2009 Pharmacy Directory



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Transcription:

This directory is for: IOWA, MINNESOTA, MONTANA, NEBRASKA, NORTH DAKOTA, SOUTH DAKOTA, WYOMING United American Insurance Company 2009 Pharmacy Directory UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D This booklet provides a list of network pharmacies. 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. To get current information about network pharmacies in your area, or if you need further information, contact Customer Service at the number listed on the back of your Part D member ID card. Introduction To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and your plan Formulary. If you have additional questions, please call Customer Service at the number listed on the back of your Part D member ID card. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by your Medicare Prescription Drug Plan. In most cases, your prescriptions are covered under your Plan only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies. We will fill prescriptions at nonnetwork pharmacies under certain circumstances as described in your Evidence of Coverage. S5755_09PHARM F7048_25

IOWA

Retail Pharmacies IOWA

BENTON Vinton IOWA Cligman Pharmacy 106 E 4Th St Vinton,IA 52349 (319) 472-4731 La Grange Pharmacy 111 W 4Th St Vinton,IA 52349 (319) 472-4274 BLACK HAWK Waterloo Falls Road Drug 2027 Falls Ave Waterloo,IA 50701 (319) 234-2634 Kimball Ave Drug 2104 Kimball Ave Waterloo,IA 50702 (319) 234-6419 Q & T Pharmacy 920 W 5Th St Waterloo,IA 50702 (319) 233-5216 BREMER Denver Martin Health Services 130 W Fayette St / PO Box C Denver,IA 50622 (319) 984-5680 Waverly Center Pharmacy 312 9Th St SW Ste 1000 Waverly,IA 50677 (319) 483-4100 BUTLER Parkersburg Siechs Parkersburg Phcy 235 3Rd St Parkersburg,IA 50665 (319) 346-1970 CARROLL Carroll Carroll Apothecary 707 N Main St Carroll,IA 51401 (712) 792-2671 Carroll Clinic Nursing Home Phar 405 S Clark St Ste 150A Carroll,IA 51401 (712) 792-3212 Carroll Clinic Pharmacy 405 S Clark St Ste 150 Carroll,IA 51401 (712) 792-3212 CERRO GORDO Mason City Mercy Long Term Care Phcy 621 S Illinois Ave Ste 104 Mason City,IA 50401 (641) 422-6944 CLAYTON Elkader Moser Family Pharmacy 135 North Main Elkader,IA 52043 (563) 245-2530 Guttenberg Guttenberg Pharmacy Inc 807 S Highway 52 Guttenberg,IA 52052 (563) 252-1172 Monona Monona Pharmacy 118 W Center St Monona,IA 52159 (563) 539-2348 CLINTON Clinton Clinton Med Clinic Phcy 221 Main Ave Clinton,IA 52732 (563) 242-1724 Mercy Hospital Pharmacy 1410 N 4Th St Clinton,IA 52732 (563) 244-5545 Women's Health Services 2635 Lincoln Way Clinton,IA 52732 (563) 243-1413 Wrightway Ltc Pharmacy 200 5Th Ave S Clinton,IA 52732 (563) 242-9376 De Witt Dewitt Pharmacy Inc 609 7Th Street De Witt,IA 52742 (563) 659-5041 Scott Drug Clinic Pharmacy 1021 11Th St De Witt,IA 52742 (563) 659-8910 Scott Drug Company 629 6Th Ave De Witt,IA 52742 (563) 659-5041 DALLAS Waukee Medicap Pharmacy #8256 105 N Warrior Ln Waukee,IA 50263 (515) 987-8111 DAVIS Bloomfield US Truecare Pharmacy 101 E Jefferson St Bloomfield,IA 52537 (641) 664-2349 DELAWARE Manchester The Medicine Shoppe #1090 124 W Main St Manchester,IA 52057 (563) 927-3509 Widner Drug Store 111 S Franklin St Manchester,IA 52057 (563) 927-4463 DES MOINES Burlington Planned Parenthood of 620 N 8Th St Burlington,IA 52601 (319) 753-6209 West Burlington Heritage Partners Pharmacy 1223 S Gear Ave West Burlington,IA 52655 (319) 768-3960 DUBUQUE Dubuque Mercy Caremor 535 Hill St Dubuque,IA 52001 (563) 588-4033 IA Retail Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 73 IOWA

IA FAYETTE Stuart IOWA KEOKUK Fayette Scott Pharmacy 238 S Main St Fayette,IA 52142 (563) 425-4530 Oelwein Wright Pharmacy 303 SW 7Th St Stuart,IA 50250 (515) 523-1525 HANCOCK Britt Williamsburg Peterson Drug Co 514 Elm St Williamsburg,IA 52361 (319) 668-1664 JASPER North English Noel Pharmacy 132 South Main Street North English,IA 52316 (319) 664-3115 KOSSUTH Retail Pharmacies Schuchmanns Pharmacy Inc 12 S Frederick Ave Oelwein,IA 50662 (319) 283-2161 West Union Steege Pharmacy 119 N Vine St West Union,IA 52175 (563) 422-3151 FLOYD Charles City Charles City Long Term Care Phcy 1501 S Main St Ste 2 Charles City,IA 50616 (641) 228-4136 GRUNDY Conrad Nu Cara Pharmacy #14 118 Center St Conrad,IA 50621 (641) 366-2774 Grundy Center Manly Drug Store 621 G Ave Grundy Center,IA 50638 (319) 824-5446 GUTHRIE Guthrie Center Dowd Drug Inc 307 State St Guthrie Center,IA 50115 (641) 747-3625 Fedders Healthmart 52 Main Ave N Britt,IA 50423 (641) 843-3885 HARDIN Iowa Falls Rieber's Prescription Phy 520 Talbott St Ste 2 Iowa Falls,IA 50126 (641) 648-3733 HARRISON Logan Eby Drug Store Logan Inc 103 N 4Th Ave Logan,IA 51546 (712) 644-2160 HOWARD Cresco Hoines Drug Store 113 N Elm St Cresco,IA 52136 (563) 547-3401 Lime Springs Lime Springs Pharmacy 101 W Main St Lime Springs,IA 52155 (563) 566-2243 IDA Holstein Main Street Pharmacy 103 N Main St Holstein,IA 51025 (712) 368-4549 Newton Medicap Pharmacy 400 1St Ave W Newton,IA 50208 (641) 792-3528 The Medicine Shoppe 212 1St St N Newton,IA 50208 (641) 792-3111 JOHNSON Coralville Nu Cara Pharmacy #5 1150 5Th St Coralville,IA 52241 (319) 354-6006 Valuscript Pharmacy 4105 Westcor Ct Ste 1 Coralville,IA 52241 (000) 000-0000 Iowa City Uihc Ambulatory Care Phcy 200 Hawkins Dr Iowa City,IA 52242 (319) 356-2577 North Liberty Pharmacy Matters #200 1765 Lininger Lane Ste 238 North Liberty,IA 52317 (319) 626-6020 Wellman Remedy Drug Inc 221 8Th Ave Wellman,IA 52247 (319) 646-4466 Algona Krhc Family Pharmacy 1519 S Phillips St Algona,IA 50511 (515) 295-4567 LEE Fort Madison Rashid Pharmacy P L C 2404 Avenue L Fort Madison,IA 52627 (319) 372-2300 LINN Cedar Rapids 1030 Medical Pharmacy 1030 5Th Ave SE Cedar Rapids,IA 52403 (319) 362-8976 Cr IV Service Inc 402 10Th St SE Ste 100 Cedar Rapids,IA 52403 (319) 363-1284 Iowa Blood And Cancer 855 A Ave NE Cedar Rapids,IA 52402 (319) 369-7091 Iowa Pharmaceutical Services 525 10Th St SE Cedar Rapids,IA 52403 (319) 363-8303 Medicap Pharmacy #8033 2030 6Th St SW Cedar Rapids,IA 52404 (319) 364-6930 74 This pharmacy does not offer extended supplies of maintenance medications. IOWA

