Associated Insurance Services, LLC Workers Compensation Claims Folder

Associated Insurance Services, LLC Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, MA 01803 Telephone: 781-221-1600 / 800-876-2765 Fax: 781-270-5599

Associated Insurance Services, LLC 54 Third Avenue, Burlington, MA 01803 Workers Compensation Claim Reporting Options - Massachusetts In the event of a serious accident, call us immediately at 1-866-270-3357 (toll free 24-hour/7 day a week claim reporting) Choose from several different ways to report your workers compensation claims to us: By Fax: For Medical Only claims, complete and fax the Medical Only/Med-Fax form into us at 1-781-270-5599. OR If this, or any work-related injury results in the employee s total or partial incapacity to earn wages for five (5) or more calendar days, complete and fax the Form 101 (Employers First Report of Injury) to us at 1-781-270-5599. (Remember to give a copy of the Form 101 to the injured employee.) We will submit the Form 101 to the Department of Industrial Accidents (DIA) when the employee has been totally or partially incapacitated from earning wages for five (5) or more calendar days. On-Line, over the Internet: Sign on to www.aimmutual.com and click Report A Claim. Select To Report A Claim Online and then click on Massachusetts. You will be prompted to answer a series of questions similar to the information necessary to complete a Form 101. After answering all of the questions and clicking on SEND, you will receive a message stating your claim has been submitted. It will also state that a Claim Acknowledgement letter containing the claim number and assigned claim representative will be mailed to your company after registration has been completed. Click Print for a copy of the information you sent. We will submit the Form 101 to the Department of Industrial Accidents (DIA) when the employee has been totally or partially incapacitated from earning wages for five (5) or more calendar days. We will also file a Form 101 with the DIA when a Medical Only claim has been changed to a lost time claim. In the event an employee is incapacitated from earning wages for five (5) calendar days or more, you are responsible for giving the employee a copy of the Form 101. By Phone: Report claims by calling toll free: 1-866-270-3357. This line is established for reporting new claims only, and facilitates the initial claim reporting process (see reverse side for outline of required information). You will receive a completed Form 101 and a confirmation letter, followed by a claim acknowledgment letter including the name of the Claim Representative assigned to your case. We will submit the Form 101 to the Department of Industrial Accidents (DIA) when the employee has been totally or partially incapacitated from earning wages for five (5) or more calendar days. We will also file a Form 101 with the DIA when a Medical Only claim has been changed to a lost time claim. In the event an employee is incapacitated from earning wages for five (5) calendar days or more, you are responsible for giving the employee a copy of the Form 101. After the initial claim report: Please direct ongoing claim and service inquiries to your Claim Representative at our toll free telephone number: 1-800-876-2765 By Mail: Please refer to the Claim Reporting Procedures in your Claims Folder for instructions.

Guide For Reporting Workers Compensation Injuries by phone Call 1-866-270-3357 (Toll free 24-hour/7 day a week claim reporting) Here are some key items to note beforehand when calling our toll-free number to report Workers Compensation injuries. However, do not delay in calling if you do not have answers to all of these questions. Insured Information: 13 digit policy number: Line of Business Loss Date Employer Name: Employer Address: Zip Code: Telephone # Fax # Type of Business: Location code, if any (important): Is this the address where the accident happened/loss occurred?: (Y or N) Injured Employee Information: Employee Name: Social Security #: Employee Address: Zip Code: Home Telephone #: Work Telephone #: Gender: Marital Status: # of Dependents: Date of Birth: Job Title: Department: Employment Status: Pay Type ( S-salary, H-hourly) Hired Date: If Salary, what is Annual Salary: If Hourly, what is Hourly Wage: Daily Hours Worked: Days in work week: Supervisor Name: Supervisor Telephone: Time employee began work on day of injury: Employer Notified Date: Regular Occupation: How long has employee been in current job/position: Did the employee miss work beyond his/her normal shift: Accident Information: Time of day or night the incident occurred: Has the employee been disabled 5 or more days: Will the employee be disabled 5 or more days: Has employee Returned To Work (RTW): Date disability began: RTW date # of work days lost: Did employee return to full duty Injury Activity: Injury Description: Type of Inj: Category of Inj: Cause of Inj: Body part: Severity of Injury: Was Medical Treatment provided: Initial place of treatment: Date of fatality: Last day worked: Medical Facility Type: Hospital Name: Address: Zip Code: Telephone #: Admitted to Hospital: Still in Hospital: Is Physician info available: Were there any witnesses present when the injury occurred: Witness Name: Witness Address: Zip Code: Home Telephone #: Work Telephone #: Contact information (if different from person reporting the claim, then name, address and work telephone is needed)

Associated Insurance Services, LLC Workers Compensation Claim Reporting Procedures IT IS IMPORTANT THE INSTRUCTIONS IN THESE PROCEDURES BE FOLLOWED EXACTLY AS OUTLINED. Prompt filing of the correct forms with all the necessary information helps speed necessary claim investigations and the proper payments of benefits when due. LATE FILINGS, OR LATE PAYMENTS MAY ALSO RESULT IN PENALTIES IMPOSED ON YOUR COMPANY AND/OR ASSOCIATED INSURANCE SERVICE CORP. Keep in mind: If it s a serious accident, call us immediately: 1-866-270-3357 We will file the Massachusetts Form 101 with the Department of Industrial Accidents regardless of the method you use to report a claim to us. If you need additional forms, request them from Associated Insurance Services, LLC (1-800-876-2765 - Claim Services Department).

Faxing or Mailing Medical Only Claims to Us Medical Only / Med-Fax Report If you choose to notify us of a Medical Only claim by fax or mail, you need to complete the Associated Insurance Services, LLC Medical Only / Med-Fax Report whenever: you receive a report of an alleged illness or injury, AND that illness or injury IS NOT expected to result in the employee being disabled for five or more calendar days. Section A - The injured worker s supervisor or similar person in authority should complete Section A and the Supervisor action section at the bottom of the form. Don t forget to fill in your location code. Section B - The injured worker should review, sign and date Section B. Section C - If the injured worker requires medical attention, he or she should take the form to the medical provider. The medical provider must complete Section C. Distribution of Copies The medical provider should keep the yellow copy of the form, and the employee should keep the pink copy. The employer should fax the white copy to Associated Insurance Services, LLC at 1-781-270-5599 and keep the white copy for its files. Note: Do not file this form with the Department of Industrial Accidents (D.I.A.) If this work related injury results in the employee being disabled for five (5) or more calendar days, please complete a Form 101 and submit it to us by fax or mail. (Remember to give a copy of the Form 101 to the injured employee.) We will then file the Form 101 with the Department of Industrial Accidents. Form 101 Employer s First Report of Injury or Fatality The timely filing of Form 101 is very important. Whenever an alleged work-related injury is reported to you resulting in the employee being disabled for five (5) or more calendar days, a "Form 101-Employer's First Report of Injury" must be completed. A copy of the Form 101 must be given to the injured employee. Don t forget to fill in your location code in Block 22. 2

Fax or mail the Form 101 to Associated Insurance Services, LLC as soon as possible. Indemnity payments must be sent out fourteen (14) days from Associated Insurance Services, LLC s receipt of the form. The distribution of Form 101 is as follows: Original: Copy: Copy: ASSOCIATED INSURANCE SERVICES, LLC Claim Department 54 Third Avenue P.O. Box 4070 Burlington, MA 01803-0970 Employee Employer's File Copy Associated Insurance Services, LLC will file the Form 101 with the: Department of Industrial Accidents Department 101 1 Congress Street 10 th Floor Boston, MA 02114 ON THE DAY AN EMPLOYEE who had five (5) or more calendar days of disability RETURNS TO WORK, PLEASE CALL Associated Insurance Services, LLC s Claim Department at 1-800-876-2765 and report the return. FORM 127 Average Weekly Wage Computation Schedule FORM 127 or a similar 52-week gross payroll report must be completed and distributed by the employer immediately after filing Form 101. It is to be distributed as follows: Original: Copy: ASSOCIATED INSURANCE SERVICES, LLC Claim Department 54 Third Avenue P.O. Box 4070 Burlington, MA 01803-0970 Employer's File Copy This form is necessary every time a Form 101 is filed. It is used to calculate accurate benefits for the injured employee. 3

FORM AIS 20 Request for Medical Services Whenever there is a work related injury that requires medical attention, a form, "AIS 20 - Request for Medical Services," should be completed. It should be signed by the employer, and then given to the employee. The completed form should then be presented by the employee to the hospital or physician when the employee seeks medical services. This will facilitate the medical provider's billing to Associated Insurance Services, LLC. IMPORTANT 1. THE FILING OF FORM 101 with the Department of Industrial Accidents and/or Associated Insurance Service LLC IS NOT AN AGREEMENT THERE HAS BEEN A WORKPLACE INJURY. 2. Associated Insurance Services, LLC will be filing the Form 101 with the Department of Industrial Accidents. If a claim originally reported as a medical only claim becomes a lost time claim, notify the Claim Department at 1-800-876-2765. (Note: A copy of the Form 101 must be provided to the injured employee.) 3. FORM 127 OR SIMILAR PAYROLL REPORT SHOULD BE FILED IMMEDIATELY AFTER FORM 101 IS FILED. This report is used to determine the amount of the employee's indemnity payment. Failure to make these payments within the time allowed by law may result in penalties. 4. If you have any questions regarding the requirements of the Department of Industrial Accidents, you may call their Information Desk on the toll free hotline: 1-800-323-3249 or call Associated Insurance Services, LLC s Claim Department at 1-800-876-2765. 5. For assistance in completing these forms, follow the enclosed samples and instructions. 4

