PARK CITY

PARK CITY RETAIL 750 ROUND VALLEY DRIVE #203 PARK CITY, 84098 435-644-2702

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

THE MARKET PHARMACY 1500 SNOW CREEK DR PARK CITY, 84060 435-645-7916

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

PAROWAN

PAROWAN DRUG AND GIFT 20 N MAIN PAROWAN, 84761 435-477-3000

ANCILLARY SERVICES: DELIVERY

PAYSON

PAYSON MARKET 586 N MAIN PAYSON, 84651 801-465-2343

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

PLEASANT GROVE

MACEYS PHARMACY 931 W STATE ST PLEASANT GROVE, 84062 801-796-6580

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

PROVIDENCE

MACEYS PHARMACY 50 NORTH HWY 165 PROVIDENCE, 84332 435-752-1111

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

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Sorted by state, then city, then name UTAH UTAH

PROVO SALT LAKE CITY

MA_Rx 43 June 20, 2013

90-Day Supply Pharmacies

UTAH (CONTINUED)

PROVO

ALLENS SUPER SAVE MARKET #1 655 E 300 S PROVO, 84606 801-375-5005

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

B AND H PHARMACY 286 W CENTER PROVO, 84601 801-373-7288

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

CENTRAL UTAH PHARMACY 1055 N 500 W PROVO, 84604 801-418-0800

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

EDGEMONT PHARMACY 3661 N CANYON RD PROVO, 84604 801-226-7994

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MACEYS PHARMACY 1402 N STATE ST PROVO, 84604 801-377-0307

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ROCK CANYON PHARMACY 3179 N CANYON RD PROVO, 84604 801-377-2002

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING

RIVERTON

PETERSONS PHARMACY 1777 W 12600 S RIVERTON, 84065 801-254-0809

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

SOUTH VALLEY RETAIL 12447 S CROSSING DR STE 14 RIVERTON, 84096 801-676-7880

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

ROOSEVELT

UINTAH BASIN MED CNT PHARMACY OP 250 W 300 N 75-2 ROOSEVELT, 84066 435-722-6123

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING E PRESCRIBE

ROY

KENTS PHARMACY 3535 W 5600 S ROY, 84067 801-985-3942

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ROY WINEGARS PHARMACY 3444 W 4800 S ROY, 84067 801-732-0202

ANCILLARY SERVICES: DELIVERY

SALEM

SALEM HILLS PHARMACY 118 N MAIN SALEM, 84653 801-723-0570

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE E PRESCRIBE

SALT LAKE CITY

DANS DRUG #2 2330 E 3300 S SALT LAKE CITY, 84109 801-487-7585

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DANS DRUG #5 2029 E 7000 S SALT LAKE CITY, 84121 801-943-0951

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

Page 45: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name UTAH UTAH

SALT LAKE CITY SANDY

June 20, 2013 44 MA_Rx

90-Day Supply Pharmacies

UTAH (CONTINUED)

SALT LAKE CITY (CONTINUED)

DANS DRUG #8 1360 S FOOTHILL DR SALT LAKE CITY, 84108 801-581-1700

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DANS DRUGS #3 3981 S WASATCH BLVD SALT LAKE CITY, 84124 801-272-9494