NW Medical Clinic Phcy 75 Short St NW Cedar Rapids,IA 52405 (319) 396-6705 LYON Rock Rapids Corner Rexall Drugs 220 1St Ave Rock Rapids,IA 51246 (712) 472-3143 MARSHALL Marshalltown Medicap Pharmacy #8004 11 N 3Rd Ave Marshalltown,IA 50158 (641) 752-7139 MILLS Glenwood Medicap Pharmacy #8406 1206 S Locust St Glenwood,IA 51534 (712) 527-1200 MITCHELL Osage Jakobson Drug 635 Main St Osage,IA 50461 (641) 732-5452 Saint Ansgar Brower Drug Co 140 W 4Th St Saint Ansgar,IA 50472 (641) 713-4381 MONONA Onawa Stangel Pharmacy Inc 821 Iowa Ave Onawa,IA 51040 (712) 423-1131 Stangel Pharmacy Ltc 821 Iowa Ave Onawa,IA 51040 (712) 423-1131 Whiting Whiting Family Pharmacy 723 Whittier St Whiting,IA 51063 (712) 458-2500 MONTGOMERY Red Oak Medicap Pharmacy 600 Senate Ave Red Oak,IA 51566 (712) 623-1900 MUSCATINE Muscatine Wester Drug 315 E 2Nd St Muscatine,IA 52761 (563) 763-7044 O'BRIEN Hartley Med Equip Pharmacy #0 141 S Central Ave Hartley,IA 51346 (712) 728-2165 Paullina Barama Drug 127 N Main St Paullina,IA 51046 (712) 448-3490 OSCEOLA Sibley Park Pharmacy 804 6Th St Sibley,IA 51249 (712) 754-3859 PALO ALTO Emmetsburg Hughes Pharmacy 2216 Main St Emmetsburg,IA 50536 (712) 852-2886 POLK Altoona Lutz Long Term Care Pharmacy 120 8Th St SE Ste B Altoona,IA 50009 (515) 967-4213 Medicap Pharmacy #8240 325 8Th St Altoona,IA 50009 (515) 957-0001 Ankeny Medicap Pharmacy #8015 107 NE Delaware Ave Ankeny,IA 50021 (515) 964-8550 Mercy North Pharmacy 800 E 1St St Ste 1800 Ankeny,IA 50021 (515) 643-7590 Merwin Ltc Pharmacy 1555 SE Delaware Ave Ste R Ankeny,IA 50021 (515) 963-1640 Des Moines Medicap Pharmacy 3825 SW 9Th St Des Moines,IA 50315 (515) 283-1754 Medicap Pharmacy #8011 2527 Easton Blvd Des Moines,IA 50317 (515) 266-2694 Medicap Pharmacy 8052 1300 E 14Th St Des Moines,IA 50316 (515) 263-1782 Mercy Out Patient Pharmacy 1111 6Th Ave Des Moines,IA 50314 (515) 643-4429 Mercy Specialty Care Phcy 1750 48Th St Ste 4 Des Moines,IA 50310 (515) 271-6466 Ward East Side Pharmacy 2501 E Walnut St Des Moines,IA 50317 (515) 262-5615 Grimes Medicap Pharmacy #8318 250 Gateway Dr Grimes,IA 50111 (515) 986-0101 Johnston Sun Pharmacy 6105 Merle Hay Rd Johnston,IA 50131 (515) 278-5503 Urbandale Economed of Ia 11302 Aurora Ave Urbandale,IA 50322 (000) 000-0000 Iowa Care Systems 11130 Aurora Ave Urbandale,IA 50322 (515) 276-1660 Kindred Pharmacy Services 2901 99Th St Urbandale,IA 50322 (515) 331-7756 Nucara Pharmacy #17 3994 NW Urbandale Dr Urbandale,IA 50322 (515) 278-0117 IA Retail Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 75 IOWA

IA SCOTT Bettendorf Main At Locust Phcy Inc 2151 Kimberly Rd Bettendorf,IA 52722 (563) 324-1641 STORY Ames Iowa State University Rm 1042 Student Hlthcntr Ames,IA 50011 (515) 294-7983 WARREN Indianola Medicap Pharmacy 208 E Euclio Ave Indianola,IA 50125 (515) 961-5303 Friendship Haven Phcy S Kenyon Road Fort Dodge,IA 50501 (515) 573-6015 WINNESHIEK Decorah Main Healthcare Services 2151 Kimberly Rd Bettendorf,IA 52722 (563) 324-5004 Davenport Medicap Pharmacy #8003 105 Lincoln Way Ames,IA 50010 (515) 232-1653 Nevada Medicap Pharmacy #8405 404 E Euclid Ave Indianola,IA 50125 (515) 962-9399 WASHINGTON Donlon Snyder Drug 201 W Water St Decorah,IA 52101 (563) 382-2626 WOODBURY Retail Pharmacies Community Hlth Care Inc 500 W River Dr Davenport,IA 52801 (563) 336-3041 First Med Pharmacy 1227 E Rusholme St Davenport,IA 52803 (563) 421-6366 Hematology Medical Oncology Cons 1351 W Central Park Ave Davenport,IA 52804 (563) 421-1960 The Medicine Shoppe #9900 3002 Brady St Davenport,IA 52803 (563) 322-5973 Eldridge North Scott Pharmacy 225 E Le Claire Rd Eldridge,IA 52748 (563) 285-2001 Le Claire Schwenke Pharmacy 126 S Cody Rd Le Claire,IA 52753 (563) 289-5656 Parkview Pharmacy 1727 S B Ave Nevada,IA 50201 (515) 382-2134 Story City Advocare Pharmacy #2 621 Broad St Ste 100 Story City,IA 50248 (515) 733-2252 UNION Creston Crest Pharmacy Inc 1610 W Townline St Ste 105 Creston,IA 50801 (641) 782-3906 WAPELLO Ottumwa South Side Drug 337 Church St Ottumwa,IA 52501 (641) 682-3467 West End Drug Inc 105 W Main St Ste 102 Ottumwa,IA 52501 (641) 684-5453 Washington Beans Pharmacy 222 S Iowa Ave Washington,IA 52353 (319) 653-4646 WAYNE Bellevue Bellvue Pharmacy 115 State St Bellevue,IA 52031 (563) 872-4259 Corydon Nessen Pharmacy 104 S Franklin St Corydon,IA 50060 (641) 872-2512 WEBSTER Dayton Family Pharmacy 21 S Main Street Dayton,IA 50530 (515) 547-2384 Fort Dodge Community Health Center of Ft Do 126 N 10Th St Fort Dodge,IA 50501 (515) 576-6500 Anthon Mills Pharmacy 120 E Main Anthon,IA 51004 (712) 373-5256 Moville Moville Pharmacy 216 E Main St Moville,IA 51039 (712) 873-3401 Sergeant Bluff Sergeant Bluff Pharmacy 110 Gaul Dr Ste A Sergeant Bluff,IA 51054 (712) 943-1494 Sioux City Drilling Health Mart 4010 Morningside Ave Sioux City,IA 51106 (712) 276-4621 Siouxland Community Hlth 1021 Nebraska St Sioux City,IA 51105 (712) 252-2477 Valumed Pharmacy 224 4Th St Ste 100 Sioux City,IA 51101 (712) 224-4040 76 This pharmacy does not offer extended supplies of maintenance medications. IOWA

WORTH Northwood Verhelst Drug Center 98 10Th St N Northwood,IA 50459 (641) 324-2116 WRIGHT Clarion Clarion Pharmacy 210 N Main St Clarion,IA 50525 (515) 532-6626 IA Retail Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 77 10 IOWA

Chain Pharmacies IOWA 11

ADAIR IOWA Greenfield Pamida Pharmacy #885 202 SW Kent St Greenfield,IA 50849 (641) 743-2201 ALLAMAKEE Waukon Pamida Pharmacy #364 819 11Th Ave SW Waukon,IA 52172 (563) 568-3668 APPANOOSE Centerville Hy-Vee Pharmacy #1058 609 N 18Th St Centerville,IA 52544 (641) 856-3832 Medicap Pharmacy #41 414 N 18Th St Centerville,IA 52544 (641) 437-4357 Wal*Mart #10-1621 1101 N 18Th St Centerville,IA 52544 (641) 437-7185 AUDUBON Audubon Medicap Pharmacy #0051 316 Broadway St Audubon,IA 50025 (712) 563-2655 Pamida Pharmacy #876 109 N Market St Audubon,IA 50025 (712) 563-3302 BLACK HAWK Cedar Falls CVS Pharmacy # 8538 2302 W 1St St Cedar Falls,IA 50613 (319) 277-5181 Hy-Vee Pharmacy #1052 6301 University Ave Cedar Falls,IA 50613 (319) 266-9874 Medicap Pharmacy #259 1804 Waterloo Rd Cedar Falls,IA 50613 (319) 277-1829 Wal*Mart Phcy #10-0753 525 Brandilynn Blvd Cedar Falls,IA 50613 (319) 277-7793 Walgreens #10557 2509 White Tail Dr Cedar Falls,IA 50613 (319) 553-0206 Waterloo CVS Pharmacy # 8544 2060 Crossroads Blvd Waterloo,IA 50702 (319) 235-6249 CVS Pharmacy # 8546 2068 Logan Ave Waterloo,IA 50703 (319) 234-4736 Hy-Vee Pharmacy #2 (1863) 2181 Logan Ave Waterloo,IA 50703 (319) 232-6366 Hy-Vee Pharmacy #3 (1866) 1422 Flammang Dr Waterloo,IA 50702 (319) 234-1774 Hy-Vee Pharmacy #4 (1869) 4000 University Ave Waterloo,IA 50701 (319) 236-1786 K Mart #4158 3810 University Ave Waterloo,IA 50701 (319) 234-1507 Target #T-1792 1501 E San Marnan Dr Waterloo,IA 50702 (319) 226-6761 Wal*Mart #10-1496 1334 Flammang Dr Waterloo,IA 50702 (319) 232-3514 Walgreens #03590 3910 University Ave Waterloo,IA 50701 (319) 236-9927 Walgreens #07455 111 W Ridgeway Ave Waterloo,IA 50701 (319) 433-0490 BOONE Boone Hy-Vee Pharmacy #1038 1111 8Th St Boone,IA 50036 (515) 432-1304 Medicap Pharmacy #0207 403 Story St Boone,IA 50036 (515) 432-2311 Wal*Mart #10-1389 1815 S Story St Boone,IA 50036 (515) 432-3484 Walgreens #11193 310 Story St Boone,IA 50036 (515) 432-4093 Madrid Medicap Pharmacy #350 411 Annex Rd Madrid,IA 50156 (515) 795-4252 BREMER Waverly Hy-Vee Pharmacy #1872 1311 4Th St SW Waverly,IA 50677 (319) 352-2021 Wal*Mart #10-1005 1201 4Th St SW Waverly,IA 50677 (319) 352-2735 BUCHANAN Independence Wal*Mart #10-0750 111 20Th Ave SW Independence,IA 50644 (319) 334-7131 BUENA VISTA Storm Lake Hy-Vee Bedels Phcy #1634 409 W 5Th St Storm Lake,IA 50588 (712) 732-4819 Hy-Vee Clinic Pharmacy #1634 606 Lake Ave Storm Lake,IA 50588 (712) 732-5067 Hy-Vee Pharmacy #1634 1250 N Lake Ave Storm Lake,IA 50588 (712) 732-1364 Medicap Pharmacy #0018 435 Lake Ave Storm Lake,IA 50588 (712) 732-3737 Wal*Mart #10-1526 1280 Lake Ave Storm Lake,IA 50588 (712) 732-7960 IA Chain Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 12 IOWA 599