A.I.M. Works TM Fax this report to AIS LLC at 781-270-5599 Tel. No. 1-800-876-2765 S E C T I O N A S U P E R V I S O R DO NOT File This Form With The Dept. of Industrial Accidents MedFax Rev. 1/06 Employee Name (Last, First, MI): Employee Telephone: Social Security Number: ( ) - -- -- Employee Address: Sex: Date of Birth: ( ) F ( ) M / / Insurer: Location Code: Marital Status: P.O. Box 4070, Burlington, MA 01803-0970 ( ) Single ( ) Married Employer: Employer Telephone: Policy Number: ( ) - Employee Occupation: Witness to Accident: Date of incident: Time of incident: / / ( )AM ( )PM Date of hire: Date assigned to present position: Date incident reported: To Whom: Returned to work: / / / / / / ( ) Yes ( ) No Address where injury occurred (If different from Employer above): Date of Return to Work: Returned to Regular Job: / / ( ) Yes ( ) No Type of injury (Burn, Fracture, Cut, etc.): Average 52 Week Wage: $ ( ) Estimated ( ) Actual Injured Body Part(s) (Arm, Leg, Back, etc.): Source of injury (Chemicals, Machinery, Name of Employer s Claim Coordinator: etc.): Height: ft. in. Weight: Smoker: ( ) Yes ( ) No If yes, # pack(s) per day: Describe what happened: Supervisor Signature: Date: / / S E C T I O N B S E C T I O N C M E D I C A L P R O V I D E R Medical Authorization: In accordance with state law, I, the undersigned, authorize Associated Insurance Services LLC, as a workers compensation claim service provider, and its authorized agents or representatives, as well as my employer to be furnished with any information or facts regarding this injury only, including records, diagnosis, medical treatment and prognosis, estimates of disability and recommendations for further treatment. This information is to be used for the sole purpose of evaluating and handling my claim and to assure timely medical care as a result of the incident occurring on or about the above noted date and for no other purpose, now or in the future. I also agree that a photocopy of this release is as valid as the original. Employee Signature: Date: / / I do not want medical treatment for this injury Employee Signature: Date: / / TREATMENT AREA USE ONLY (To be filled out by Medical Care Provider) Name of Provider: Date: / / Arrival Time: ( )AM ( )PM Accident Description: Preliminary Diagnosis: New Injury/Illness: ( )Yes( )No Related to above incident at work: ( )Yes ( )No ( )Undetermined Pre-existing Condition: ( )Yes ( )No Height: ft. in Weight: lbs. Smoker: ( ) Yes ( ) No If yes, # pack(s) per day Recommended Work Status: (Check one and provide additional information as appropriate) Full Duty ( ) Modified Duty ( ) Full Duty to resume on: / / Unable To Immediately Return To Work ( ) Modified duty to begin: / / Full Duty to resume on: / / May lift up to: 5 lbs. ( ) 25 lbs. ( ) 40 lbs. ( ) 75 lbs. ( ) No lifting ( ) May carry up to: 5 lbs. ( ) 25 lbs. ( ) 40 lbs. ( ) 75 lbs. ( ) No carrying ( ) May Push/Pull up to: 5 lbs. ( ) 25 lbs. ( ) 40 lbs. ( ) 75 lbs. ( ) No pushing/pulling ( ) Other Duty Modifications: Physician Comments: Follow-Up Appointment With: Date: / / Time: ( ) AM ( ) PM Physician/Clinician Name: Tel. #: ( ) - (Please print legibly) Physician/Clinician Signature: Date: / / SUPERVISOR ACTION: ( ) Returned to Work ( ) Modified Duty ( ) Send Home ( ) Send for Treatment ( ) Notice Only ( ) Medical Only ( ) Lost Industry Code: (see instruction sheet) Employer Copy - WHITE Medical Provider YELLOW Employee Copy PINK

Supervisor s Instructions for Completion of the MEDICAL ONLY/MED FAX Report All work related incidents are to be promptly reported to the immediate department supervisor on duty who will complete this form. EMERGENCIES In life threatening situations, seek medical attention immediately; then proceed with completion of this form. NON-EMERGENCIES SUPERVISOR - EMPLOYEE - PHYSICIAN - Complete SUPERVISOR SECTION (top portion) upon report of injury. If medical attention is refused or not needed, complete SUPERVISOR ACTION section, (bottom of form) and send all copies to Human Resources office. Sign the AUTHORIZATION section. If you do not want medical treatment; also sign the next section indicating you do not wish to have medical treatment. Complete the MEDICAL TREATMENT SECTION and sign. Keep the Yellow copy. When outside medical attention is needed, employee is escorted to appropriate treatment site with WHITE and YELLOW copies. The PINK copy is for the Employee. The YELLOW copy is for the Physician. Return the WHITE copy to Human Resources. AIM Works Immediate Care Facility EMPLOYEE AFTER IMMEDIATE CARE RENDERED - Return to supervisor following treatment with completed WHITE form. Keep the YELLOW form. SUPERVISOR - Based on medical instructions (MEDICAL TREATMENT section) employee will return to work on full or modified duty, or be sent home. - Forward the completed WHITE form to AIS LLC within 24 hours. Agriculture, Forestry and Fishing 01 Agriculture Production - Crops 02 Agriculture Production - Livestock 03 Agriculture Services 04 Forestry 05 Fishing, Hunting and Trapping Mining 10 Metal Mining 12 Coal Mining 13 Oil and Gas Extraction 14 Nonmetallic Minerals, Except Fuels Construction 15 General Building Contractors 16 Heavy Construction, Ex. Building 17 Special Trade Contractors Manufacturing 20 Food and Kindred Productions 21 Tobacco Products 22 Textile Mill Products 23 Apparel and Other Textile Products 24 Lumber and Wood Products 25 Furniture and Fixtures 26 Paper and Allied Products 27 Printing and Publishing 28 Chemicals and Allied Products 29 Petroleum and Coal Products 30 Rubber and Misc. Plastics Products 31 Leather and Leather Products 32 Stone, Clay and Glass Products 33 Primary Metal Industries 34 Fabricated Metal Products 35 Industrial Machinery and Equipment 36 Electronic and Other Electric Equipment 37 Transportation Equipment 38 Instruments and Related Products 39 Miscellaneous Manufacturing Industries Transportation and Public Utilities 40 Railroad Transportation 41 Local and Interurban Passenger Transit 42 Trucking and Warehousing 43 U.S. Postal Service 44 Water Transportation 45 Transportation by Air 46 Pipelines, Except Natural Gas 47 Transportation Services 48 Communications 49 Electric Gas and Sanitary Services INDUSTRY CODES Wholesale Trade 50 Wholesale Trade Durable Goods 51 Wholesale Trade Nondurable Goods Retail Trade 52 Building Materials and Garden Supplies 53 General Merchandising Stores 54 Food Stores 55 Automotive Dealers and Service Stations 56 Apparel and Accessory Stores 57 Furniture and Homefurnishing Stores 58 Eating and Drinking Places 59 Miscellaneous Retail Finance, Insurance and Real Estate 60 Depository Institutions 61 Nondepository Institutions 62 Security and Commodity Brokers 63 Insurance Carriers 64 Insurance Agents, Brokers and Service 65 Real Estate 67 Holding and Other Investment Offices Services 70 Hotels and Other Lodging Places 72 Personal Services 73 Business Services 75 Auto Repair Services and Parking 76 Miscellaneous Repair Services 78 Motion Pictures 79 Amusement and Recreation Services 80 Health Services 81 Legal Services 82 Educational Services 83 Social Services 84 Museums, Botanical, Zoological Gardens 86 Membership Organizations 87 Engineering and Management Services 88 Private Households 89 Services, NEC Public Administration 91 Executive, Legislative and Garden 92 Justice, Public Order and Safety 93 Finance, Taxation and Monetary Policy 94 Administration of Human Resources 95 Environmental Quality and Housing 96 Administration of Economic Programs 97 National Security and International Affairs Nonclassifiable Establishments 99 Nonclassifiable Establishments

Associated Insurance Services, LLC HOW TO COMPLETE THE MEDICAL ONLY / MED-FAX REPORT Section A Supervisor #1 Please print or type the employee's last name, first name and middle initial, as you know it. #2 Please print or type the employee's current home telephone number. #3 Please print or type the nine (9) digit employee's social security number. #4 Please print or type the employee's current full home address. #5 Please check box indicating employee's sex. #6 Please print or type employee's birth date (MM/DD/YY). #7 Insurer name and address is already printed here for you. #8 If applicable, please print or type the location code. #9 Please check box indicating marital status. #10 Please print or type employer's name. #11 Please print or type employer's telephone number. #12 Please print or type your Workers Compensation policy number. #13 Please print or type employee's regular occupation or job description. #14 Please indicate if there was a witness(es) to the injury. If yes, specify name and position of individual(s). #15 Please print or type the date the injury or illness happened or was alleged to have happened. #16 Please print or type the time the injury or illness happened or was alleged to have happened. Check a.m. or p.m. #17 Please print or type employee's date of hire (MM/DD/YY). #18 Please print or type the date the employee was assigned to his/her present position (MM/DD/YY). #19 Please print or type the date the injury or illness was reported. #20 Please print or type the person and position to whom the injury or illness was reported. #21 Please indicate if employee has returned to work. #22 Please print or type the address where injury occurred. #23 Please print or type the date of return to work (MM/DD/YY) if employee has returned to work. #24 Please indicate if employee has returned to his/her regular position. #25 Please print or type a description of injury or illness. #26 Please print or type the average 52-week wage amount earned. Also check box indicating if estimated salary or actual salary earned. #27 Please specify the injured body part(s). #28 Please print or type the source of injury (e.g., machine, tool, substance, etc.) #29 Please print or type the name of the employer s claim coordinator. #30 Record the employee s height in feet and inches. #31 Record the employee s weight. #32 Indicate if the employee is a smoker and, if yes, how many packs per day he/she smokes. #33 Please describe in detail what happened. #34 The supervisor should sign and date the form. 5/2006

Section B: #1 The employee must sign and date where indicated in Section B to either: a) provide medical authorization, or (b) decline medical treatment for this injury Section C: To be filled out by Medical Care Provider #1 Please print or type the name of the medical care provider. #2 Please print the date and time the employee arrived in the medical care facility. Check a.m. or p.m. #3 Please provide a description of the accident. #4 Please provide the preliminary diagnosis and indicate whether this is a new injury or illness. Indicate if this diagnosis is related to the incident being reported or if it is a pre-existing condition. #5 Please provide height and weight information as well as any smoking history. #6 Please indicate whether full or modified duty work status is recommended. #7 If modified duty is recommended, specify when full duty can resume. #8 Check here if employee is unable to immediately return to work. Then specify when modified duty can begin and when full duty can resume. #9 Specify what limits employee may lift up to, carry up to, and push or pull up to. #10 Please note any other duty modifications that may be necessary. #11 Please include additional comments that the employer should know about. #12 Please note with whom the employee has a follow-up appointment as well as the date and time of the appointment. #13 Please print the name of the treating physician or clinician and his/her phone number. #14 The treating physician or clinician should then sign and date the Report. Supervisor Action #1 Check what action was taken following the injury or illness: returned to work, modified duty, sent home, or sent for treatment. #2 Indicate whether this was a notice only (no treatment necessary), whether the incident required medical attention only, or whether lost work time was involved. #3 Please print or type the exact two (2) digit industry code number from the chart below that best describes the main product produced or the service or type of business the employer is engaged in. Agriculture, Forestry and Fishing 01 Agriculture Production - Crops 02 Agriculture Production - Livestock 03 Agriculture Services 04 Forestry 05 Fishing, Hunting and Trapping Mining 10 Metal Mining 12 Coal Mining 13 Oil and Gas Extraction 14 Nonmetallic Minerals, Except Fuels Construction 15 General Building Contractors 16 Heavy Construction, Ex. Building 17 Special Trade Contractors Manufacturing 20 Food and Kindred Productions 21 Tobacco Products 22 Textile Mill Products 23 Apparel and Other Textile Products 24 Lumber and Wood Products 25 Furniture and Fixtures 26 Paper and Allied Products 27 Printing and Publishing 28 Chemicals and Allied Products 29 Petroleum and Coal Products 30 Rubber and Misc. Plastics Products 31 Leather and Leather Products 32 Stone, Clay and Glass Products 33 Primary Metal Industries 34 Fabricated Metal Products 35 Industrial Machinery and Equipment 36 Electronic and Other Electric Equipment 37 Transportation Equipment 38 Instruments and Related Products 39 Miscellaneous Manufacturing Industries Transportation and Public Utilities 40 Railroad Transportation 41 Local and Interurban Passenger Transit 42 Trucking and Warehousing 43 U.S. Postal Service 44 Water Transportation 45 Transportation by Air 46 Pipelines, Except Natural Gas 47 Transportation Services 48 Communications 49 Electric Gas and Sanitary Services INDUSTRY CODES Wholesale Trade 50 Wholesale Trade Durable Goods 51 Wholesale Trade Nondurable Goods Retail Trade 52 Building Materials and Garden Supplies 53 General Merchandising Stores 54 Food Stores 55 Automotive Dealers and Service Stations 56 Apparel and Accessory Stores 57 Furniture and Homefurnishing Stores 58 Eating and Drinking Places 59 Miscellaneous Retail Finance, Insurance and Real Estate 60 Depository Institutions 61 Nondepository Institutions 62 Security and Commodity Brokers 63 Insurance Carriers 64 Insurance Agents, Brokers and Service 65 Real Estate 67 Holding and Other Investment Offices Services 70 Hotels and Other Lodging Places 72 Personal Services 73 Business Services 75 Auto Repair Services and Parking 76 Miscellaneous Repair Services 78 Motion Pictures 79 Amusement and Recreation Services 80 Health Services 81 Legal Services 82 Educational Services 83 Social Services 84 Museums, Botanical, Zoological Gardens 86 Membership Organizations 87 Engineering and Management Services 88 Private Households 89 Services, NEC Public Administration 91 Executive, Legislative and Garden 92 Justice, Public Order and Safety 93 Finance, Taxation and Monetary Policy 94 Administration of Human Resources 95 Environmental Quality and Housing 96 Administration of Economic Programs 97 National Security and International Affairs Nonclassifiable Establishments 99 Nonclassifiable Establishments 5/2006