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

DIABETES SPECIALTY CENTER LLC 3744 SECORD ST STE A SALT LAKE CITY, 84115 801-268-9699

ANCILLARY SERVICES: DELIVERY E PRESCRIBE

HYLAND PHARMACY 1295 MILLER AVE STE 6 SALT LAKE CITY, 84106 801-485-9281

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

MEDICAL CENTER PHARMACY 1050 E SOUTH TEMPLE SALT LAKE CITY, 84102 801-350-8140

ANCILLARY SERVICES: DELIVERY

MEDICAL PLAZA PHARMACY 508 E S TEMPLE SUITE124 SALT LAKE CITY, 84102 801-539-0231

ANCILLARY SERVICES: COMPOUNDING DELIVERY E PRESCRIBE

MILLCREEK PHARMACY 1260 E VINE ST SALT LAKE CITY, 84121 801-262-7455

ANCILLARY SERVICES: COMPOUNDING DELIVERY

REAMS PHARMACY 2783 S STATE ST SALT LAKE CITY, 84115 801-485-0054

ANCILLARY SERVICES: COMPOUNDING E PRESCRIBE

THE APOTHECARY SHOPPE 82 SOUTH 1100 EAST SUITE 104 SALT LAKE CITY, 84102 801-521-6353

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

UNIVERSITY OF UTAH HOSPITAL INFUSION PHARMACY 675 ARAPEEN DR SUITE 100 SALT LAKE CITY, 84108 801-587-8600

ANCILLARY SERVICES: 24 HOUR SERVICE HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

UNIVERSITY PHARMACY 1320 E 200 SOUTH SALT LAKE CITY, 84102 801-582-7624

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY

UNIVERSITY UTAH NEUROPHSYCHIATRIC INST 501 CHIPETA WAY SALT LAKE CITY, 84108 801-587-3202

UTAH CANCER SPECIALISTS 3838 S 700 EAST STE 100 SALT LAKE CITY, 84106 801-270-2253

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

VRX PHARMACY @ CITY CREEK 60 E SOUTH TEMPLE STE 110 SALT LAKE CITY, 84111 801-236-8879

ANCILLARY SERVICES: E PRESCRIBE

SANDY

MACEYS PHARMACY 7850 S 1300 E SANDY, 84094 801-567-1423

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

Page 46: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

UTAH Sorted by state, then city, then name

UTAH

SANDY TOOELE

MA_Rx 45 June 20, 2013

90-Day Supply Pharmacies

UTAH (CONTINUED)

SANDY (CONTINUED)

MEDSOURCE RX PHARMACY 9883 S 500 W SANDY, 84070 801-727-1979

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

SANTAQUIN

SANTAQUIN PHARMACY AND DIABETES CENTER 27 W MAIN ST STE C1 SANTAQUIN, 84655 801-754-1141

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY E PRESCRIBE

SARATOGA SPRINGS

KIRKPATRICK DRUG 270 E STATE RD 73 SARATOGA SPRINGS, 84043 801-766-4894

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY E PRESCRIBE

SMITHFIELD

LEES MARKETPLACE PHARMACY-SMITHFIELD PHARMACY 850 S MAIN SMITHFIELD, 84335 435-563-6201

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SPANISH FORK

MACEYS PHARMACY 187 E 1000 N SPANISH FORK, 84660 801-798-8832

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DRIVE THRU SERVICE E PRESCRIBE

SPRINGVILLE

ALLEN'S SUPER SAVE MARKET #4 340 S MAIN ST SPRINGVILLE, 84663 801-489-7327

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

ART CITY PHARMACY 405 S MAIN SPRINGVILLE, 84660 801-489-5618

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

SOS DRUG COMPANY 214 S MAIN ST SPRINGVILLE, 84663 801-489-6041

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

ST GEORGE

LINS SUPERMARKET PHARMACY 1930 W SUNSET BLVD ST GEORGE, 84770 435-673-9781

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

SYRACUSE

ISLAND VIEW PHARMACY 2038 W 1900 S SYRACUSE, 84075 801-773-7899

ANCILLARY SERVICES: HANDICAP ACCESSIBLE DELIVERY

TOOELE

BIRCH FAMILY PHARMACY 493 N MAIN ST TOOELE, 84074 435-882-7775

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

6727 N HWY 36 TOOELE, 84074 435-882-8880

ANCILLARY SERVICES: DRIVE THRU SERVICE DELIVERY

Page 47: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Sorted by state, then city, then name UTAH UTAH

TOOELE WEST VALLEY CITY

June 20, 2013 46 MA_Rx

90-Day Supply Pharmacies

UTAH (CONTINUED)