IA Chain Pharmacies Walgreens #11330 800 Lake Ave Storm Lake,IA 50588 (712) 732-0005 CALHOUN Manson Medicap Pharmacy #0229 2224 10Th Ave Manson,IA 50563 (712) 469-2214 CARROLL Carroll Hy-Vee Pharmacy #1051 905 US Highway 30 W Carroll,IA 51401 (712) 792-9093 K Mart #3585 715 US Highway 30 W Carroll,IA 51401 (712) 792-5835 Medicap Pharmacy #0025 203 E 6Th St Carroll,IA 51401 (712) 792-2402 Wal*Mart #10-1787 425 US Highway 30 W Carroll,IA 51401 (712) 792-3033 Walgreens #10770 105 E 6Th St Carroll,IA 51401 (712) 792-4566 CASS Atlantic Hy-Vee Pharmacy #1026 1630 E 7Th St Atlantic,IA 50022 (712) 243-2240 Pamida Pharmacy #216 1101 Sunnyside Ln Atlantic,IA 50022 (712) 243-4188 Wal*Mart Pharmacy #10-3394 1905 E 7Th St Atlantic,IA 50022 (712) 243-9223 CEDAR Lowden Lowden Family Med Clinic 305 McKinley Ave Lowden,IA 52255 (563) 941-5361 Tipton Wal*Mart #10-0841 1126 Highway 38 Tipton,IA 52772 (563) 886-2117 CERRO GORDO Clear Lake Econofoods Pharmacy #511 20 S 4Th St Clear Lake,IA 50428 (641) 357-2169 Thrifty White Drug #64 2 N 4Th St Clear Lake,IA 50428 (641) 357-5271 Mason City Drug Town #7056 461 S Illinois Ave Mason City,IA 50401 (641) 424-5522 Hy-Vee Pharmacy #1 (1410) 2400 4Th St SW Mason City,IA 50401 (641) 423-8062 K Mart #4485 2006 4Th St SW Mason City,IA 50401 (641) 423-5178 Shopko Pharmacy #2052 615 S Monroe Ave Mason City,IA 50401 (641) 424-4302 Target #T-0804 3450 4Th St SW Mason City,IA 50401 (641) 423-1325 Wal*Mart #10-0810 2560 4Th St SW Mason City,IA 50401 (641) 423-3494 Walgreens #05941 1251 4Th St SW Mason City,IA 50401 (641) 423-2035 CHEROKEE Cherokee Drug Town #7028 218 E Main St Cherokee,IA 51012 (712) 225-5783 Hy-Vee Pharmacy #1068 800 N 2Nd St Cherokee,IA 51012 (712) 225-6121 Marcus Drug Town Clinic (7028-1) 321 Main Marcus,IA 51035 (712) 376-2844 CHICKASAW New Hampton Pamida Pharmacy #152 660 W Milwaukee St New Hampton,IA 50659 (641) 394-6404 CLARKE Osceola Medicap Pharmacy #0024 214 S Main St Osceola,IA 50213 (641) 342-6557 Pamida Pharmacy #295 1012 Jeffreys Dr Osceola,IA 50213 (641) 342-2014 Wal*Mart Phcy #10-4606 2400 College Dr Osceola,IA 50213 (641) 342-1662 CLAY Spencer Hy-Vee Pharmacy #1636 1014 11Th Ave SW Spencer,IA 51301 (712) 262-2443 Wal*Mart Phcy #10-2714 500 11Th St SW Spencer,IA 51301 (712) 262-5011 Walgreens #11194 801 Grand Ave Spencer,IA 51301 (712) 262-0231 White Drug #0042 400 S Grand Ave Spencer,IA 51301 (712) 262-1523 CLINTON Clinton Hy-Vee Pharmacy #1075 901 S 4Th St Clinton,IA 52732 (563) 243-6063 Osco Pharmacy #3118 1309 N 2Nd St Clinton,IA 52732 (563) 243-6641 Wal*Mart Phcy #10-2889 2715 S 25Th St Clinton,IA 52732 (563) 243-0600 600 This pharmacy does not offer extended supplies of maintenance medications. IOWA 13

Walgreens #05119 806 S 4Th St Clinton,IA 52732 (563) 242-8011 Walgreens #05144 1905 N 2Nd St Clinton,IA 52732 (563) 243-2247 CRAWFORD Denison Hy-Vee Pharmacy #1124 1426 Broadway Denison,IA 51442 (712) 263-6161 Thrifty White Drug #56 1320 Broadway Denison,IA 51442 (712) 263-4646 Wal*Mart #10-1732 404 Arrowhead Dr Denison,IA 51442 (712) 263-2012 DALLAS Dallas Center Medicap Pharmacy #269 504 14Th St Dallas Center,IA 50063 (515) 992-3784 Des Moines Wal*Mart Phcy #10-3762 6365 Stagecoach Dr Des Moines,IA 50266 (515) 453-2760 Perry Hy-Vee Pharmacy #1522 1215 14Th St Perry,IA 50220 (515) 465-3543 Medicap Pharmacy #0029 605 S 1St St Perry,IA 50220 (515) 465-3391 Pamida Pharmacy #379 1305 141St St Perry,IA 50220 (515) 465-5484 West Des Moines Hy-Vee Pharmacy #3 (1889) 1725 74Th St West Des Moines,IA 50266 (515) 226-8921 DAVIS Bloomfield Hy-Vee Pharmacy Clinic #1504 301 W Jefferson St Bloomfield,IA 52537 (641) 664-2975 DELAWARE Manchester Wal*Mart #10-1506 1220 W Main St Manchester,IA 52057 (563) 927-4988 DES MOINES Burlington Hy-Vee Pharmacy #1 (1042) 939 Angular St Burlington,IA 52601 (319) 753-0111 Hy-Vee Pharmacy #2 (1044) 3150 Agency St Burlington,IA 52601 (319) 752-2773 K Mart #7002 3200 Agency St Burlington,IA 52601 (319) 753-6515 Shopko Pharmacy #2141 313 N Roosevelt Ave Burlington,IA 52601 (319) 758-9526 Wal*Mart #10-0797 3320 Agency St Burlington,IA 52601 (319) 753-2269 Walgreens #01649 626 S 9Th St Burlington,IA 52601 (319) 753-1639 Walgreens #05044 3245 Agency St Burlington,IA 52601 (319) 753-5129 DICKINSON Milford Hy-Vee Pharmacy #1628 1012 Okoboji Ave Milford,IA 51351 (712) 338-4865 Spirit Lake Hy-Vee Pharmacy #1628 1500 18Th St Spirit Lake,IA 51360 (712) 336-4551 Lewis Family Drug #54 2308 17Th St Spirit Lake,IA 51360 (712) 336-4731 Wal*Mart #10-1415 2600 Highway 71 Spirit Lake,IA 51360 (712) 336-1756 DUBUQUE Dubuque Econofoods Pharmacy #471 3355 Jfk Rd Dubuque,IA 52002 (563) 582-1724 Hartig Nursing Home Svcs 2216 Woodland Dr Dubuque,IA 52002 (563) 588-8709 Hy-Vee Pharmacy #1 (1159) 3500 Dodge St Dubuque,IA 52003 (563) 583-3858 Hy-Vee Pharmacy #2 (1160) 4800 Asbury Rd Dubuque,IA 52002 (563) 583-3436 Hy-Vee Pharmacy #3 (1162) 400 S Locust St Dubuque,IA 52003 (563) 582-1143 K Mart #4018 2600 Dodge St Dubuque,IA 52003 (563) 588-9097 Shopko Pharmacy #2164 255 John F Kennedy Rd Dubuque,IA 52002 (563) 583-5808 Target #T-0086 3500 Dodge St Dubuque,IA 52003 (563) 557-9800 Wal*Mart #10-2004 4200 Dodge St Dubuque,IA 52003 (563) 582-1519 Wal*Mart Phcy #10-4973 4400 Asbury Rd Dubuque,IA 52001 (563) 587-0586 Walgreens #06154 2660 John F Kennedy Rd Dubuque,IA 52002 (563) 582-1659 Walgreens #09708 55 John F Kennedy Rd Dubuque,IA 52002 (563) 556-3705 IA Chain Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 601 14 IOWA