E M P L O Y E E FORM 101 The Commonwealth of Massachusetts Department of Industrial Accidents Department 101 1 Congress Street 10th Floor, Boston, Massachusetts 02114 Info. Line 800-323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470 http://www.mass.gov/dia EMPLOYER S FIRST REPORT OF INJURY OR FATALITY DIA USE ONLY THIS FORM MUST BE FILED BY THE EMPLOYER IN THE EVENT OF AN INJURY THAT RESULTS IN DEATH OR FIVE OR MORE CALENDAR DAYS OF TOTAL OR PARTIAL INCAPACITY FROM EARNING WAGES. INSTRUCTIONS AND CODES ON THE REVERSE SIDE - Please Print Legibly or Type - Unreadable forms will be returned. 1. Employee s Name (Last, First, MI): 2. Home Telephone Number: 3. Social Security Number*: 4. Sex: M 5. Home Address (No., Street, City, State & Zip Code): 5a. Native Language Code: 6. Marital Status: 7. No. of Dependents: M S Other: 8. Date of Hire (mm/dd/yyyy): 9. Date of Birth (mm/dd/yyyy): 10. Average Weekly Wage: $ Estimated Actual 11. Employer s Name: 12. Federal Tax I.D. Number: F E M P L O Y E R I N J U R Y I N F O R M A T I O N 13. Employer s Address (No., Street, City, State & Zip Code): 14. Employer s Telephone Number: 16. Workers Compensation Insurance Carrier and Tel. No. (NOT LOCAL AGENT/ADMINISTRATOR): 17. W.C. Policy Number: 18. Self-Insured? Yes No If Yes, Self-Insurer Number: 20. DATE OF INJURY (mm/dd/yyyy): 21. Was Employee Injured on Employer s Premises? Yes No 23. FIRST day of Total or Partial Incapacity to Earn Wages (mm/dd/yyyy): 25. If Employee has Died, Date of Death (mm/dd/yyyy): 27. Briefly Describe How Injury/Exposure Occurred and Body Part(s) involved: 28. Person to Whom Injury was Reported (list position): 31. Injury Code(s) a. to body part b. to body part c. to body part Body Part Code(s) a. b. c. 15. Industry Code (See Reverse Side): 19. Business Type : Service Wholesale Mfg. Retail Other 20a. Insurer s Case/Claim File No.: 22. Location of Injury if not on Employer s Premises: 24. FIFTH day of Total or Partial Incapacity to Earn Wages (mm/dd/yyyy): 26. Source of Injury (Chemicals, Machinery, etc.): 29. Date Reported (mm/dd/yyyy): 30. Date Reported as work related (mm/dd/yyyy): 32. Witness(es) to Injury - Give Full Name(s), if none state as such: 33. Has Employee Returned to Work? Yes No 34. Date Employee Returned to Work(mm/dd/yyyy): 35. Employee s Regular Occupation: 36. Has Employee Returned to Regular Occupation: Yes No P R E P A R E R 37. PREPARER S Name (SEE INSTRUCTIONS ON REVERSE SIDE): 38. PREPARER S Title: 39. PREPARER S Signature (SEE INSTRUCTIONS ON REVERSE SIDE): 40. Date Prepared (mm/dd/yyyy): 40a. PREPARER S e-mail address: *Disclosure of Social Security Number is Voluntary. It will aid in the processing of your report. Form 101 - Revised 5/2009 - Reproduce as needed. THIS FORM DOES NOT CONSTITUTE AN EMPLOYEE S CLAIM FOR BENEFITS UNDER WORKERS COMPENSATION.

EMPLOYER S FIRST REPORT OF INJURY OR FATALITY FILING INSTRUCTIONS 1. WHEN TO FILE: File this form within 7 calendar days, not including Sundays and legal holidays, of receipt of notice of any injury alleged to have arisen out of and in the course of employment, which totally or partially incapacitates an employee for a period of 5 or more calendar days from earning wages. This form is not an admission of liability, but must be filed even though the Employer may believe that the Employee is not injured, or that the Employee is not entitled to benefits under M.G.L. Chapter 152. 2. WHERE TO FILE: This form should be mailed to the Department of Industrial Accidents at the address shown on the front of the form. Copies must also be provided to the Employee and to the Employer s Workers Compensation insurer. 3. PENALTIES: Failure to report injuries on this form may result in a fine of $100.00 in accordance with M.G.L. Chapter 152, Section 6. 4. EMPLOYER S NAME & SIGNATURE IN BOXES 37 & 39: This form must be filed by the employer or an authorized agent/representative of the employer. NATIVE LANGUAGE CODES 1 English / 2 Portuguese / 3 Haitian Creole / 4 Spanish / 5 Chinese / 6 Vietnamese / 7 Cape Verdean / 9 Other INDUSTRY CODES Agriculture, Forestry and Fishing 01 Agriculture Production - Crops 02 Agriculture Production - Livestock 07 Agricultural Services 08 Forestry 09 Fishing, Hunting and Trapping Mining 10 Metal Mining 12 Coal Mining 13 Oil and Natural Gas 14 Nonmetallic Minerals, Except Fuels Construction 15 General Building Contractors 16 Heavy Construction, Ex. Building 17 Special Trade Contractors Manufacturing 20 Food and Kindred Products 21 Tobacco Products 22 Textile Mill Products 23 Apparel and Other Textile Products 24 Lumber and Wood Products 25 Furniture and Fixtures 26 Paper and Allied Products 27 Printing and Publishing 100 Amputation or Erucloation 110 Asphyxia or Strangulation Etc. 120 Burns (Heat) 130 Burns (Chemical) 140 Concussion 160 Contusion, Crushing, Bruise 170 Cut, Laceration, Puncture 190 Dislocation 200 Electric Shock, Electrocution 210 Fracture 250 Hernia, Rupture 300 Scratches, Abrasions 310 Sprains, Strains 400 Multiple Injuries 900 No Injury 950 Damage to Prosthetic Devices 995 No Other Injury, NEC** 999 Non-classifiable Infective or Parasitic Disease 150 Infective or Parasitic Disease, UNS* 151 Amebiasis 152 Anthrax 153 Brucellosis 154 Conjunctivitis and Opthalmia 156 Tetanus Head 100 Head, UNS* 110 Brain 120 Ear(s), UNS* 121 Ear(s), External 124 Ear(s), Internal 130 Eye(s), UNS* 140 Face, UNS* 141 Jaw, Chin 144 Mouth and Throat (vocal chords, larynx) 146 Nose 148 Face, Multiple Parts 149 Face, NEC** 150 Scalp 28 Chemicals and Allied Products 29 Petroleum and Coal Products 30 Rubber and Misc. Plastic Products 31 Leather and Leather Products 32 Stone, Clay and Glass Products 33 Primary Metal Industries 34 Fabricated Metal Products 35 Industrial Machinery and Equipment 36 Electronic and Other Electrical Equipment 37 Transportation Equipment 38 Instruments and Related Products 39 Miscellaneous Manufacturing Industries Transportation and Public Utilities 40 Railroad Transportation 41 Local and Interurban Passenger Transit 42 Trucking and Warehousing 43 U.S. Postal Service 44 Water Transportation 45 Transportation by Air 46 Pipelines, Except Natural Gas 47 Transportation Services 48 Communications 49 Electric, Gas and Sanitary Services Wholesale Trade 50 Wholesale Trade - Durable Goods 51 Wholesale Trade - Non-durable Goods Retail Trade 52 Building Materials and Garden Supplies 53 General Merchandizing 54 Food Stores 55 Automotive Dealers and Service Stations 56 Apparel and Accessory Stores 57 Furniture and Home Furnishing Stores 58 Eating and Drinking Establishments 59 Miscellaneous Retail Finance, Insurance and Real Estate 60 Depository Institutions 61 Non-depository Institutions 62 Security and Commodity Brokers 63 Insurance Carriers 64 Insurance Agents, Brokers and Service 65 Real Estate 67 Holding and Other Investment Officers Services 70 Hotels and Other Lodging Places 72 Personal Services 73 Business Services 75 Auto Repair Services and Parking 76 Miscellaneous Repair Services NATURE OF INJURY OR ILLNESS CODES 157 Tuberculosis 159 Other Infective or Parasitic Diseases Dermatitis 180 Dermatitis, UNS* 183 Primary Infections of the Skin 184 Other Skin Conditions 185 Dermatitis, Allergenic or Contact 189 Skin Condition, NEC** Poisoning Systemic 270 Poisoning, Systemic, UNS* 271 Due to Toxic Materials other than Lead 272 Diseases of the Blood and Blood Forming Organs 273 Upper Respiratory Conditions 274 Influenza, Pneumonia, Etc. 276 Other Diseases of the Gastro-Intestinal Tract 278 Effects of Lead 279 Other Toxic Effects of One System Only Respiratory Systems, Conditions of 570 Respiratory Systems, Conditions of 571 Upper Respiratory 572 Asthma, Influenza, Pneumonia Pneumoconiosis 280 Pneumoconiosis 160 Skull 198 Head Multiple 200 Neck & Cervical Vertebrae UPPER EXTREMITIES 300 Upper Extremities, NEC** 310 Arm(s), UNS* 311 Upper Arm 313 Elbow(s) 315 Forearm(s) 318 Arm(s), Multiple 319 Arm(s), NEC** 320 Wrist(s) 330 Hand(s), Not Wrists or Fingers 340 Finger(s) 281 Aluminosis 282 Anthracosis 283 Asbestosis 284 Byssinosis 285 Siderosis 286 Silicosis 287 Other Pneumoconioses 289 Pneumoconiosis and Tuberculosis Nervous System, Conditions of 560 Nervous System, Conditions of - NEC** 561 Diseases of the Central Nervous System 562 Diseases of the Nerves and Peripheral Ganglia Neoplasm Tumor 550 Neoplasm Tumor, UNS* 551 Malignant 552 Benign Radiation Effects 290 Radiation Effects, UNS* 291 Non-Ionizing Radiation 292 Microwaves 293 Ionizing Radiation - X-Ray 294 Ionizing Radiation - Isotopes 295 Welder s Flash BODY PART AFFECTED CODES 398 Upper Extremities, Multiple 400 Trunk, UNS* 410 Abdomen, Internal Organs, Inguinal Hernia 420 Back 430 Chest, Ribs, Breastbone, Internal Organs 440 Hip(s)..,Pelvis, Organs and Buttocks 450 Shoulder(s) 498 Trunk, Multiple LOWER EXTREMITIES 500 Lower Extremities 510 Leg(s), UNS* 78 Motion Pictures 79 Amusements and Recreation Services 80 Health Services 81 Legal Services 82 Educational Services 83 Social Services 84 Museums, Botanical, Zoological Gardens 86 Membership Organizations 87 Engineering and Management Services 88 Private Households 89 Services, NEC Public Administration 91 Executive, Legislative and Garden 92 Justice, Public Order, and Safety 93 Finance, Taxation, and Monetary Benefits 94 Administration of Human Services 95 Environmental Quality and Housing 96 Administration of Economic Program 97 National Security and International Affairs Non-classifiable Establishments 99 Non-classifiable Establishments Other 265 Carpal Tunnel Syndrome 510 Cardiovascular and Other Conditions of the Circulatory System 520 Complications Peculiar to Medical Care 500 Effects of Changes in Atmospheric Pressure 240 Effects of Environmental Heat 220 Effects of Exposure to Low Temperature 530 Eye, other Diseases of the Eye 230 Hearing Loss or Impairment 991 Heart Condition,Excludes Heart Attack 320 Hemorrhoids 330 Hepatitis, Serum and Infective 275 Hepatitis, Toxic 260 Inflammation of Joints, Etc. 540 Mental Disorders 900 No Illness 999 Non-classifiable 990 Occupational Disease, NEC** 580 Symptoms and Ill-defined Conditions 513 Knee(s) 515 Lower Leg(s) 518 Leg(s), Multiple 519 Leg(s), NEC** 520 Ankle(s) 530 Foot or Feet, Not Ankle 540 Toe(s) 598 Lower Extremities, Multiple 700 MULTIPLE PARTS Applies when more than one major body part as been effected such as an arm and a leg 999 NON-CLASSIFIABLE - Insufficient information to identify part of body effected. Includes damage to prosthetic devises. *UNS - UNSPECIFIED **NEC - NOT ELSEWHERE CLASSIFIED