TOOELE (CONTINUED)

MACEYS PHARMACY 972 N MAIN ST TOOELE, 84074 435-843-8821

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

TREMONTON

KENTS PHARMACY 300 E MAIN ST TREMONTON, 84337 435-257-0445

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

WEST JORDAN

FAMILY PLAZA PHARMACY 3570 W 9000 S STE 150 WEST JORDAN, 84088 801-569-0175

ANCILLARY SERVICES: HANDICAP ACCESSIBLE COMPOUNDING DELIVERY

MACEYS PHARMACY 7859 S 3200 W WEST JORDAN, 84088 801-255-7557

ANCILLARY SERVICES: HANDICAP ACCESSIBLE E PRESCRIBE

WEST POINT

APOTHECARY POINTE PHARMACY 3110 W 300 N SUITE C WEST POINT, 84015 801-825-6400

ANCILLARY SERVICES: COMPOUNDING DRIVE THRU SERVICE DELIVERY E PRESCRIBE

WEST VALLEY CITY

DAVIS FOOD AND DRUG 3765 S 2700 WEST WEST VALLEY CITY, 84119 801-969-1493

ANCILLARY SERVICES: HANDICAP ACCESSIBLE

GRANGER PHARMACY,LLC 3725 W 4100 S WEST VALLEY CITY, 84120 801-965-3639

Page 48: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

12TH STREET PHARMACY CUSTOMEDICA PHARMACY

MA_Rx 47 June 20, 2013

Pharmacy Index

1

12TH STREET PHARMACY 19, 42

4

4 CARE PHARMACY 30

A

ACCREDO HEALTH GROUP INC 22 ACUPHARM, LLC 30 ALBERTSONS, LLC 3, 34 ALLEN DRUG 8 ALLENS SUPER SAVE MARKET #1 20, 43 ALLEN'S SUPER SAVE MARKET #4 24, 45 AMPHEX PHARMACY, LLC 22 ANDERSON DRUG 15, 39 APOTHECARY POINTE PHARMACY 25, 46 APOTHECARY WEST 16, 40 ARNZEN DRUG 6 ARNZENS KAMIAH DRUG 8 ART CITY PHARMACY 24, 45 ASHTON COMMUNITY PHARMACY 4

B

B AND B DRUG AND FLY SHOP 7 B AND H PHARMACY 21, 43 BARTELL 3, 34 BASIN FAMILY PHARMACY 21 BEAR LAKE COMM HLTH CTR PHARMACY 15

BEAR LAKE DRUG 9 BEAR LAKE MEMORIAL HOSPITAL PHARMACY 9

BEAVER DRUG AND GIFT 13 BENEWAH MEDICAL CENTER PHARMACY 32

BI-MART 3, 34 BINGHAM MEMORIAL HOSPITAL PHARMACY 4

BIRCH FAMILY PHARMACY 15, 25, 39, 45 BLUE MOUNTAIN PHARMACY 13 BOBS PHARMACY 10 BOISE VAMC PHARMACY 4

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BONNER PROFESSIONAL COMPOUNDING 33

BOWMANS PHARMACY 16, 40 BOYDS FAMILY PHARMACY 13 BRENT'S PHARMACY & DIABETES CARE 25

BRIGHAM PHARMACY 13 BRIGHAM YOUNG UNIVERSITY PHARMACY 21

BROADWAY PHARMACY 22 BROULIMS PHARMACY 6, 9, 11, 12, 35, 36, 37, 38 BUHL DRUG 5 BULLOCHS DRUG STORE 14, 38 BYU-IDAHO STUDENT HEALTH CENTER PHARMACY 11, 37

C

CACHE VALLEY COMMUNITY HEALTH CENTER PHARMACY 18, 41

CACHE VALLEY PHARMACY 18, 41 CANYON VIEW HEALTH MART PHARMACY 19

CARBON MED SERV PHARMACY 14 CARE FIRST PHARMACY SOUTH 29 CARE FIRST PHARMACY, LLC 31 CARIBOU MEMORIAL HOSPITAL PHARMACY 29