IA Chain Pharmacies EMMET Estherville Hy-Vee Pharmacy #1170 2620 Central Ave Estherville,IA 51334 (712) 362-5551 FAYETTE Oelwein Medicap Pharmacy #0016 443 S Frederick Ave Oelwein,IA 50662 (319) 283-2028 FLOYD Charles City Drug Town #7027 122 Cedar Mall Charles City,IA 50616 (641) 228-1222 K Mart #7767 1405 S Grand Ave Charles City,IA 50616 (641) 228-7940 GREENE Jefferson Drug Town #7045 100 N Wilson St Jefferson,IA 50129 (515) 386-4152 Medicap Pharmacy #12 400 N Elm St Jefferson,IA 50129 (515) 386-2164 GUTHRIE Panora Medicap Pharmacy #0211 615 E Main St Panora,IA 50216 (641) 755-2312 HAMILTON Webster City Hy-Vee Pharmacy #1875 832 2Nd St Webster City,IA 50595 (515) 832-4025 Thrifty White Drug #49 909 Willson Ave Webster City,IA 50595 (515) 832-4137 HARDIN Eldora Medicap Pharmacy #95 1602 Edgington Ave Eldora,IA 50627 (641) 858-3567 Iowa Falls Hy-Vee Pharmacy #1295 632 S Oak River Hills Iowa Falls,IA 50126 (641) 648-4255 Medicap Pharmacy #325 516 S Oak St Iowa Falls,IA 50126 (641) 648-4263 Wal*Mart #10-1546 840 S Oak St Iowa Falls,IA 50126 (641) 648-5109 HARRISON Missouri Valley Pamida Pharmacy #888 413 W Huron St Missouri Valley,IA 51555 (712) 642-2716 HENRY Mount Pleasant Hy-Vee Pharmacy #1433 1400 E Washington St Mount Pleasant,IA 52641 (319) 986-6979 Hy-Vee Pharmacy #1433 501 S White St Mount Pleasant,IA 52641 (319) 385-6745 Wal*Mart #10-0784 US 218 & Maple Leaf Dr Mount Pleasant,IA 52641 (319) 385-8600 Mt Pleasant Drug Town #7057 129 S Jefferson St Mt Pleasant,IA 52641 (319) 385-3163 Medicap Pharmacy #0022 300 W Washington St Mt Pleasant,IA 52641 (319) 986-5151 HOWARD Cresco Medicap Pharmacy #0065 303 2Nd Ave SW Cresco,IA 52136 (563) 547-5111 HUMBOLDT Humboldt Hy-Vee Pharmacy #1247 601 10Th Ave N Humboldt,IA 50548 (515) 332-5083 IDA Ida Grove Lewis Family Drug #55 201 Oak Grove Dr Ida Grove,IA 51445 (712) 364-2120 JACKSON Maquoketa Wal*Mart #10-1509 Highway 64 W Maquoketa,IA 52060 (563) 652-6733 JASPER Newton Drug Town #7058 1207 1St Ave E Newton,IA 50208 (641) 792-5084 Hy-Vee Pharmacy #1449 1501 1St Ave E Newton,IA 50208 (641) 792-6100 Wal*Mart #10-0748 300 E 31St St S Newton,IA 50208 (641) 792-9237 Walgreens #05942 1202 1St Ave E Newton,IA 50208 (641) 792-7379 JEFFERSON Fairfield Drug Town #7034 507 W Burlington Ave Fairfield,IA 52556 (641) 472-3542 Hy-Vee Drugstore Clinic #7034 50 N Main St Fairfield,IA 52556 (641) 472-2122 Wal*Mart #10-0985 1800 W Burlington Ave Fairfield,IA 52556 (641) 472-6199 JOHNSON Coralville Hy-Vee Pharmacy #1080 2000 8Th St Coralville,IA 52241 (319) 351-3880 602 This pharmacy does not offer extended supplies of maintenance medications. IOWA 15

Wal*Mart Phcy #10-2827 2801 Commerce Dr Coralville,IA 52241 (319) 545-6412 Walgreens #05977 102 2Nd St Coralville,IA 52241 (319) 341-6153 Walgreens #10985 2751 Heartland Dr Coralville,IA 52241 (319) 545-4600 Iowa City Accredo Therapeutics Inc 2415 Heinz Rd Iowa City,IA 52240 (319) 354-7844 CVS Pharmacy # 8539 201 S Clinton St Iowa City,IA 52240 (319) 358-6462 CVS Pharmacy # 8547 2425 Muscatine Ave Iowa City,IA 52240 (319) 358-1056 Drug Town #7042 310 N 1St Ave Iowa City,IA 52245 (319) 351-2921 Hy-Vee Pharmacy #1 (1281) 1720 Waterfront Dr Iowa City,IA 52240 (319) 354-7121 Hy-Vee Pharmacy #2 (1285) 812 S 1St Ave Iowa City,IA 52245 (319) 337-4279 Hy-Vee Pharmacy #3 (1288) 1201 N Dodge St Iowa City,IA 52245 (319) 337-6310 K Mart #4315 901 Hollywood Blvd Iowa City,IA 52240 (319) 351-1768 Wal*Mart #10-1721 1001 Highway 1 W Iowa City,IA 52246 (319) 337-8862 Walgreens #05077 2214 Muscatine Ave Iowa City,IA 52240 (319) 354-2670 Lone Tree Lone Tree Fmly Practice C 109 W Jayne St Lone Tree,IA 52755 (319) 629-4214 JONES Anamosa Wal*Mart #10-0646 102 Chamber Dr Anamosa,IA 52205 (319) 462-4314 KOSSUTH Algona Hy-Vee Pharmacy #1010 1500 US Highway 169 N Algona,IA 50511 (515) 295-9238 K Mart #9220 1501 US Highway 169 N Algona,IA 50511 (515) 295-7704 LEE Fort Madison Hy-Vee Pharmacy #1202 2606 Avenue L Fort Madison,IA 52627 (319) 372-9396 Shopko Pharmacy #2142 4810 Avenue O Fort Madison,IA 52627 (319) 372-8629 Keokuk Hy-Vee Pharmacy #1324 3111 Main St Keokuk,IA 52632 (319) 524-9535 Wal*Mart #10-1431 3476 Main St Keokuk,IA 52632 (319) 524-4071 Walgreens #05886 1215 Main St Keokuk,IA 52632 (319) 524-0145 LINN Cedar Rapids CVS Pharmacy # 8526 4116 Center Point Rd NE Cedar Rapids,IA 52402 (319) 393-7480 CVS Pharmacy # 8532 2711 Mount Vernon Rd SE Cedar Rapids,IA 52403 (319) 364-3051 Drug Town #7019 405 Boyson Rd NE Cedar Rapids,IA 52402 (319) 294-8095 Drug Town #7020 24 Wilson Ave SW Cedar Rapids,IA 52404 (319) 363-0219 Drug Town #7022 1440 32Nd St NE Cedar Rapids,IA 52402 (319) 363-3587 Drug Town #7024 2405 Mount Vernon Rd SE Cedar Rapids,IA 52403 (319) 365-7579 Drug Town #7025 4825 Johnson Ave NW Cedar Rapids,IA 52405 (319) 396-7419 Drug Town #7026 1943 Blairs Ferry Rd NE Cedar Rapids,IA 52402 (319) 393-0561 Hy-Vee Pharmacy #1 (1054) 1843 Johnson Ave NW Cedar Rapids,IA 52405 (319) 365-5298 Hy-Vee Pharmacy #2 (1055) 279 Collins Rd NE Cedar Rapids,IA 52402 (319) 393-4480 Hy-Vee Pharmacy #3 (1056) 20 Wilson Ave SW Cedar Rapids,IA 52404 (319) 362-3649 Hy-Vee Pharmacy #4 (1060) 1556 1St Ave NE Cedar Rapids,IA 52402 (319) 366-2239 Hy-Vee Pharmacy #6 (1063) 4035 Mount Vernon Rd SE Cedar Rapids,IA 52403 (319) 362-7900 Hy-Vee Pharmacy #7 (1064) 5050 Edgewood Rd NE Cedar Rapids,IA 52411 (319) 294-9193 K Mart #4289 180 Collins Rd NE Cedar Rapids,IA 52402 (319) 377-3338 K Mart #4314 2727 16Th Ave SW Cedar Rapids,IA 52404 (319) 366-7815 Medicap Pharmacy #0006 1551 1St Ave SE Cedar Rapids,IA 52402 (319) 366-8351 Pharmacy Care Associates 5801 16Th Ave SW Cedar Rapids,IA 52404 (319) 390-6348 IA Chain Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 603 16 IOWA