HOW TO COMPLETE "EMPLOYER'S FIRST REPORT OF INJURY - FORM 101" Box #1 Box #2 Box #3 Box #4 Box #5 Please print or type the employee's last name, first name and middle initial, as you know it. Please print or type the employee's current home telephone number. Please print or type the nine (9) digit employee's social security number. Disclosing this number is voluntary, but it helps the Department of Industrial Accidents (DIA) keep more accurate records. Please check box indicating employee's sex. Please print or type the employee's current full home address. Box #5a Please print or type the Native Language Code (found on the reverse side of Form 101). Box #6 Box #7 Box #8 Box #9 Box #10 Box #11 Box #12 Box #13 Box #14 Box #15 Box #16 Box #17 Box #18 Box #19 Box #20 Rev. 5/2009 Please check box indicating marital status. Please print or type the number of dependents employee has (including spouse). Please print or type employee's date of hire (MM/DD/YY). Please print or type employee's birth date (MM/DD/YY). Please print or type the average 52-week wage amount earned. Also check box indicating if estimated salary or actual salary earned. Please print or type employer's name. Please print or type your nine (9) digit Federal Tax ID Number. Please print or type your full business address. This is important because this is the address that the DIA will use to correspond with you. Please print or type employer's telephone number, Please print or type the exact two (2) digit industry code number from the chart on the back of the form that best describes the main product produced or the service or type of business the employer is engaged in. Please print or type the name and phone of your Workers Compensation Insurance Carrier (Associated Insurance Services LLC 781-221-1600). Please print or type your Workers Compensation policy number. Please indicate yes in box. Please indicate nature of business in block which best describes the employer s operations. Please print or type the date the injury or illness was alleged or reported to you as having happened by any source (including the employee's legal representative).

Box #20a Box #21 Box #22 Box #23 Box #24 Box #25 Box #26 Box #27 Box #28 Please print or type the 10-digit Insurer s Case/Claim File Number if known. Please check appropriate box to indicate if injury occurred on employer's premises. Please print or type the address where injury occurred (if different from #13 above). Please print or type the first day, which an alleged injury totally or partially incapacitates an employee from earning full wages, no matter how minor the reduction. Please print or type the fifth calendar day for which an employee is incapacitated from earning full wages because of an alleged injury arising out of and in the course of employment Please print or type date of death (MM/DD/YY) if employee has died. Please print or type the source of injury (e.g., machine, tool, substance, etc.) Please print or type a description of injury or illness. Please print or type the name of the person and position, to whom the injury was reported. Box #29 Please print or type the date the injury was first reported to the individual in Box 28. Box #30 Box #31 Box #32 Box #33 Box #34 Box #35 Box #36 Box #37 Box #38 Box #39 Box #40 Box #40a Please print or type the date the injury was first reported as work related. Please print or type the nature of the injury or illness from the codes printed on the back of the form. You may have more than one type of illness or injury from an accident. What body part(s) has been injured or affected? Please indicate if there was a witness(es) to the injury in the appropriate box. If yes, specify name and position of individual(s). Please indicate if employee has returned to work. Please print or type the date of return (MM/DD/YY) if employee has returned to work. Please print or type employee's regular occupation or job description. Please indicate if employee has returned to his/her regular occupation. Please print or type your name. Please print or type your title. Please sign your name. Please date this form. Please include the preparer s email address. Rev. 5/2009

E M P L O Y E E FORM 101 The Commonwealth of Massachusetts Department of Industrial Accidents Department 101 1 Congress Street 10th Floor, Boston, Massachusetts 02114 Info. Line 800-323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470 http://www.mass.gov/dia EMPLOYER S FIRST REPORT OF INJURY OR FATALITY DIA USE ONLY THIS FORM MUST BE FILED BY THE EMPLOYER IN THE EVENT OF AN INJURY THAT RESULTS IN DEATH OR FIVE OR MORE CALENDAR DAYS OF TOTAL OR PARTIAL INCAPACITY FROM EARNING WAGES. INSTRUCTIONS AND CODES ON THE REVERSE SIDE - Please Print Legibly or Type - Unreadable forms will be returned. 1. Employee s Name (Last, First, MI): 2. Home Telephone Number: 3. Social Security Number*: 4. Sex: M 5. Home Address (No., Street, City, State & Zip Code): 5a. Native Language Code: 6. Marital Status: 7. No. of Dependents: M S Other: 8. Date of Hire (mm/dd/yyyy): 9. Date of Birth (mm/dd/yyyy): 10. Average Weekly Wage: $ Estimated Actual 11. Employer s Name: 12. Federal Tax I.D. Number: F E M P L O Y E R I N J U R Y I N F O R M A T I O N 13. Employer s Address (No., Street, City, State & Zip Code): 14. Employer s Telephone Number: 16. Workers Compensation Insurance Carrier and Tel. No. (NOT LOCAL AGENT/ADMINISTRATOR): 17. W.C. Policy Number: 18. Self-Insured? Yes No If Yes, Self-Insurer Number: 20. DATE OF INJURY (mm/dd/yyyy): SAMPLE 21. Was Employee Injured on Employer s Premises? Yes No 23. FIRST day of Total or Partial Incapacity to Earn Wages (mm/dd/yyyy): 25. If Employee has Died, Date of Death (mm/dd/yyyy): 27. Briefly Describe How Injury/Exposure Occurred and Body Part(s) involved: 28. Person to Whom Injury was Reported (list position): 31. Injury Code(s) a. to body part b. to body part c. to body part Body Part Code(s) a. b. c. 15. Industry Code (See Reverse Side): 19. Business Type : Service Wholesale Mfg. Retail Other 20a. Insurer s Case/Claim File No.: 22. Location of Injury if not on Employer s Premises: 24. FIFTH day of Total or Partial Incapacity to Earn Wages (mm/dd/yyyy): 26. Source of Injury (Chemicals, Machinery, etc.): 29. Date Reported (mm/dd/yyyy): 30. Date Reported as work related (mm/dd/yyyy): 32. Witness(es) to Injury - Give Full Name(s), if none state as such: 33. Has Employee Returned to Work? Yes No 34. Date Employee Returned to Work(mm/dd/yyyy): 35. Employee s Regular Occupation: 36. Has Employee Returned to Regular Occupation: Yes No P R E P A R E R 37. PREPARER S Name (SEE INSTRUCTIONS ON REVERSE SIDE): 38. PREPARER S Title: 39. PREPARER S Signature (SEE INSTRUCTIONS ON REVERSE SIDE): 40. Date Prepared (mm/dd/yyyy): 40a. PREPARER S e-mail address: *Disclosure of Social Security Number is Voluntary. It will aid in the processing of your report. Form 101 - Revised 5/2009 - Reproduce as needed. THIS FORM DOES NOT CONSTITUTE AN EMPLOYEE S CLAIM FOR BENEFITS UNDER WORKERS COMPENSATION.

FORM 127 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street 10th Floor, Boston, Massachusetts 02114 Info. Line 800 323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470 http://www.mass.gov/dia AVERAGE WEEKLY WAGE COMPUTATION SCHEDULE DIA USE ONLY Print or Type 1. Employer s Name and Address: 2. Insurer s Case File #: 3. DIA Board # (if known): 4. Employee s Name and Address: 5. # of dependent children: 6. # of other dependents: 7. Date of Injury (mm/dd/yyyy): 8. Date of Disability (mm/dd/yyyy): 9. Date of Employment (mm/dd/yyyy): 10. Has employee been certified by U.S. Veterans Administration for any type of disability? Yes No Indicate only those wages earned by the injured worker during the 52 week period immediately preceding the accident. If the injured employee has worked for less than 52 weeks, report wages from the time worked and, for the remaining weeks on this schedule, substitute wages of a fellow employee in the same class of employment who has worked for one year or more. 11. Week No. Year: Week Ending Month Day Gross Amount Before Taxes Week No. Year: Week Ending Month Day Gross Amount Before Taxes Week No. Year: Week Ending Month Day Gross Amount Before Taxes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Total: 12. Was room furnished to the employee? Yes No 13. If tips or other benefits were earned, describe and state value per week: THIS IS A TRUE COPY OF THE PAYROLL RECORD OF THE ABOVE NAMED EMPLOYEE OR FELLOW EMPLOYEE IN THE SAME CLASS OF EMPLOYEMENT 14. Name of Fellow Employee (if applicable): 15. Employer/Preparer Signature: 16. Date Signed (mm/dd/yyyy): Make any comments on the reverse side of this form or on a separate sheet. Form 127 - Created 8/2005 Reproduce as needed.