CATAMARAN HOME DELIVERY 27, 38 CECIL'S PHARMACY 17, 40 CENTRAL UTAH PHARMACY 21, 43 CENTRAL VALLEY COMM PHARMACY 18, 41

CHATEAU DRUG 8, 36 CITY MARKET PHARMACY 17, 41 COMMUNITY PHARMACY 22 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY 28

CORNER DRUG 6 COSTCO 3, 34 CUSTOM RX 8 CUSTOMEDICA PHARMACY 6

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DANS DRUG #2 KANAB UNITED DRUG

June 20, 2013 48 MA_Rx

Pharmacy Index

D

DANS DRUG #2 22, 43 DANS DRUG #5 22, 43 DANS DRUG #8 22, 44 DANS DRUGS #3 22, 44 DAVIS DRUG 16, 40 DAVIS FOOD AND DRUG 16, 21, 25, 26, 40, 46 DAVIS PHARMACY 16, 40 DAY'S MARKET INC 15, 39 DIABETES SPECIALTY CENTER LLC 22, 44 DICKS FAMILY PHARMACY 13, 38 DICKS PHARMACY 12, 14, 38 DRY CREEK PHARMACY 17, 41 DUCHESNE VALLEY MEDICAL RETAIL 14

E

EASTMAN DRUG STORE 12 ED SNELLS PHARMACY SHOP 10 EDGEMONT PHARMACY 21, 43 ENTERPRISE VALLEY PHARMACY 15, 39 EVEREST PHARMACY 23

F

FALLS DRUG AND HARDWARE 12 FAMILY MEDICINE HEALTH CENTER PHARMACY 4

FAMILY PHARMACY 20 FAMILY PLAZA PHARMACY 25, 46 FIRESTONE PHARMACY, LLC 29 FIVE STAR SPECIALTY PHARMACY 22 FRANKLIN COUNTY MED CTR PHARMACY 11

FRED MEYER 3, 34 FRESH MARKETS 3, 34 FUSION SPECIALTY PHARMACY 24

G

GENOA HEALTHCARE 30 GIBSONS PHARMACY 18, 41 GLENWOOD PHARMACY 10, 37 GRANGER PHARMACY,LLC 26, 46

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H

HAGGEN/TOP 3 HARMONS 3, 34 HEALTHCARE PHARMACEUTICALS INC 30

HEALTHWISE PHARMACY 30 HEARTLAND LTC PHARMACY 29 HEARTLAND PHARMACY 29 HI MOUNTAIN DRUG 16, 40 HI-SCHOOL PHARMACY 3 HODGINS DRUG STORE INC 9 HOMEDALE DRUG 7 HURRICANE FAMILY PHARMACY 15, 40 HYLAND PHARMACY 22, 44 HYWAY DRUG 7

I

IDAHO DRUG 11, 37 IDAHO PAIN MEDICINE LLP 4 IDAHO STATE VETERANS HOME LEWISTON 29, 36

IDAHO STATE VETERANS HOME POCATELLO 29

INFUSION INNOVATIONS 28 INNOVATIVE CARE PHARMACY LLC 29 INTERLAKE PHARMACY 6 INTERMOUNTAIN HEALTHCARE (IHC) 3, 34

IRWIN DRUG INC 7, 35 ISLAND VIEW PHARMACY 25, 45

J

JACKS PHARMACY INC 12, 38 JENSEN DRUG AND FLORAL 15, 39 JEROME DRUG 7 JOHNS MEDIC PHARMACY 9 JOLLEYS CORNER PHARMACY 22 JOLLEYS PHARMACY REDWOOD 25 JOLLEYS SANDY PHARMACY 23

K

KAMAS FOODTOWN PHARMACY 16, 40 KANAB UNITED DRUG 16

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Page 50: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