IA Chain Pharmacies Sam's Pharmacy #10-8162 2605 Blairs Ferry Rd NE Cedar Rapids,IA 52402 (319) 294-9461 Target #T-1768 1030 Blairs Ferry Rd NE Cedar Rapids,IA 52402 (319) 393-4348 Target #T-1771 3400 Edgewood Rd SW Cedar Rapids,IA 52404 (319) 396-4777 Wal*Mart #10-1528 2645 Blairs Ferry Rd NE Cedar Rapids,IA 52402 (319) 393-2110 Wal*Mart Phcy #10-2716 3601 29Th Ave SW Cedar Rapids,IA 52404 (319) 390-9925 Walgreens #03875 2821 1St Ave SE Cedar Rapids,IA 52402 (319) 365-6306 Walgreens #05042 3325 16Th Ave SW Cedar Rapids,IA 52404 (319) 221-1498 Marion Drug Town #7050 2790 7Th Ave Marion,IA 52302 (319) 377-0959 Hy-Vee Pharmacy #1396 3600 Business Hwy 151 Marion,IA 52302 (319) 377-7216 Wal*Mart Phcy #10-3630 5491 Business Hwy 51 Marion,IA 52302 (319) 447-2870 Walgreens #03876 1225 7Th Ave Marion,IA 52302 (319) 373-5415 LOUISA Columbus Junction Drug Town Clinic Phcy #2 1091/2 Walnut St Columbus Junction,IA 52738 (319) 728-3144 Wapello Drug Town Clinic #17060-3 312 N 2Nd St Wapello,IA 52653 (319) 523-3784 LUCAS Chariton Hy-Vee Pharmacy #1065 2001 Court Ave Chariton,IA 50049 (641) 774-2111 Pamida Pharmacy #85 1901 Court Ave Chariton,IA 50049 (641) 774-5505 LYON Rock Rapids Lewis Family Drug #61 106 N Boone St Rock Rapids,IA 51246 (712) 472-4044 Lewis Family Drug #62 305 S 3Rd Ave Rock Rapids,IA 51246 (712) 472-4220 MADISON Winterset Medicap Pharmacy #0057 904 N John Wayne Dr Winterset,IA 50273 (515) 462-2880 Pamida #355 402 E Highway 92 Winterset,IA 50273 (515) 462-2192 MAHASKA Oskaloosa Hy-Vee Pharmacy #1481 110 S D St Oskaloosa,IA 52577 (641) 673-0259 Medicap Pharmacy #0058 504 A Ave W Oskaloosa,IA 52577 (641) 673-8486 Wal*Mart #10-1393 1714 3Rd Ave E Oskaloosa,IA 52577 (641) 673-6811 MARION Knoxville Hy-Vee Pharmacy #1353 809 W Rock Island St Knoxville,IA 50138 (641) 842-2512 Medicap Pharmacy #0043 901 W Pleasant St Knoxville,IA 50138 (641) 828-7312 Wal*Mart Phcy #10-2935 814 W Bell Ave Knoxville,IA 50138 (641) 828-6183 Pella Hy-Vee Pharmacy #1516 118 SE 9Th St Pella,IA 50219 (641) 628-1280 Pella Regional Health Ctr 404 Jefferson St Pella,IA 50219 (952) 653-2528 Wal*Mart #10-0751 Highway 163 & 9Th St Pella,IA 50219 (641) 628-9227 Pleasantville Pleasantville Clinic 104 N Washington St Pleasantville,IA 50225 (952) 653-2568 MARSHALL Marshalltown Drug Town #7055 1706 S Center St Marshalltown,IA 50158 (641) 752-4685 Drug Town Clinic #7055 303 Nicholas Dr Marshalltown,IA 50158 (641) 752-4712 Hy-Vee Pharmacy #1403 802 S Center St Marshalltown,IA 50158 (641) 752-2266 K Mart #7583 1720 S Center St Marshalltown,IA 50158 (641) 753-0957 Wal*Mart #10-0581 2802 S Center St Marshalltown,IA 50158 (641) 753-3204 Walgreens #03196 5 E Anson St Marshalltown,IA 50158 (641) 752-7181 MILLS Glenwood Medical Partners of Glenwood 1203 S Locust St Glenwood,IA 51534 (952) 653-2528 604 This pharmacy does not offer extended supplies of maintenance medications. IOWA 17

Pamida Pharmacy #884 902 S Locust St Glenwood,IA 51534 (712) 527-9200 MITCHELL Osage Pamida Pharmacy #661 635 Main St Osage,IA 50461 (641) 732-4218 MONONA Onawa Pamida Pharmacy #130 2220 Hwy 175 W Onawa,IA 51040 (712) 423-9648 MONROE Albia Garwood Healthmarket 301 Highway 34 W Albia,IA 52531 (641) 932-2188 Pamida Pharmacy #377 401 Highway 34 W Albia,IA 52531 (641) 932-3357 MONTGOMERY Red Oak Hy-Vee Pharmacy #1544 1605 N Broadway St Red Oak,IA 51566 (712) 623-3370 MUSCATINE Muscatine Drug Town #7060 413 Mulberry Ave Muscatine,IA 52761 (563) 263-1852 Drug Town Clinic #7060 1514 Mulberry Ave Muscatine,IA 52761 (563) 263-2855 Hy-Vee Pharmacy #1437 2400 2Nd Ave Muscatine,IA 52761 (563) 264-5810 Wal*Mart #10-0559 3003 N Highway 61 Muscatine,IA 52761 (563) 262-3755 Walgreens #00676 U S Highway 38 & 61 Muscatine,IA 52761 (563) 263-2724 O'BRIEN Sheldon Lewis Family Drug #52 411 Park St Sheldon,IA 51201 (712) 324-4331 Pamida #335 1501 Park St Sheldon,IA 51201 (712) 324-3552 PAGE Clarinda Medicap Pharmacy #0047 201 S 16Th St Clarinda,IA 51632 (712) 542-6546 Shenandoah Hy-Vee Pharmacy #1612 1208 W Nishna Rd Shenandoah,IA 51601 (712) 246-3440 Wal*Mart #10-1683 423 S Fremont St Shenandoah,IA 51601 (712) 246-4033 PLYMOUTH Le Mars Hy-Vee Pharmacy #1382 1201 12Th Ave SW Le Mars,IA 51031 (712) 548-4503 Hy-Vee Rx 44 1St Ave NE Le Mars,IA 51031 (712) 546-4560 Wal*Mart #10-1625 345 5Th Ave NW Le Mars,IA 51031 (712) 546-5150 POCAHONTAS Laurens Hy-Vee Resslers Clinic #1634 113 N 3Rd St Laurens,IA 50554 (712) 841-4374 POLK Altoona Hy-Vee Pharmacy #1011 100 8Th St SW Altoona,IA 50009 (515) 967-1479 Target #T-1939 3414 8Th St SW Altoona,IA 50009 (515) 967-1885 Wal*Mart Phcy #10-2764 3501 8Th St SW Altoona,IA 50009 (515) 967-1794 Walgreens #09791 101 8Th St SE Altoona,IA 50009 (870) 424-3814 Ankeny Drug Town #7008 849 S Ankeny Blvd Ankeny,IA 50021 (515) 964-0656 Hy-Vee Pharmacy #1022 410 N Ankeny Blvd Ankeny,IA 50021 (515) 964-9464 Target #T-1767 2135 SE Delaware Ave Ankeny,IA 50021 (515) 964-7000 Wal*Mart #10-0892 1002 SE National Dr Ankeny,IA 50021 (515) 964-3992 Walgreens #007996 2702 SE Delaware Ave Ankeny,IA 50021 (515) 473-6069 Walgreens #02143 713 N Ankeny Blvd Ankeny,IA 50021 (515) 964-3952 Clive K Mart #3447 10331 University Ave Clive,IA 50325 (515) 225-2694 Walgreens #05060 12753 University Ave Clive,IA 50325 (515) 226-1786 Walgreens #07967 15601 Hickman Rd Clive,IA 50325 (515) 987-6807 Des Moines Care Center Phcy #03829 711 High St Bldg 13 Des Moines,IA 50309 (515) 244-8100 IA Chain Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 605 18 IOWA