FORM 127 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street 10th Floor, Boston, Massachusetts 02114 Info. Line 800 323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470 http://www.mass.gov/dia AVERAGE WEEKLY WAGE COMPUTATION SCHEDULE DIA USE ONLY Print or Type 1. Employer s Name and Address: 2. Insurer s Case File #: 3. DIA Board # (if known): 4. Employee s Name and Address: 5. # of dependent children: 6. # of other dependents: 7. Date of Injury (mm/dd/yyyy): 8. Date of Disability (mm/dd/yyyy): 9. Date of Employment (mm/dd/yyyy): 10. Has employee been certified by U.S. Veterans Administration for any type of disability? Yes No Indicate only those wages earned by the injured worker during the 52 week period immediately preceding the accident. If the injured employee has worked for less than 52 weeks, report wages from the time worked and, for the remaining weeks on this schedule, substitute wages of a fellow employee in the same class of employment who has worked for one year or more. 11. Week No. Year: Week Ending Month Day Gross Amount Before Taxes Week No. Year: Week Ending Month Day Gross Amount Before Taxes Week No. Year: Week Ending Month Day Gross Amount Before Taxes 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Total: 12. Was room furnished to the employee? Yes No 13. If tips or other benefits were earned, describe and state value per week: THIS IS A TRUE COPY OF THE PAYROLL RECORD OF THE ABOVE NAMED EMPLOYEE OR FELLOW EMPLOYEE IN THE SAME CLASS OF EMPLOYEMENT 14. Name of Fellow Employee (if applicable): 15. Employer/Preparer Signature: 16. Date Signed (mm/dd/yyyy): Make any comments on the reverse side of this form or on a separate sheet. Form 127 - Created 8/2005 Reproduce as needed.

REQUEST FOR MEDICAL SERVICES Date Medical Care Provider: Address: City State Zip Kindly care for the injury sustained by: on: (Name of Employee) (Date) Description of accident: Name of Employer: Address: Telephone: W.C. Policy Number: Requested by: (Signature) The employee will present this slip to the medical care provider who will attach it to the original bill for services. PLEASE SEND BILLS DIRECTLY TO: Associated Insurance Services, LLC Claim Department 54 Third Avenue P.O. Box 4070 Burlington, MA 01803-0970 MEDICAL BENEFITS ARE GOVERNED BY THE PROVISIONS OF THE WORKERS COMPENSATION LAW OF THE COMMONWEALTH OF MASSACHUSETTS. AIS 20

REQUEST FOR MEDICAL SERVICES Date 3/25/93 ABC Industrial Medical Clinic Medical Care Provider: Address: 114 Main Street City Andover State MA Zip 01810 Kindly care for the injury sustained by: on: Jane J. Doe 3/25/93 (Name of Employee) (Date) Cut hand on large staple while opening box. Description of accident: Able Manufacturing Name of Employer: 44 Elm Street, Andover, MA 01810 Address: Telephone: (508) 475-9111 094-00041 W.C. Policy Number: John Smith Requested by: (Signature) The employee will present this slip to the medical care provider who will attach it to the original bill for services. PLEASE SEND BILLS DIRECTLY TO: Associated Insurance Services, LLC Claim Department 54 Third Avenue P.O. Box 4070 Burlington, MA 01803-0970 MEDICAL BENEFITS ARE GOVERNED BY THE PROVISIONS OF THE WORKERS COMPENSATION LAW OF THE COMMONWEALTH OF MASSACHUSETTS. AIS 20

Massachusetts Statutory Benefit Provisions TEMPORARY TOTAL DISABILITY % Rate of compensation 60% of Employee's Gross Average Weekly Wage (AWW) Minimum weekly benefit 20% of State Average Weekly Wage (SAWW) Maximum weekly benefit Waiting period/retroactive Maximum duration SAWW 5 days. If incapacity extends 21 days or more, then compensation is paid back to date of incapacity; if incapacity extends for 5 days but less than 21 days, compensation is paid from 6th day of incapacity 156 weeks TEMPORARY PARTIAL DISABILITY % Rate of compensation AWW less earnings (or earning capacity) x 60% Maximum weekly benefit 75% of Temporary Total Benefits Waiting period/retroactive See Temporary Total Benefits Maximum duration 260 weeks of partial disability alone (or 364 weeks when combined with Temporary Total) 1 PERMANENT TOTAL DISABILITY % Rate of compensation 66 2/3 % of AWW Minimum weekly benefit 20% of SAWW Maximum weekly benefit SAWW Cost-of-Living Adjustment Employee eligibility will be reviewed following the required waiting period. State Average Weekly Wage (SAWW) effective October 1, 2012=$1,173.06 Page 1 of 2

FATAL Spouse and Children 2 % Rate of compensation 66 2/3 % of AWW Minimum weekly benefit $110.00 Maximum weekly benefit SAWW Maximum aggregate payable Children benefit if spouse remarries 250 x SAWW $60 per child, but no more than would have been paid to surviving spouse Dependency Other than Spouse and Children % Rate of compensation 66 2/3% Maximum weekly benefit $80.00 Maximum aggregate payable Cost-of-Living Adjustment 250 x SAWW, subject to escalation Beneficiary will be eligible for a cost of living adjustment. 1 The 520 weeks combined limit for the temporary total and partial disability benefit limit applies if the employee has permanently lost 75% or more of the use of an eye, an arm, a hand, a leg or a foot, or if the employee has a permanently life threatening physical condition or a permanently disabling occupational disease which is of a physical nature and cause. 2 If spouse's benefit is under $150, the spouse will receive $6 per dependent. The sum of the employee's benefit plus the dependency benefit is limited to $150. If the spouse's benefit is over $150, no dependency is paid.