KENDRICK PHARMACY MOUNTAIN CARE PHARMACY

MA_Rx 49 June 20, 2013

Pharmacy Index

KENDRICK PHARMACY 6, 35 KENTS PHARMACY 13, 14, 15, 21, 25, 38, 39, 43, 46 KEYMED INC 29 KIRKPATRICK DRUG 24, 45 KJ'S PHARMACY 12 K-MART 3, 34 KOHAL PHARMACY 8, 10 KOHLERS FOOD STOERS PHARMACY 15, 39

KOOTENAI CANCER CENTER 6 KURTS PHARMACY 12 KWIK STOP DRUG 19 KWIK-MEDS 5

L

LADD FAMILY PHARMACY 4 LARRYS FAMILY HM PHARMACY 11 LARRYS SMITHFIELD PHARMACY INC 24

LEES MARKETPLACE - LOGAN PHARMACY 17, 41

LEES MARKETPLACE - NORTH OGDEN PHARMACY 19, 41

LEES MARKETPLACE PHARMACY-SMITHFIELD PHARMACY 24, 45

LEMPS APOTHECARY 4 LENNYS RICHFIELD FAMILY PHARMACY 21

LIFES DOORS HCS PHARMACY 33, 34 LINS SUPERMARKET PHARMACY 14, 16, 25, 38, 40, 45

LONDON DRUG 6 LONGS 3, 34 LOST RIVER DRUG 3 LOST RIVERS HOSPITAL 4 LOVELL PHARMACY 14 LUKE'S FAMILY PHARMACY 7

M

M AND M PRESCRIPTION SERVICE INC 30

MAAG PRESCRIPTION AND MEDICAL SUPPLY 10, 37

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MACEYS PHARMACY 14, 17, 19, 20, 21, 23, 24, 25, 39, 41, 42, 43, 44, 45, 46

MAPLE MOUNTAIN PHARMACY 17 MARKET PHARMACY 16 MARKETIME DRUG 9, 36 MCCALL DRUG 8 MED NOW ER PHARMACY 9, 36 MEDICAL CENTER PHARMACY 22, 44 MEDICAL OFFICE PHARMACY 12 MEDICAL PLAZA PHARMACY 4, 23, 34, 44 MEDICAL RETAIL 5 MEDICAP 3 MEDICINE MAN PHARMACY 5, 6, 7, 10, 11, 12, 35, 37

MEDICINE SHOPPE 3 MEDIPHARM 23 MEDNOW EAGLE PHARMACY 6, 35 MEDNOW FRUITLAND PHARMACY 6 MEDNOW HOME INFUSION, A WALGREENS AFFILIATE 28, 36

MEDNOW MERCY NORTH PHARMACY 9, 36

MEDNOW ST ALPHONSUS REGIONAL OUTPATIENT PHARMACY 4, 34

MEDS IN MOTION 23 MEDSOURCE RX PHARMACY 24, 45 MEIER'S PHARMACY 15, 39 MERIDIAN MEDS, LLC 30 MERIDIAN PAIN CENTER 8 MIDTOWN COMM HEALTH CNTR PHARMACY 19, 42

MIDWAY MARKET PHARMACY 17, 41 MIKES PHARMACY 7, 35 MILLCREEK PHARMACY 23, 44 MINIDOKA MEMORIAL HOSPITAL PHARMACY 12

MONTEZUMA CREEK CHC PHARMACY 18

MONUMENT VALLEY HEALTH CENTER 18

MORGAN DRUG 18 MOUNTAIN CARE PHARMACY 29, 30, 34

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Page 51: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