IA Drug Town #7031 4100 University Ave Des Moines,IA 50311 (575) 633-8606 Wal*Mart #10-1723 5101 SE 14Th St Des Moines,IA 50320 (515) 287-7748 Walgreens #07833 3501 Ingersoll Ave Des Moines,IA 50312 (515) 271-5047 NCS Healthcare of Ia Inc 4131 109Th St Urbandale,IA 50322 (515) 727-8090 Hy-Vee Pharmacy #1 (1136) 3330 Martin L King Pkwy Des Moines,IA 50310 (515) 255-6213 Wal*Mart #10-1764 1001 73Rd St Des Moines,IA 50311 (515) 274-6359 Walgreens #07968 620 SE 14Th Des Moines,IA 50320 (515) 309-5468 Target #T-1791 11148 Plum Dr Urbandale,IA 50322 (515) 270-6884 Chain Pharmacies Hy-Vee Pharmacy #2 (1138) 2540 E Euclid Ave Des Moines,IA 50317 (515) 262-2108 Hy-Vee Pharmacy #3 (1142) 3221 SE 14Th St Des Moines,IA 50320 (515) 243-7271 Hy-Vee Pharmacy #4 (1148) 4707 Fleur Dr Des Moines,IA 50321 (515) 285-7133 Hy-Vee Pharmacy #5 (1151) 1107 SE Army Post Rd Des Moines,IA 50315 (515) 287-1022 K Mart #4160 2535 Hubbell Avrnue Des Moines,IA 50317 (515) 262-9578 Medicap Pharmacy #0010 5802 Franklin Ave Des Moines,IA 50322 (515) 274-4609 Medicap Pharmacy #347 2804 Beaver Ave Des Moines,IA 50310 (515) 277-3702 Sams Pharmacy #10-6344 1101 73Rd St Des Moines,IA 50311 (515) 274-9676 Target #T-2041 5901 Douglas Ave Des Moines,IA 50322 (515) 331-0599 Walgreens #03252 606 Walnut St Des Moines,IA 50309 (515) 283-2591 Walgreens #04714 4555 Fleur Dr Des Moines,IA 50321 (515) 287-5575 Walgreens #04973 7000 Douglas Ave Des Moines,IA 50322 (515) 276-4903 Walgreens #05362 1330 E University Ave Des Moines,IA 50316 (515) 299-9791 Walgreens #05721 3140 SE 14Th St Des Moines,IA 50320 (515) 282-5295 Walgreens #05777 2930 E University Ave Des Moines,IA 50317 (515) 299-5186 Walgreens #05852 3020 E University Ave Des Moines,IA 50317 (515) 279-3004 Walgreens #07452 4415 Douglas Ave # P Des Moines,IA 50310 (515) 279-4739 Walgreens #07453 104 E Euclid Ave Des Moines,IA 50313 (515) 243-0601 Walgreens #54359 2545 E Euclid Ave Des Moines,IA 50317 (515) 266-3174 Grimes Drug Town Clinic #7008 101 N Harvey St Grimes,IA 50111 (515) 986-4527 Johnston Hy-Vee Pharmacy #1318 5750 Merle Hay Rd Johnston,IA 50131 (515) 270-9212 Walgreens #05944 6200 Merle Hay Rd Johnston,IA 50131 (515) 331-0497 Pleasant Hill Hy-Vee Pharmacy #1530 4815 Maple Dr Pleasant Hill,IA 50327 (515) 265-6144 Urbandale Hy-Vee Pharmacy #1759 8601 Douglas Ave Urbandale,IA 50322 (515) 270-2225 K Mart #4156 7501 Hickman Rd Urbandale,IA 50322 (515) 270-2623 Medicap Pharmacy #0008 7641 Douglas Ave Urbandale,IA 50322 (515) 276-3471 Walgreens #03773 4600 86Th St Urbandale,IA 50322 (515) 252-7355 West Des Mines Walgreens #06677 4900 George Mills Civic P West Des Mines,IA 50265 (515) 223-8166 West Des Moines Costco Pharmacy #788 7205 Mills Civic Pkwy West Des Moines,IA 50266 (515) 222-2948 Drug Town #1 (7081) 125 35Th St West Des Moines,IA 50265 (515) 267-8066 Drugtown #2 (7082) 1010 60Th St West Des Moines,IA 50266 (515) 440-1481 Hy-Vee Pharmacy #1 (1887) 1700 35Th St West Des Moines,IA 50266 (515) 225-9330 Hy-Vee Pharmacy #2 (1888) 1990 Grand Ave West Des Moines,IA 50265 (515) 223-8506 Hy-Vee Pharmacy #4 (1890) 555 S 51St St West Des Moines,IA 50265 (515) 221-2751 606 This pharmacy does not offer extended supplies of maintenance medications. IOWA 19

Target #T-0069 1800 35Th St West Des Moines,IA 50266 (515) 225-3170 Target #T-1901 5405 Mills Civic Pkwy West Des Moines,IA 50266 (515) 223-3597 Walgreens #06623 1660 22Nd St West Des Moines,IA 50266 (515) 223-9699 Walgreens #06678 1999 Grand Ave West Des Moines,IA 50265 (515) 222-1546 Windsor Heights Hy-Vee Pharmacy #1895 7101 University Ave Windsor Heights,IA 50311 (515) 279-4408 POTTAWATTAMIE Council Bluff Sam's Pharmacy #10-6472 3221 Manawa Sentre Dr Council Bluff,IA 51501 (712) 366-7032 Council Bluffs Alegent Health Mercy Hospital 800 Mercy Dr Council Bluffs,IA 51503 (952) 653-2528 Drug Town #7029 1710 N 16Th St Council Bluffs,IA 51501 (712) 322-3111 Drug Town #7030 757 W Broadway Council Bluffs,IA 51501 (712) 328-3277 Drug Town #7030 1745 Madison Ave Council Bluffs,IA 51503 (712) 322-9222 K Mart #3097 2803 Highway 6 Council Bluffs,IA 51503 (712) 325-0987 Medicap Phcy #8075 2201 W Broadway Ste 8 Council Bluffs,IA 51501 (712) 325-8676 No Frills Phcy Express #1 1801 Valley View Dr Council Bluffs,IA 51503 (712) 322-6448 No Frills Phcy Express #3 1817 W Broadway Council Bluffs,IA 51501 (712) 322-5885 Wal*Mart #10-1965 3200 Manawa Centre Dr Council Bluffs,IA 51501 (712) 366-1315 Walgreens #03700 535 E Broadway Council Bluffs,IA 51503 (712) 329-0930 Walgreens #04405 2508 W Broadway Council Bluffs,IA 51501 (712) 328-2266 Walgreens #05306 301 W Bennett Ave Council Bluffs,IA 51503 (712) 325-0619 POWESHIEK Grinnell Hy-Vee Pharmacy #1235 320 West St S Grinnell,IA 50112 (641) 236-6584 Medicap Pharmacy #007 320 6Th Ave Grinnell,IA 50112 (641) 236-3663 Wal*Mart #10-0647 86 West St Grinnell,IA 50112 (641) 236-6333 RINGGOLD Mount Ayr Pamida Pharmacy #889 201 N Fillmore St Mount Ayr,IA 50854 (641) 464-4527 SCOTT Bettendorf CVS Pharmacy # 8633 2314 Spruce Hills Dr Bettendorf,IA 52722 (563) 359-0374 Hy-Vee Pharmacy #1037 2900 Devils Glen Rd Bettendorf,IA 52722 (563) 332-2983 Schnucks Pharmacy 858 Middle Rd Bettendorf,IA 52722 (563) 355-7838 Walgreens #05512 3425 Middle Rd Bettendorf,IA 52722 (563) 332-6049 Walgreens #06553 830 Middle Rd Bettendorf,IA 52722 (563) 355-5345 Davenport Coram Alternate Site Svcs 3513 Vine Ct Davenport,IA 52806 (563) 386-3220 CVS Pharmacy # 8658 1655 W Kimberly Rd Davenport,IA 52806 (563) 388-7856 CVS Pharmacy # 8659 1777 N Division St Davenport,IA 52804 (563) 323-1074 Hy-Vee Pharmacy #1 (1105) 3019 Rockingham Rd Davenport,IA 52802 (563) 322-7573 Hy-Vee Pharmacy #2 (1106) 2200 W Kimberly Rd Davenport,IA 52806 (563) 391-1543 Hy-Vee Pharmacy #3 (1107) 1823 E Kimberly Rd Davenport,IA 52807 (563) 359-5313 Hy-Vee Pharmacy #4 (1108) 4064 E 53Rd St Davenport,IA 52807 (563) 359-3120 Hy-Vee Pharmacy #5 (1109) 2351 W Locust St Davenport,IA 52804 (563) 324-3900 K Mart #3441 3616 W Kimberly Rd Davenport,IA 52806 (563) 386-3742 Kmart #9359 3808 N Brady St Davenport,IA 52806 (563) 391-8587 Omnicare of Quad Cities 2660 E 53Rd St Ste 1 Davenport,IA 52807 (563) 388-1887 Sam's Pharmacy #10-8238 3887 Elmore Ave Davenport,IA 52807 (563) 344-4232 IA Chain Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 607 20 IOWA