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE Boston Area All One Health*** 101 Arch St., Suite 20 Boston, MA 02110 Tel: (617) 357-4140 Fax: (617) 695-3740 Contact: Lois Picard Concentra Medical Center 1 Harborside Drive Logan Airport East Boston, MA 02128 Tel: (617) 568-6500 Fax: (617) 568-6573 Contact: Ed Bride (617) 275-3553 New England Baptist Occupational Health** 125 Parker Hill Ave. 6th Floor, Converse Building Boston, MA 02120 Tel: (617) 754-5620 Fax: (617) 754-6453 Contact: Patrice Carter Boston Medical Occupational & Environmental Medicine Preston Family Building 732 Harrison Avenue, 5th Floor Boston, MA 02118 Tel: (617) 638-8400 Fax: (617) 638-8406 Brighton St. Elizabeth s Occupational Health* Mother Mary Rose, 2nd floor 736 Cambridge St. Brighton, MA 02135 Tel: (617) 789-2430 Fax: (617)789-3277 Contact: Keith Brinkley (617) 789-2213 *Most languages available through interpreter services. **Spanish only. ***No other languages. Cambridge Mount Auburn Hospital Occupational Health* 725 Concord Ave., Suite 5100 Cambridge, MA 02138 Tel: (617) 354-0546 Fax: (617) 868-4497 Contact: Bob Benoit Somerville Cambridge Health Alliance Occupational Health* Assembly Square Mall 5 Middlesex Ave. Somerville, MA 02144 Tel: (617) 591-4660 Fax: (617) 591-4670 Contact: John Babchak Metrowest Chelmsford Saints Memorial Corporate Well Care* 85 Parkhurst Road Chelmsford, MA 01824 Tel: (978) 458-6868 Fax: (978) 458-3735 Contact: Pam Huntley (978) 458-1126 Needham BI Deaconess Needham Hospital Occupational Health 148 Chestnut St. Needham, MA 02492 Tel: (781) 453-3041 Fax: (781) 453-3645 Contact: Karen Foulkro Framingham Fallon Clinic Oc Health*** 85 Lincoln St. Framingham, MA 01702 Tel: (508) 853-2854 Fax: (508) 872-3157 Contact: Mary Beth Colarusso (508) 852-0600 x51352 1 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE Milford Teamwork @ Milford Hospital* Hill Executive Park 115 Water Street, 2nd Floor Milford, MA 01757 Tel: (508) 422-2761 Fax: (508) 473-7588 Contact: Dena Stetson (508) 422-2318 Natick All One Health*** Preplacement Screening & RTW Exam only 190 North Main St., Suite 2 Natick, MA 01760 Tel: (508) 655-9766 Fax: (508) 655-9922 Contact: Deborah Lada Norwood Davis Occupational Health*** 49 Walpole Suite 1 Norwood, MA 02062 Tel: (781) 255-0778 Fax: (781) 255-0857 Contact: Rachel Southborough Medworks 28 Newton St. Southborough, MA 01770 Tel: (508) 486-5711 Fax: (508) 597-2224 Contact: Anette Casco (508) 486-5901 Waltham Health at Work Sterling Medical Building 9 Hope Ave. Waltham, MA 02458 Tel: (617) 243-6444 Fax: (617) 243-6126 (Spanish, Creole, Arabic) Contact: Pat Schindeler Northshore Amesbury Anna Jacques Hospital Occupational Health*** 24 Morrill Place Amesbury, MA 01913 Tel: (978) 834-8190 Fax: (978) 834-8188 Contact: Pat Powers Beverly Quadrant Health Strategies*** 500 Cummings Center, Suite 4350 Beverly, MA 01915 Tel: (978) 532-2428 Fax: (978) 532-0616 Contact: Diane Talbot (978) 998-3173 Chelsea All One Health 1000 Broadway St., 2nd Floor Chelsea, MA 01510 Tel: (617) 660-6360 Fax: (617) 660-6365 (German, Portuguese) Contact: Nancy MacComber *Most languages available through interpreter services. **Spanish only. ***No other languages. 2 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE Lawrence Work Health at Lawrence Hospital* 1 General Street Lawrence, MA 01841 Tel: (978) 683-4000 ext 2343 Fax: (978) 946-8296 Contact: Janet Sheehan Lowell Saints Medical Corporate WellCare 1230 Bridge St. Lowell, MA 01850 Tel: (978) 458-6868 Fax: (978) 458-3735 Contact: Pam Huntley (978) 458-1126 Middleton Occupational Health Services at Sports Medicine North Orthopedics 147 South main St. Middleton, MA 01949 Tel: (978) 539-6200 Fax: (978) 539-6199 Contact: Ann Persia (978) 233-1610 Wilmington Concentra Medical Center 66 B Concord St. Wilmington, MA 01887 Tel: (978) 657-3826 Fax: (978) 657-5705 Contact: Jill DeMarco (978) 806-5261 Woburn All One Health** 600 West Cumming St. Suite 3400 Woburn, MA 01801 Tel: (781) 935-8581 Fax: (781) 938-4686 Contact: Mary Ellen McAvoy Southcoast Region Fall River South Coast Occupational Health* 534 Prospect St. Fall River, MA 02721 Tel: (508) 679-7044 Fax: (508) 679-7098 Contact: Philomena Pemental (508) 679-7195 Trumed Inc. 528 Newton St. Fall River, MA 02721 Tel: (508) 675-1522 Fax: (508) 676-5647 (Portuguese) Contact: Paula New Bedford South Coast Occupational Health* 101 Page St. New Bedford, MA 02720 Tel: (508) 961-5265 Fax: (508) 961-5473 Contact: Philomena Pemental (508) 679-7195 Raynham Tristin Medical Enterprises 675 Paramount Drive Raynham, MA 02767 Tel: 508-880-0012 Contact: Joy Gagliardi *Most languages available through interpreter services. **Spanish only. ***No other languages. 3 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE Taunton Tristin Medical Enterprises Occupational Health 2005 Bay Rd. Taunton, MA 02780 Tel: (508) 824-0243 Fax: (508) 828-1810 (Spanish, Portuguese) Contact: Donna Chase x316 South Shore Region Avon Tirstin Medical Enterprises Occupational Health 75 Stockwell Dr. Avon, MA 02322 Tel: (508) 583-1400 Fax: (508) 583-3400 Contact: Terry Sullivan Braintree Center for Occupational Health, Braintree Rehab*** 100 Baystate Drive Braintree, MA 02184 Tel: (781) 356-0520 Fax: (781) 356-7065 Contact: Dave Coleman (781) 849-0238 Milton Milton Hospital Occupational Health* 199 Reedsdale Road BrooksWing 2nd Floor Milton, MA 02186 Tel: (617) 313-1681 Fax: (617) 313-1566 Contact: Pat Griffin (617) 313-1682 Plymouth Jordan on the Job 45 Resnick Road Suite 201 Plymouth, MA 02360 Tel: (508) 830-2388 Fax: (508) 830-2389 Contact: Charlotte Thies (508) 830-2296 Quincy Quincy Medical Center Occupational Health* 114 Whitewell St. Quincy, MA 02169 Tel: (617) 376-5700 Fax: (617) 376-1638 Contact: Walter Fraser (781) 910-5566 Cape Cod Area Bourne Cape and Islands Occupational Medicine 3119 Cranberry Highway East Wareham, MA 02571 Tel: (508) 771-5770 Fax: (508) 771-5774 Contact: Kim Sawyer Hyannis Cape and Islands Occupational Medicine 700 Attuck Lane, Suite 1-E Hyannis, MA 02601 Tel: (508) 771-5770 Fax: (508) 771-5774 Contact: Kim Sawyer Orleans Orleans Medical Center 204 Main St. Orleans, MA 02653 Tel: (508) 255-8825 Fax: (508) 240-3117 *Most languages available through interpreter services. **Spanish only. ***No other languages. 4 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE Dennis Cape Cod Medical Center 65 Route 134 Dennis, MA 02660 Tel: (508) 394-7113 Fax: (508) 394-5470 Contact: Natalie Amorim Vineyard Haven Dr. Michael Jacobs Walk-in Care 611 A State Road Vineyard Haven, MA 02568 Tel: 508-693-4400 Fax: 508-693-2098 Contact: Carol Fugione NP Central Region Auburn Fallon Clinic Occupational Health* 35 Millsbury St. Auburn, MA 01501 Tel: (508) 853-2854 Fax: (508) 832-9025 Contact: Mary Beth Colarusso (508) 852-0600 x51352 Worcester Fallon Clinic Occ. Health* 630 Plantation St. Worcester, MA 01605-2097 Tel: (508) 853-2854 Fax: (508) 853-4354 Contact: Mary Beth Colarusso (508) 852-0600 x51352 Webster Square Medical** 255 Park Ave., Suite 400 Worcester, MA 01609 Tel: (508) 755-9776 Fax: (508) 831-7861 Contact: Judy Gedman x228 North Central Area Ayer Nashoba Valley Occupational Health* 200 Groton Road Ayer, MA 01432 Tel: (978) 784-9328 Fax: (978) 784-9666 Contact: Marcia Estes Leominster Take Charge at Leominster Hosp.* 60 Hospital Road Simmons Bldg., 2nd Floor Leominster, MA 01453 Tel: (978) 466-2060 Fax: (978) 466-2065 Contact: Marianne Pappas South Central Area Attleboro Sturdy Occupational Health* 211 Park St. 2nd floor Attleboro, MA 02703 Tel: (508) 236-7500 Fax: (508) 236-7509 Southbridge Comprecare Occupational Health* 32 Oakes Ave., 1st Floor Southbridge, MA 01550 Tel: (508) 765-3093 Fax: (508) 765-3047 Contact: Arlene Smith *Most languages available through interpreter services. **Spanish only. ***No other languages. 5 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE Midwest Mass. Area Amherst AEIOU Occupational Health 170 University Drive, Suite 102 Amherst, MA 01002 Tel: (413) 461-3530 Fax: (413) 461-3532 Contact: Janice Hoffman Holyoke Work Connection at Holyoke Hospital* 575 Beech St. Holyoke, MA 01040 Tel: (413) 534-2546 Fax: (413) 534-2663 Contact: Leeann Herbert Springfield Pioneer Valley Occupational Health 1515 Allen St. Springfield, MA 01118 Tel: (413) 783-9114 Fax: (413) 782-7960 Work Wise @ Mercy Hospital* Weldon Center at 233 Carew St. Springfield, MA 01104 Tel: (413) 748-6869 Fax: (413) 748-6877 Contact: Barbara Haswell Ware Business and Health at Mary Lane Hospital* 85 South St. Ware, MA 01082 Tel: (413) 967-2179 Fax: (413) 967-2598 Contact: Scott King *Most languages available through interpreter services. **Spanish only. ***No other languages. Western Mass. Area East Longmeadow Occu-Health 200 North Main St. Suite 5 East Longmeadow, MA 01028 Tel: (413) 525-6003 Fax: (413) 525-9009 Greenfield AEIOU Occupational Health and Urgent Care 489 Bernardston Road Greenfield, MA 01301 Tel: (413) 773-1394 Fax: (413) 773-1398 Contact: Kim DeKoschak BayState Franklin Medical Workplace Health 157 High St. Greenfield, MA 01301 Tel: (413) 773-2182 Fax: (413) 773-2165 Contact: Laurie Kline Hadley Occu-Health 106 Russell St. Hadley, MA 01035 Tel: (413) 584-6104 Fax: (413) 586-6513 Pittsfield Berkshire Medical Center Occupational Health* 610 North St. Pittsfield, MA 01201 Tel: (413) 447-2684 Fax: (413) 447-2805 Contact: Pat Brandi at (413) 445-9230 Occupational Medical Services** 15 Stoddard Ave. Pittsfield, MA 01201 Tel: (413) 443-7799 Fax: (413) 443-7662 Contact: Vicki Sommerville 6 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

Primary Occupational Health Centers BDOHI Credentialed Affiliates in BLUE New Hampshire Nashua St. Joseph s Business & Health* Riverside Medical Center 17 Riverside St., Ste. 202 Nashua, NH 03062 Tel: (603) 595-7371 Fax: (603) 595-6943 Contact: Dianne Annon (603) 848-0177 Rhode Island North Smithfield Landmark Medical Occupational Health* 116 Eddie Dowling Highway North Smithfield, RI 02896 Tel: (401) 766-5619 Fax: (401) 767-1739 Contact: Scott Brodeur Salem Salem Occupational Acute Care*** 13 Red Roof Lane, Suite 2 Salem, NH 03079 Tel: (603) 898-0961 Fax: (603) 898-0964 Contact: Dianne Annon (603) 848-0177 Pawtucket Armistice Urgent Care and Occupational Health 209 Armistice Blvd. Pawtucket, RI 02860 Tel: (401) 725-4100 Fax: (401) 728-5010 (Spanish, Portguese) Contact: Cindy Swafford *Most languages available through interpreter services. **Spanish only. ***No other languages. 7 Best Doctors and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

To the Injured Worker: On your first visit, please give this notice to any pharmacy listed on the back side to speed processing your approved workers compensation prescriptions (based on the guidelines established by your employer). Questions or need assistance locating a participating retail network pharmacy? Call the Express Scripts Patient Care Contact Center at 800.945.5951. Atencion Trabajador Lesionado: Este formulario de identificación para servicios temporales de prescripción de recetas por compensación del trabajador DEBERÁ SER PRESENTADO a su farmacéutico al surtir su(s) receta(s) inicial(es). Si tiene cualquier duda o necesita localizar una farmacia participante, por favor contacte al área de Atención a Clientes de Express Scripts, en el teléfono 800.945.5951. To the Pharmacist: Express Scripts administers this workers compensation prescription program. Please follow the steps below to submit a claim. Standard claim limitations include quantity exceeding 150 pills or a day supply exceeding 14 days. This form is valid for up to 30 days from DOI. Limitations may vary. For assistance, call Express Scripts at 888.786.9640. AIM WORKS Thank you for using a participating retail network pharmacy. Even though there is no direct cost to you, it s important that we all do our part to help control the rising cost of healthcare. Please see other side for a list of participating retail network pharmacies. To the Supervisor: Please fill in the information requested for the injured worker. Pharmacy Processing Steps Step 1: Enter bin number 003858 Step 2: Enter processor control A4 Step 3: Enter the group number as it appears above Step 4: Enter the injured worker s nine-digit ID number Step 5: Enter the injured worker s first and last name Step 6: Enter the injured worker s date of injury (enter in PA field in the format YYYYMMDD)

A & P Acme Pharmacy Albertson s Albertson s/acme Albertson s/osco Albertson s/sav-on Amerisource Bergen Anchor Pharmacies Arrow Aurora Bartell Drugs Bigg s Bi-Lo Bi-Mart BJ s Wholesale Club Brooks Brookshire Brothers Brookshire Grocery Bruno Carrs Cash Wise Coborn s Costco Cub D&W Dahl s Dierbergs Discount Drugmart Doc s Drugs Dominicks Drug Emporium Drug Fair Drug Town Drug World Eckerd Econofoods EPIC Pharmacy Network FamilyMeds Farm Fresh Farmer Jack Food City Food Lion Fred s Gemmel Giant Giant Eagle Giant Foods Hannaford Harris Teeter H-E-B Hi-School Pharmacy Hy-Vee Jewel/Osco Kash n Karry Keltsch Kerr Kmart Knight Drugs Kroger LeaderNet (PSAO) Longs Drug Store Major Value Marsh Drugs Medic Discount Medicap Medistat Meijer Minyard NCS HealthCare Neighborcare Network Pharmaceuticals Northeast Pharmacy Services Osco P & C Food Markets Pamida Park Nicollet Pathmark Pavilions Price Chopper Publix Quality Markets Raley s Randalls Rite Aid Rosauers Rx Express RXD Safeway Sam s Club Sav-On Save Mart Schnucks Scolari s Sedano Shaw s Shop N Save Shopko ShopRite Snyder Stop & Shop Sun Mart Super Fresh Super Rx Target Texas Oncology Srvs The Pharm Thrifty White Times Tom Thumb Tops Ukrop s United Drugs United Supermarkets Vons Waldbaums Walgreens Wal-Mart Wegmans Weis Winn Dixie NOTE: This form is not valid in the state of Ohio. For all other states, liability of a workers compensation claim is not assumed based on the dispensing of medication(s) to a patient.