MOUNTAIN VIEW HEALTH MART SANTAQUIN PHARMACY AND DIABETES

June 20, 2013 50 MA_Rx

Pharmacy Index

MOUNTAIN VIEW HEALTH MART 20 MOUNTAIN VIEW HOSPITAL PHARMACY 20

MOUNTAIN VIEW PHARMACY 13 MOUNTAINLANDS FAMILY PHARMACY 21

MOYER RX 17, 41 MT. OLYMPUS COMPOUNDING 14

N

NEPHI PROFESSIONAL PHARMACY 18 NORTH VIEW PHARMACY 16, 40 NORTHERN IDAHO INDIAN HEALTH 32 NORTHWEST PHARMACY SERVICES 11

O

OASIS MEDICAL CENTER 6 OGDEN CLINIC HEALTH MART PHARMACY 19, 42

OHSU 3, 34 OLIVE PHARMACY 26 OQUIRRH MOUNTAIN PHARMACY 17 ORCHARD DRUG 13, 19 ORCHARDS PHARMACY 8 OREM FAMILY PHARMACY 19 OSBURN DRUG 10, 37 OSCO 3, 34 OWL CONTRACTED PRESCRIPTION SERVICE 29, 36

P

PAC MED CLINICS 3, 34 PANGUITCH DRUG CO 20 PARK CITY RETAIL 20, 42 PARK VU PHARMACY 13, 38 PAROWAN DRUG AND GIFT 20, 42 PAULS PHARMACY 4, 5, 7, 8, 9 PAYSON MARKET 20, 42 PENNY WISE DRUG 5, 35 PETERSONS PHARMACY 21, 43 PHARMACY AT PARK CITY CLINIC 20 PHARMACY SHOP 4 PHARMACY SHOP EXPRESS 4

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PHARMERICA 29, 30 PHYSICIANS IMMEDIATE CARE CENTER 5, 10, 35, 37

PIONEER VALLEY PHARMACY 26 PLEASANT CREEK FAMILY PHARMACY 18

PORTICO PHARMACY 8 POSTAL PRESCRIPTION SERVICES 27 PRECISION MEDICAL PHARMACY 19 PRESCRIPTION CENTER INC 7 PRESTON DRUG INC 11 PRIMARY HEALTH MEDICAL GROUP 4, 5, 6, 9 PROFESSIONAL PARK 25 PROFESSIONAL PLAZA PHARMACY INC 17

Q

QFC 3, 34

R

RATHDRUM DRUG 11, 37 REAMS PHARMACY 23, 44 RED CROSS PHARMACY INC 8 REDDISH PHARMACY 10 REEDS PHARMACY 16 RIDLEYS ..................................................................3, 34 RIGBYS PHARMACY 12 RITE-AID 3, 34 RIVERSIDE PHARMACY 10 ROCK CANYON PHARMACY 21, 43 ROCKLAND PHARMACY 3 ROSAUERS 3 ROY WINEGARS PHARMACY 22, 43

S

SAFEWAY 3, 34 SALEM HILLS PHARMACY 22, 43 SALMON PHARMACY 19, 42 SALT LAKE CITY VAMC PHARMACY 23 SAN JUAN PHARMACY 13, 18 SANDPOINT SUPER DRUG 12 SANTAQUIN PHARMACY AND DIABETES CENTER 24, 45

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SAV MOR DRUG WAL-MART/SAMS

MA_Rx 51 June 20, 2013

Pharmacy Index

SAV MOR DRUG 9, 13, 38 SENIOR CARE PHARMACY OF THE WEST, LLC 30

SERVICE DRUG 15, 39 SERVICE DRUG COMPANY INC 14, 39 SHARED PHARMACY SVCS 30 SHAVER PHARMACY AND COMPOUNDING CTR 10

SHOPKO 3, 34 SJRMC LIMITED OUTPT PHARMACY 8 SKYLINE PHARMACY 18 SMITH DRUG CO 20 SMITHS FOOD & DRUG 3, 34 SNAKE RIVER ONCOLOGY OF EASTERN IDAHO 7, 35