IA Target #T-0533 5255 Elmore Ave Davenport,IA 52807 (563) 344-9629 Wal*Mart Phcy #10-1241 5811 Elmore Ave Davenport,IA 52807 (563) 355-6923 SIOUX Rock Valley Lewis Family #69 1319 10Th St Rock Valley,IA 51247 (712) 476-5171 Sioux Center K Mart #3971 1405 Buckeye Ave Ames,IA 50010 (515) 232-8414 Target #T-1170 320 S Duff Ave Ames,IA 50010 (515) 663-9645 Medicap Pharmacy #0034 405 S Sumner Ave Creston,IA 50801 (641) 782-6558 Wal*Mart #10-1435 612 New York Ave Creston,IA 50801 (641) 782-6951 Chain Pharmacies Wal*Mart Phcy #10-5115 3101 West Kimberly Rd Davenport,IA 52806 (563) 445-1098 Walgreens #03595 1720 W Kimberly Rd Davenport,IA 52806 (563) 386-2070 Walgreens #04041 1525 E Kimberly Rd Davenport,IA 52807 (563) 386-6883 Walgreens #05239 1660 W Locust St Davenport,IA 52804 (563) 324-3508 Walgreens #06186 4011 E 53Rd St Davenport,IA 52807 (563) 359-3438 Walgreens #54332 1704 Brady St Davenport,IA 52803 (563) 322-5933 SHELBY Harlan Hy-Vee Pharmacy #1241 1808 23Rd St Harlan,IA 51537 (712) 755-2525 Pamida Pharmacy #261 2099 Chatburn Ave Harlan,IA 51537 (712) 755-1112 Hy-Vee Pharmacy #1622 1951 S Main Ave Sioux Center,IA 51250 (712) 722-3516 Lewis Family Drug #59 251 N Main Ave Ste 110 Sioux Center,IA 51250 (712) 722-2704 Wal*Mart #10-1152 1921 S Main Ave Sioux Center,IA 51250 (712) 722-2326 STORY Ames Drug Town #7007 500 Main St Ste A Ames,IA 50010 (515) 233-9858 Drug Town Clinic #7007 1215 Duff Ave Ames,IA 50010 (515) 232-7315 Hy-Vee Pharmacy #1 (1013) 3800 Lincoln Way Ames,IA 50014 (515) 292-8375 Hy-Vee Pharmacy #1013 3600 Lincoln Way Ames,IA 50014 (515) 296-1301 Hy-Vee Pharmacy #2 (1018) 640 Lincoln Way Ames,IA 50010 (515) 233-5645 Wal*Mart #10-0749 3015 Grand Ave Ames,IA 50010 (515) 233-1736 Wal*Mart Phcy #10-4256 534 S Duff Ave Ames,IA 50010 (505) 771-4877 Walgreens #02637 2501 Grand Ave Ames,IA 50010 (515) 232-8284 Huxley Hy-Vee Clinic Phcy #1022 303 S Hwy 69 Ste B Huxley,IA 50124 (515) 597-4100 TAMA Toledo Medicap Pharmacy #19 108 2Nd Ave W Toledo,IA 52342 (641) 484-6198 Pamida Pharmacy #174 1006 S County Rd Toledo,IA 52342 (641) 484-8801 UNION Creston Hy-Vee Pharmacy #1095 600 Sheldon St Creston,IA 50801 (641) 782-7023 WAPELLO Ottumwa Drug Town #7065 1140 N Jefferson St Ottumwa,IA 52501 (641) 684-5467 Econofoods Pharmacy #507 522 N Hancock St Ottumwa,IA 52501 (641) 682-6403 Hy-Vee Clinic Drugstore #7065 627 Pennsylvania Ave Ottumwa,IA 52501 (641) 684-6534 Hy-Vee Pharmacy #1 (1504) 1025 N Quincy Ave Ottumwa,IA 52501 (641) 683-4483 Hy-Vee Pharmacy #2 (1505) 2453 N Court St Ottumwa,IA 52501 (641) 684-1853 K Mart #7161 1131 N Quincy Ave Ottumwa,IA 52501 (641) 683-3814 Wal*Mart #10-1285 1110 N Quincy Ave Ottumwa,IA 52501 (641) 682-2541 Walgreens #01301 327 W 4Th St Ottumwa,IA 52501 (641) 226-5077 608 This pharmacy does not offer extended supplies of maintenance medications. IOWA 21

WARREN Carlisle Medicap Pharmacy #247 80 School St Carlisle,IA 50047 (515) 989-3261 Indianola Drug Town #7038 116 E Ashland Ave Indianola,IA 50125 (515) 961-2191 Hy-Vee Pharmacy #1271 910 N Jefferson St Indianola,IA 50125 (515) 962-9444 Wal*Mart #10-1491 1500 N Jefferson St Indianola,IA 50125 (515) 961-8960 Walgreens #05943 1000 N Jefferson St Indianola,IA 50125 (515) 961-4867 Norwalk Medicap Pharmacy #230 1128 Sunset Dr Norwalk,IA 50211 (515) 981-0139 WASHINGTON Washington Hy-Vee Pharmacy #1850 528 S Hwy #1 Washington,IA 50266 (319) 653-5406 Pamida #0302 1701 E Washington St Washington,IA 52353 (319) 653-7241 Wal*Mart #10-1475 530 Highway 1 S Washington,IA 52353 (319) 653-7218 WEBSTER Fort Dodge Drug Town #7035 214 S 25Th St Fort Dodge,IA 50501 (515) 576-3652 Hy-Vee Pharmacy #1192 115 S 29Th St Fort Dodge,IA 50501 (515) 576-5320 Target #T-0878 2910 1St Ave S Fort Dodge,IA 50501 (515) 573-7202 Wal*Mart #10-0886 3036 1St Ave S Fort Dodge,IA 50501 (515) 576-7405 Walgreens #05361 2503 5Th Ave S Fort Dodge,IA 50501 (515) 576-7113 WINNEBAGO Forest City Pamida Pharmacy #375 616 E US Highway 9 Forest City,IA 50436 (641) 582-2780 WINNESHIEK Decorah Medicap Pharmacy #32 512 Montgomery St Decorah,IA 52101 (563) 382-8765 Wal*Mart Phcy #10-0913 1798 Old Stage Rd Decorah,IA 52101 (563) 382-8456 WOODBURY Sioux City Drug Town Pharmacy #7070 2627 Pierce St Sioux City,IA 51104 (712) 258-0117 Hy-Vee Pharmacy #1 (1610) 313 Cook St Sioux City,IA 51103 (712) 277-8734 Hy-Vee Pharmacy #2 (1614) 4500 Sergeant Rd Sioux City,IA 51106 (712) 274-2949 Hy-Vee Pharmacy #3 (1615) 3301 Gordon Dr Sioux City,IA 51105 (712) 234-1949 K Mart #4465 5700 E Gordon Dr Sioux City,IA 51106 (712) 276-1461 Shopko Pharmacy #2040 3025 Hamilton Blvd Sioux City,IA 51104 (712) 255-8055 Target T-1800 5775 Sunnybrook Dr Sioux City,IA 51106 (712) 274-8854 Wal*Mart Phcy #10-1361 3400 Singing Hills Blvd Sioux City,IA 51106 (712) 276-6520 Wal*Mart Phcy #10-3590 3101 Floyd Blvd Sioux City,IA 51108 (712) 239-8913 Walgreens #05470 4650 Morningside Ave Sioux City,IA 51106 (712) 276-7744 Walgreens #55910 100 Pierce St Sioux City,IA 51101 (712) 252-4669 IA Chain Pharmacies This pharmacy does not offer extended supplies of maintenance medications. 609 22 IOWA

Mail Order Pharmacies IOWA 23

Mail-Order Pharmacies Mail-Order Pharmacies Medco By Mail www.medco.com Contact the Medco By Mail Customer Service department using the contact information on the front cover. TTY/TDD users should call 1-800-716-3231. Liberty Medical www.libertymedical.com 1-800-491-3276 TTY/TDD users should call 1-888-235-6230. 1327 24 IOWA

Home Infusion Pharmacies This plan will cover home infusion therapy if: Your prescription drug is on the plan s formulary or you have a formulary exception. The Plan has approved your prescription drug for home infusion therapy. Your prescription is written by an authorized prescriber. Home infusion pharmacies specialize in the preparation of medications that are administered intravenously or by injection. To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. IOWA 25

IOWA Accredo Therapeutics Inc 2415 Heinz Rd Iowa City,IA 52240 (319) 354-7844 American Home Patient 10540 Hickman Rd Ste D Des Moines,IA 50325 Coram Alternate Site Svcs 3513 Vine Ct Davenport,IA 52806 (563) 386-3220 Cr IV Service Inc 402 10Th St SE Ste 100 Cedar Rapids,IA 52403 (319) 363-1284 Iowa Care Systems 11130 Aurora Ave Urbandale,IA 50322 (515) 276-1660 Massena Clinic Pharmacy 92 Main St Massena,IA 50853 (712) 779-3626 Stangel Pharmacy Inc 821 Iowa Ave Onawa,IA 51040 (712) 423-1131 IA Home Infusion Pharmacies 1353 26 IOWA

Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under the Plan through the facility s longterm care pharmacy or another network long-term care pharmacy. A long-term care pharmacy provides medications to residents of long-term care facilities (such as nursing homes and residential care facilities, mental health facilities, hospices, and long-term care or skilled nursing care beds in hospitals). To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. IOWA 27