ABINGTON BELMONT MASSACHUSETTS ABINGTON BEMIS 6 BRIGHTON ST ABINGTON, MA 02351 (781)878-0893 375 CENTRE AVE ABINGTON, MA 02351 (781)871-9228 TARGET 385 CENTRE AVE ABINGTON, MA 02351 (781)347-9004 777 BROCKTON AVE ABINGTON, MA 02351 (781)857-1280 ACTON ACTON 563 MASSACHUSETTS AVE ACTON, MA 01720 (978)263-3901 344 GREAT RD ACTON, MA 01720 (978)264-9130 393 MASSACHUSETTS AVE ACTON, MA 01720 (978)263-3385 100 POWDER MILL RD ACTON, MA 01720 (978)897-1600 ADAMS BIG Y 1 MYRTLE ST ADAMS, MA 01220 (413)743-5702 21 COLUMBIA ST ADAMS, MA 01220 (413)743-4659 AGAWAM 287 SPRINGFIELD AVE AGAWAM, MA 01001 (413)786-4100 163 SILVER ST AGAWAM, MA 01001 (413)789-3339 17 SPRINGFIELD ST AGAWAM, MA 01001 (413)786-6060 ALLSTON CENTRAL BOSTON 1304 COMMONWEALTH AVE ALLSTON, MA 02134 (617)566-2008 1266 COMMONWEALTH AVE ALLSTON, MA 02134 (617)277-6080 JOSEPH M SMITH COMMUNITY HLTH 287 WESTERN AVE ALLSTON, MA 02134 (617)783-0500 181 BRIGHTON AVE ALLSTON, MA 02134 (617)254-3169 AMESBURY 194 MAIN ST AMESBURY, MA 01913 (978)834-0300 15 HAVERHILL RD AMESBURY, MA 01913 (978)834-0097 100 MACY ST AMESBURY, MA 01913 (978)388-9755 AMHERST AMHERST 381 COLLEGE ST AMHERST, MA 01002 (413)253-0387 76 N PLEASANT ST AMHERST, MA 01002 (413)253-9307 165 UNIVERSITY DR AMHERST, MA 01002 (413)256-0421 UNIVERSITY HEALTH SRVCS PHCY 150 INFIRMARY WAY AMHERST, MA 01003 (413)577-5030 ANDOVER 68 MAIN ST ANDOVER, MA 01810 (978)470-0542 LETOURNEAU'S 349 N MAIN ST ANDOVER, MA 01810 (978)475-7779 229 N MAIN ST ANDOVER, MA 01810 (978)475-3660 ARLINGTON 833 MASSACHUSETTS AVE ARLINGTON, MA 02476 (781)643-4272 23 MASSACHUSETTS AVE # 25 ARLINGTON, MA 02474 (781)648-0557 MAIDA 121 MASSACHUSETTS AVE ARLINGTON, MA 02474 (781)643-7840 905 MASSACHUSETTS AVE ARLINGTON, MA 02476 (781)643-3267 ASHBURNHAM ASHBURNHAM FAMILY 63 MAIN ST ASHBURNHAM, MA 01430 (978)827-6766 FAMILY LTC 63A S MAIN ST ASHBURNHAM, MA 01430 (978)827-4190 ASHLAND 47 POND ST ASHLAND, MA 01721 (508)872-4860 414 UNION ST ASHLAND, MA 01721 (508)881-7606 399 UNION ST ASHLAND, MA 01721 (508)881-0951 339 POND ST ASHLAND, MA 01721 (508)881-7311 ASSONET SEDELL'S 63 S MAIN ST ASSONET, MA 02702 (508)644-5455 ATHOL ATHOL FAMILY 321 MAIN ST ATHOL, MA 01331 (978)249-9100 1653 MAIN ST ATHOL, MA 01331 (978)249-6715 1640 S MAIN ST ATHOL, MA 01331 (978)249-9132 ATTLEBORO COUNTY SQUARE 289 COUNTY ST ATTLEBORO, MA 02703 (508)222-7620 191 N MAIN ST ATTLEBORO, MA 02703 (508)222-0880 486 PLEASANT ST ATTLEBORO, MA 02703 (508)222-6020 1099 WASHINGTON ST ATTLEBORO, MA 02703 (508)399-7350 469 PLEASANT ST ATTLEBORO, MA 02703 (508)226-5888 AUBURN 676 SOUTHBRIDGE ST AUBURN, MA 01501 (508)832-6257 PROCARE 35 MILLBURY ST AUBURN, MA 01501 (508)832-2516 AUBURNDALE KEYES 2090 COMMONWEALTH AVE AUBURNDALE, MA 02466 (617)244-2794 AVON COSTCO 120 STOCKWELL DR AVON, MA 02322 (508)232-4003 30 MEMORIAL DR AVON, MA 02322 (508)427-4311 AYER MEDICINE SHOPPE 50 MAIN ST AYER, MA 01432 (978)772-7325 BARRE BARRE FAMILY 547 SUMMERS ST BARRE, MA 01005 (978)355-2359 BEDFORD 199 GREAT RD BEDFORD, MA 01730 (781)275-3606 337 GREAT RD BEDFORD, MA 01730 (781)271-9403 BELCHERTOWN 151 N MAIN ST BELCHERTOWN, MA 01007 (413)323-9621 45 FEDERAL ST BELCHERTOWN, MA 01007 (413)323-9096 BELLINGHAM 50 PULASKI BLVD BELLINGHAM, MA 02019 (508)883-4600 250 HARTFORD AVE. BELLINGHAM, MA 02019 (508)966-0807 BELMONT 60 LEONARD ST BELMONT, MA 02478 (617)489-3669 264 TRAPELO RD BELMONT, MA 02478 (617)489-5528 SHAWS 535 TRAPELO RD BELMONT, MA 02478 (617)489-6542 SHORE 297 BELMONT ST BELMONT, MA 02478 (617)484-7007 November 2011

BEVERLY BROCKTON BEVERLY 434 RANTOUL ST BEVERLY, MA 01915 (978)921-0632 19 DODGE ST BEVERLY, MA 01915 (978)927-0060 EATON APOTHECARY 100 CUMMINGS CTR STE 113A BEVERLY, MA 01915 (978)922-2300 224 CABOT ST BEVERLY, MA 01915 (978)921-4550 BILLERICA 700 BOSTON RD TOWN PLZ BILLERICA, MA 01821 (978)667-7666 467 BOSTON POST RD BILLERICA, MA 01821 (978)663-8128 BLACKSTONE 22 MAIN ST BLACKSTONE, MA 01504 (508)883-8800 BOSTON 610 TREMONT 610 TREMONT ST BOSTON, MA 02118 (617)262-3389 BIOSCRIP 21 STANHOPE ST # 23 BOSTON, MA 02116 (617)375-7969 BOSTON MED CENTER OP 720 HARRISON AVE BOSTON, MA 02118 (617)414-5398 BOSTON MEDICAL CENTER 850 HARRISON AVE BOSTON, MA 02118 (617)414-4883 BRIGHAM'S WOMAN'S HOSPITAL 75 FRANCIS ST BOSTON, MA 02115 (617)732-9040 350 LONGWOOD AVE BOSTON, MA 02215 (617)731-5753 240 NEWBURY ST BOSTON, MA 02116 (617)236-4007 587 BOYLSTON ST BOSTON, MA 02116 (617)437-8414 1249 BOYLSTON ST BOSTON, MA 02215 (617)262-1354 101 CANAL ST BOSTON, MA 02114 (617)227-0720 2 CENTER PLZ BOSTON, MA 02108 (617)523-3653 900 COMMONWEALTH AVE BOSTON, MA 02215 (617)232-2100 236 HANOVER ST BOSTON, MA 02113 (617)720-4935 231 MASSACHUSETTS AVE BOSTON, MA 02115 (617)266-6775 400 TREMONT ST BOSTON, MA 02116 (617)542-2107 191 CAMBRIDGE ST BOSTON, MA 02114 (617)367-0441 631 WASHINGTON ST BOSTON, MA 02111 (617)338-0128 874 HARRISON AVE BOSTON, MA 02118 (617)442-0309 155 CHARLES ST STE 157 BOSTON, MA 02114 (617)523-1028 333 WASHINGTON ST BOSTON, MA 02108 (617)742-0783 285 COLUMBUS AVE BOSTON, MA 02116 (617)236-8538 300 LONGWOOD AVE BOSTON, MA 02115 (617)975-3500 55 SUMMER ST BOSTON, MA 02110 (617)426-2690 DANA FARBER CANCER INSTITUTE 44 BINNEY ST RM 294 BOSTON, MA 02115 (617)632-3338 FENWAY 1340 BOYLSTON ST BOSTON, MA 02115 (617)927-6330 FENWAY 142 BERKLEY ST BOSTON, MA 02116 (617)247-7555 GARY 59 CHARLES ST BOSTON, MA 02114 (617)227-0023 GREEN CROSS 393 HANOVER ST BOSTON, MA 02113 (617)227-3728 HARVARD VANGUARD MED ASSOC 147 MILK ST BOSTON, MA 02109 (617)654-7070 HARVARD VANGUARD MED ASSOC 185 DARTMOUTH STREET BOSTON, MA 02116 (617)859-5300 HARVARD VANGUARD MED ASSOC 133 BROOKLINE AVE BOSTON, MA 02215 (617)421-5990 KORNFIELD 2121 WASHINGTON ST BOSTON, MA 02119 (617)427-8950 MCINNIS HOUSE CLINIC 780 ALBANY ST BOSTON, MA 02118 (857)654-1000 MGH OPD 55 FRUIT ST BOSTON, MA 02114 (617)726-1695 PHARMACARE SPECIALTY 35 KNEELAND ST BOSTON, MA 02111 (617)542-1885 PHARMACARE SPECIALTY PHCY 350 LONGWOOD AVE STE B BOSTON, MA 02215 (617)731-8665 PLANNED PARENTHOOD LGE OF MA 1055 COMMONWEATLH AVE BOSTON, MA 02215 (617)616-1613 710 E BROADWAY BOSTON, MA 02127 (617)269-5781 1150 SARATOGA ST BOSTON, MA 02128 (617)561-0610 100 CAMBRIDGE ST BOSTON, MA 02114 (617)367-4704 1295 BOYLSTON ST BOSTON, MA 02215 (617)262-5770 SHAWS 1065 COMMONWEALTH AVE BOSTON, MA 02215 (617)782-4585 TAI-TUNG 256 HARRISON AVE BOSTON, MA 02111 (617)482-7419 TUFTS MEDICAL CENTER 800 WASHINGTON ST STE 420 BOSTON, MA 02111 (617)636-8981 BOURNE 6 HEAD OF THE BAY RD BOURNE, MA 02532 (508)759-1097 1 TROWBRIDGE PL BOURNE, MA 02532 (508)743-9563 BRADFORD THE WHITTIER PHARMACIST 145 WARD HILL AVE BRADFORD, MA 01835 (978)373-8900 BRAINTREE CRITICAL CARE SYSTEMS 191 BAY STATE DR BRAINTREE, MA 02184 (781)843-6688 884 WASHINGTON ST BRAINTREE, MA 02184 (781)843-0648 270 GROVE ST BRAINTREE, MA 02184 (781)356-0714 HARVARD VANGUARD MED ASSOC 111 GROSSMAN DR BRAINTREE, MA 02184 (781)849-2280 11 PEARL ST BRAINTREE, MA 02184 (781)356-3337 316 GROVE ST BRAINTREE, MA 02184 (781)356-8596 TARGET 250 GRANITE ST STE 121 BRAINTREE, MA 02184 (781)817-8810 BRIDGEWATER 19 SUMMER ST BRIDGEWATER, MA 02324 (508)697-6946 233 BROAD ST BRIDGEWATER, MA 02324 (508)697-2564 BRIGHTON 427 WASHINGTON ST BRIGHTON, MA 02135 (617)783-2577 207 MARKET ST BRIGHTON, MA 02135 (617)254-0358 1927 BEACON ST BRIGHTON, MA 02135 (617)738-6820 MELVIN 1558 COMMONWEALTH AVE BRIGHTON, MA 02135 (617)566-2281 STAR 370 WESTERN AVE BRIGHTON, MA 02135 (617)782-1628 SUTHERLAND 1690 COMMONWEALTH AVE BRIGHTON, MA 02135 (617)232-3513 BROCKTON APOTHECARE 720 CENTRE ST BROCKTON, MA 02302 (508)588-6800 November 2011