SNOWBIRD PHARMACY 24 SOS DRUG COMPANY 24, 45 SOUTH VALLEY RETAIL 21, 43 SOUTHEAST PHARMACY PC 23 SPECIALIZED PHARMACY SERVICES 30 SPENCES NORTH PHARMACY 17 ST LUKES ELMORE PHARMACY 29, 36 ST LUKES MERIDIAN MEDICAL CTR PHARMACY 9, 36

ST LUKES REG MED CTR OUTPATIENT PHARMACY 5

STAPLEY PHARMACY 25 STAR PHARMACY 12, 38 STATE HOSPITAL SOUTH PHARMACY 4

STONE DRUG COMPANY 24 STUDENT HEALTH SERVICES 9 SUNNYSIDE DRUG 8, 35 SUPER DRUG AND HERBAL STORE 15 SUPERIOR CARE PHARMACY IDAHO 29 SUPERIOR CARE PHARMACY SALT LAKE CITY 30

SUPERIOR CARE PHARMACY ST GEORGE 31

SUPERVALU 3, 34

T

TARGET 3

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TAYLOR DRUG 13 TERRELS PHARMACY 18, 41 TERRY REILLY HEALTH SERVICES 10 TETON PHARMACY 7 THE APOTHECARY SHOPPE 23, 44 THE DRUG STORE 7 THE MARKET PHARMACY 20, 42 THE MEDICINE CENTER 23 THE OWL PHARMACY 8 TIBBITTS FAMILY PHARMACY 17 TOWNSHIP PROFESSIONAL PHARMACY 14

TREMONTON COMMUNITY PHARMACY INC 25

U

UINTAH BASIN MED CNT PHARMACY OP 21, 43

UNITAH & OURAY HEALTH CENTER 32 UNIVERSITY OF UTAH 3, 34 UNIVERSITY OF UTAH HOSPITAL INFUSION PHARMACY 28, 44

UNIVERSITY PHARMACY 23, 44 UNIVERSITY UTAH NEUROPHSYCHIATRIC INST 23, 44

UPPER VALLEY FAMILY MEDICINE PLLC 11, 37

UTAH CANCER SPECIALISTS 23, 44

V

VALLEY APOTHECARY 8 VALLEY PHARMACY 14, 26, 39 VALU DRUG 14 VIC'S FAMILY PHARMACY 10, 36 VILLAGE PHARMACY 5 VRX PHARMACY @ CITY CREEK 23, 44

W

WALGREEN DRUG STORES 3, 34 WALGREENS 27 WALKER DRUG 18 WALLACE DRUG 3 WAL-MART/SAMS 3, 34

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WANGSGARD HEALTH MART PHARMACY ZION PHARMACY

June 20, 2013 52 MA_Rx

Pharmacy Index

WANGSGARD HEALTH MART PHARMACY 19, 42

WASATCH PHARMACY CARE 19 WAYNE COMMUNITY HLTH CTR PHARMACY 13

WEBER HUMAN SERVICES PHARMACY 19, 42

WELL LIFE BOUNDARY PHARMACY 5 WELL LIFE POST FALLS PHARMACY 11

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WENDELL PHARMACY 13 WHEELERS PHARMACY 5 WHITE CROSS PHARMACY 11, 12 WINEGARS PHARMACY 13

Y

YOKES 3

Z

ZION PHARMACY 16, 40

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Page 54: Regence MedAdvantage + Rx Enhanced (PPO) and Regence ......e prescribe . mednow eagle pharmacy 323 e riverside dr ste 120 eagle, 83616 208-938-2136 . ancillary services: handicap accessible

Y0062_2014_PHARMACYDIR_PDP/PPO_ACCEPTED

For more information, please contact Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO)’s Customer Service at 1 (800) 541-8981 or, for TTY users, 711, from 8:00 a.m. to 8:00 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., seven days a week) or visit www.regence.com/medicare. This Pharmacy Directory was updated on 06/20/2013.

Regence BlueCross BlueShield of Utah is a PPO plan with a Medicare contract. Enrollment in Regence BlueCross BlueShield of Utah depends on contract renewal.