IOWA Advocare Pharmacy #2 621 Broad St Ste 100 Story City,IA 50248 (515) 733-2252 Atlantic Medical Phcy Inc 1501 E 10Th St Atlantic,IA 50022 (712) 243-3367 Carroll Clinic Nursing Home Phar 405 S Clark St Ste 150A Carroll,IA 51401 (712) 792-3212 Cligman Pharmacy 106 E 4Th St Vinton,IA 52349 (319) 472-4731 Clinton Med Clinic Phcy 221 Main Ave Clinton,IA 52732 (563) 242-1724 Community Pharmacy 507 E Lake St Rockwell City,IA 50579 (712) 297-7337 Community Pharmacy 1301 W Main St Lake City,IA 51449 (712) 464-3171 Community Pharmacy Ii 1800 Main St Gowrie,IA 50543 (515) 352-3876 Community Pharmacy Iii 1160 3Rd St Lake View,IA 51450 (712) 657-8554 Connors Clinic Pharmacy 1501 S Main St Charles City,IA 50616 (641) 228-4136 Daniel Pharmacy 1114 Central Ave Fort Dodge,IA 50501 (515) 573-3431 Dewitt Pharmacy Inc 609 7Th Street De Witt,IA 52742 (563) 659-5041 Disco Drug-Med Arts Div 1428 2Nd Ave N Fort Dodge,IA 50501 (515) 955-5430 Dowd Drug Inc 307 State St Guthrie Center,IA 50115 (641) 747-3625 Drug Town #7027 122 Cedar Mall Charles City,IA 50616 (641) 228-1222 Drug Town #7028 218 E Main St Cherokee,IA 51012 (712) 225-5783 Drug Town #7034 507 W Burlington Ave Fairfield,IA 52556 (641) 472-3542 Drug Town #7035 214 S 25Th St Fort Dodge,IA 50501 (515) 576-3652 Drug Town #7045 100 N Wilson St Jefferson,IA 50129 (515) 386-4152 Drug Town #7050 2790 7Th Ave Marion,IA 52302 (319) 377-0959 Drug Town #7057 129 S Jefferson St Mt Pleasant,IA 52641 (319) 385-3163 Drug Town #7058 1702 1St Ave E Newton,IA 50208 (641) 792-5084 Drug Town #7060 413 Mulberry Ave Muscatine,IA 52761 (563) 263-1852 Drug Town #7065 1140 N Jefferson St Ottumwa,IA 52501 (641) 684-5467 Drug Town Clinic #17060-3 312 N 2Nd St Wapello,IA 52653 (319) 523-3784 Drug Town Clinic (7028-1) 321 Main Marcus,IA 51035 (712) 376-2844 Drug Town Pharmacy #7070 2627 Pierce St Sioux City,IA 51104 (712) 258-0117 Economed of Ia 11302 Aurora Ave Urbandale,IA 50322 (000) 000-0000 Estherville Snyder Drug 522 Central Ave Estherville,IA 51334 (712) 362-3154 Fedders Healthmart 52 Main Ave N Britt,IA 50423 (641) 843-3885 Friendship Haven Phcy S Kenyon Road Fort Dodge,IA 50501 (515) 573-6015 Garwood Healthmarket 11 S Clinton St Albia,IA 52531 (641) 932-2188 Guttenberg Pharmacy Inc 807 S Highway 52 Guttenberg,IA 52052 (563) 252-1172 Hartig Nursing Home Svcs 2216 Woodland Dr Dubuque,IA 52002 (563) 588-8709 Heritage Partners Pharmacy 1223 S Gear Ave West Burlington,IA 52655 (319) 768-3960 Hicks Pharmacy 113 N 9Th St Adel,IA 50003 (515) 993-3644 Hoines Drug Store 113 N Elm St Cresco,IA 52136 (563) 547-3401 Hughes Pharmacy 2216 Main St Emmetsburg,IA 50536 (712) 852-2886 Hy-Vee Pharmacy #1010 1500 US Highway 169 N Algona,IA 50511 (515) 295-9238 Hy-Vee Pharmacy #1026 1630 E 7Th St Atlantic,IA 50022 (712) 243-2240 Hy-Vee Pharmacy #1038 1111 8Th St Boone,IA 50036 (515) 432-1304 Hy-Vee Pharmacy #1058 609 N 18Th St Centerville,IA 52544 (641) 856-3832 Hy-Vee Pharmacy #1170 2620 Central Ave Estherville,IA 51334 (712) 362-5551 IA Long-Term Care Pharmacies 1463 28 IOWA

IA Long-Term Care Pharmacies Hy-Vee Pharmacy #1247 601 10Th Ave N Humboldt,IA 50548 (515) 332-5083 Hy-Vee Pharmacy #1353 809 W Rock Island St Knoxville,IA 50138 (641) 842-2512 Hy-Vee Pharmacy #1382 1201 12Th Ave SW Le Mars,IA 51031 (712) 548-4503 Hy-Vee Pharmacy #1403 802 S Center St Marshalltown,IA 50158 (641) 752-2266 Hy-Vee Pharmacy #1433 501 S White St Mount Pleasant,IA 52641 (319) 385-6745 Hy-Vee Pharmacy #1481 110 S D St Oskaloosa,IA 52577 (641) 673-0259 Hy-Vee Pharmacy #1516 118 SE 9Th St Pella,IA 50219 (641) 628-1280 Hy-Vee Pharmacy #1522 1215 14Th St Perry,IA 50220 (515) 465-3543 Hy-Vee Pharmacy #1544 1605 N Broadway St Red Oak,IA 51566 (712) 623-3370 Hy-Vee Pharmacy #1622 1951 S Main Ave Sioux Center,IA 51250 (712) 722-3516 Hy-Vee Pharmacy #1628 1500 18Th St Spirit Lake,IA 51360 (712) 336-4551 Hy-Vee Pharmacy #1634 1250 Lake Ave Storm Lake,IA 50588 (712) 732-1364 Hy-Vee Pharmacy #1636 1014 11Th Ave SW Spencer,IA 51301 (712) 262-2443 Hy-Vee Pharmacy 1410 2400 4Th St SW Mason City,IA 50401 (641) 423-8062 Hy-Vee Rx 44 1St Ave NE Le Mars,IA 51031 (712) 546-4560 Kindred Pharmacy Services 2901 99Th St Urbandale,IA 50322 (515) 331-7756 La Grange Pharmacy 111 W 4Th St Vinton,IA 52349 (319) 472-4274 Lutz Long Term Care Pharmacy 120 8Th St SE Ste B Altoona,IA 50009 (515) 967-4213 Lutz Pharmacy 120 8Th St SE Altoona,IA 50009 (515) 967-4213 Main Healthcare Services 2151 Kimberly Rd Bettendorf,IA 52722 (563) 324-5004 Manly Drug Store 621 G Ave Grundy Center,IA 50638 (319) 824-5446 Manning Pharmacy Inc 317 Main St Manning,IA 51455 (712) 653-9490 Martin Health Services 130 W Fayette St / PO Box C Denver,IA 50622 (319) 984-5680 Mc Mahon Drug Store 625 Davis Ave Corning,IA 50841 (641) 322-3454 Medicap Pharmacy #0010 5802 Franklin Ave Des Moines,IA 50322 (515) 274-4609 Medicap Pharmacy #0016 443 S Frederick Ave Oelwein,IA 50662 (319) 283-2028 Medicap Pharmacy #0022 300 W Washington St Mt Pleasant,IA 52641 (319) 986-5151 Medicap Pharmacy #0025 203 E 6Th St Carroll,IA 51401 (712) 792-2402 Medicap Pharmacy #0029 605 S 1St St Perry,IA 50220 (515) 465-3391 Medicap Pharmacy #0034 405 S Sumner Ave Creston,IA 50801 (641) 782-6558 Medicap Pharmacy #0036 208 E Euclid Ave Indianola,IA 50125 (515) 961-5303 Medicap Pharmacy #0043 901 W Pleasant St Knoxville,IA 50138 (641) 828-7312 Medicap Pharmacy #0047 201 S 16Th St Clarinda,IA 51632 (712) 542-6546 Medicap Pharmacy #0051 316 Broadway St Audubon,IA 50025 (712) 563-2655 Medicap Pharmacy #0052 1300 E 14Th St Des Moines,IA 50316 (515) 263-1782 Medicap Pharmacy #0057 904 N John Wayne Dr Winterset,IA 50273 (515) 462-2880 Medicap Pharmacy #0058 504 A Ave W Oskaloosa,IA 52577 (641) 673-8486 Medicap Pharmacy #0065 303 2Nd Ave SW Cresco,IA 52136 (563) 547-5111 Medicap Pharmacy #007 320 6Th Ave Grinnell,IA 50112 (641) 236-3663 Medicap Pharmacy #0207 403 Story St Boone,IA 50036 (515) 432-2311 Medicap Pharmacy #0211 615 E Main St Panora,IA 50216 (641) 755-2312 Medicap Pharmacy #0229 2224 10Th Ave Manson,IA 50563 (712) 469-2214 Medicap Pharmacy #12 400 N Elm St Jefferson,IA 50129 (515) 386-2164 Medicap Pharmacy #19 108 2Nd Ave W Toledo,IA 52342 (641) 484-6198 1464 IOWA 29