BROCKTON CHICOPEE 230 E ASHLAND AVE BROCKTON, MA 02302 (508)580-0180 1933 MAIN ST BROCKTON, MA 02301 (508)587-0235 355 CENTRE ST BROCKTON, MA 02302 (508)559-8084 316 N PEARL ST BROCKTON, MA 02301 (508)580-0605 755 BELMONT ST BROCKTON, MA 02301 (508)586-7988 240 OAK ST BROCKTON, MA 02301 (508)588-4610 EATON APOTHECARY 63 MAIN ST BROCKTON, MA 02301 (508)580-3000 PEARL STREET 1 PEARL ST BROCKTON, MA 02301 (508)588-7455 PHARMERICA 1123 PEARL ST BROCKTON, MA 02301 (508)427-5000 725 CENTRE ST BROCKTON, MA 02302 (508)584-0940 SHAWS/OSCO 609 BELMONT ST BROCKTON, MA 02301 (508)584-8520 932 N MONTELLO ST BROCKTON, MA 02301 (508)427-6582 683 BELMONT ST BROCKTON, MA 02301 (508)427-1777 700 OAK ST BROCKTON, MA 02301 (508)584-5955 BROOKLINE 294 HARVARD ST BROOKLINE, MA 02446 (617)731-6860 1322 BEACON ST BROOKLINE, MA 02446 (617)731-4410 400 WASHINGTON ST BROOKLINE, MA 02446 (617)277-6626 J.E. PIERCE APOTHECARY 1180 BEACON STREET BROOKLINE, MA 02446 (617)566-4080 JE PIERCE APOTHECARY COMPOUND 1093 BEACON ST BROOKLINE, MA 02446 (617)608-3022 BURLINGTON CRITICAL CARE SYSTEMS 1 NORTH AVE BURLINGTON, MA 01803 (781)270-5565 242 CAMBRIDGE ST BURLINGTON, MA 01803 (781)272-4146 34 CAMBRIDGE ST BURLINGTON, MA 01803 (781)273-3645 HARVARD VANGUARD MED ASSOC 20 WALL ST BURLINGTON, MA 01803 (781)221-2560 LAHEY CLINIC MED CTR 41 MALL RD BURLINGTON, MA 01805 (781)744-8658 OSCO 180 CAMBRIDGE ST STE A BURLINGTON, MA 01803 (781)221-0144 BYFIELD FREEDOM 12 KENT WAY BYFIELD, MA 01922 (800)660-4283 CAMBRIDGE CAMBRIDGE HEALTH ALLIANCE 1493 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617)665-1438 CIAMPA APOTHECARY 425 CAMBRIDGE ST CAMBRIDGE, MA 02141 (617)547-0322 1426 MASSACHUSETTS AVE CAMBRIDGE, MA 02138 (617)354-4420 624 MASSACHUSETTS AVE CAMBRIDGE, MA 02139 (617)876-7868 211 ALEWIFE BROOK PKWY CAMBRIDGE, MA 02138 (617)661-6422 36 WHITE ST CAMBRIDGE, MA 02140 (617)876-5519 HARVARD UNIV HELTH SVCS PHCY 75 MOUNT AUBURN ST CAMBRIDGE, MA 02138 (617)496-6664 HARVARD VANGUARD MED ASSOC 1611 CAMBRIDGE ST CAMBRIDGE, MA 02138 (617)661-5538 INMAN 1414 CAMBRIDGE ST CAMBRIDGE, MA 02139 (617)876-4868 MIT MEDICAL DEPT HLTH SVC CNTR 77 MASSACHUSETTES AVE CAMBRIDGE, MA 02139 (617)253-1517 330 RIVER ST CAMBRIDGE, MA 02139 (617)492-9030 1740 MASSACHUSETTS AVE CAMBRIDGE, MA 02138 (617)876-7662 SKENDERIAN APOTHECARY 1613 CAMBRIDGE ST CAMBRIDGE, MA 02138 (617)354-5600 STAR/OSCO 699 MOUNT AUBURN ST CAMBRIDGE, MA 02138 (617)661-9337 CANTON 95 WASHINGTON ST CANTON, MA 02021 (781)828-5125 4 WASHINGTON ST CANTON, MA 02021 (781)821-0515 CARVER 100D N MAIN ST CARVER, MA 02330 (508)866-7001 SEDELL'S 90 MAIN ST CARVER, MA 02330 (508)866-4524 CHARLESTOWN 509 MAIN ST CHARLESTOWN, MA 02129 (617)242-2950 HIGH 54 HIGH ST CHARLESTOWN, MA 02129 (617)242-0415 CHARLTON 142 WORCESTER RD CHARLTON, MA 01507 (508)248-5473 CHATHAM 12 QUEEN ANNE RD CHATHAM, MA 02633 (508)945-4340 CHELMSFORD 16 BOSTON RD CHELMSFORD, MA 01842 (978)256-2577 39 CHELMSFORD ST CHELMSFORD, MA 01824 (978)256-5349 66 DRUM HILL RD STE 2 CHELMSFORD, MA 01824 (978)970-2001 HARVARD VANGUARD MED ASSOC 228 BILLERICA ROAD CHELMSFORD, MA 01824 (978)250-6161 66-4 PARKHURST RD CHELMSFORD, MA 01824 (978)459-6366 CHELSEA 1010 REVERE BEACH PKWY CHELSEA, MA 02150 (617)884-1095 324 BROADWAY CHELSEA, MA 02150 (617)889-1529 MARGOLIS 447 BROADWAY CHELSEA, MA 02150 (617)884-3524 CHESTNUT HILL 647 VFW PKWY CHESTNUT HILL, MA 02467 (617)469-5264 1195 BOYLSTON ST CHESTNUT HILL, MA 02467 (617)731-5228 HARVARD VANGUARD MED ASSOC 291 INDEPENDENCE DR CHESTNUT HILL, MA 02467 (617)541-6300 CHICOPEE CHICOPEE HEALTH CENTER PHCY 505 FRONT ST CHICOPEE, MA 01013 (413)420-6222 1616 MEMORIAL DR CHICOPEE, MA 01020 (413)532-3299 235 CENTER ST CHICOPEE, MA 01013 (413)594-8156 1176 GRANBY RD CHICOPEE, MA 01020 (413)532-0991 LOUIS AND CLARK 1481 MEMORIAL DR CHICOPEE, MA 01020 (413)534-5677 1 SAINT JAMES AVE CHICOPEE, MA 01020 (413)557-1559 577 MEADOW ST CHICOPEE, MA 01013 (413)592-4696 672 MEMORIAL DR CHICOPEE, MA 01020 (413)593-3999 591 MEMORIAL DR CHICOPEE, MA 01020 (413)593-6503 November 2011

CLINTON EASTHAMPTON CLINTON 792 MAIN ST CLINTON, MA 01510 (978)368-7631 1031 MAIN ST CLINTON, MA 01510 (978)368-8540 COHASSET 790 JUSTICE CUSHING WAY COHASSET, MA 02025 (781)383-1525 400 JUSTICE CUSHING HWY COHASSET, MA 02025 (781)383-6614 CONCORD 199 SUDBURY RD CONCORD, MA 01742 (978)371-0688 71 LOWELL RD UNIT 1-B CONCORD, MA 01742 (978)369-5802 WEST CONCORD 1212 MAIN ST CONCORD, MA 01742 (978)369-3100 DALTON O'LAUGHLIN'S 403 MAIN STREET DALTON, MA 01226 (413)684-0023 DANVERS COSTCO 11 NEWBURY ST DANVERS, MA 01923 (978)750-4334 311 NEWBURY ST DANVERS, MA 01923 (978)777-5504 139 ENDICOTT ST DANVERS, MA 01923 (978)646-8930 1 MAPLE ST DANVERS, MA 01923 (978)774-7130 TARGET 240 INDEPENDENCE WAY DANVERS, MA 01923 (978)762-4439 55 AVALON VILLAGE WAY DANVERS, MA 01923 (978)777-6983 DEDHAM BOSTON HOME INFUSION 110 STERGIS WAY DEDHAM, MA 02026 (781)326-1986 COSTCO 200 LEGACY BLVD DEDHAM, MA 02026 (781)251-9974 947 PROVIDENCE HWY DEDHAM, MA 02026 (781)320-8301 270 BUSSY ST DEDHAM, MA 02026 (781)407-0845 19 EASTERN AVE DEDHAM, MA 02026 (781)326-7186 160 PROVIDENCE HWY DEDHAM, MA 02026 (781)320-1574 WARDLE'S 585 HIGH ST DEDHAM, MA 02026 (781)326-0061 DENNIS PORT 711 ROUTE 28 DENNIS PORT, MA 02639 (508)398-5097 DORCHESTER COMPTON 393 COLUMBIA RD DORCHESTER, MA 02125 (617)288-1616 CRAWFORD 1735 DORCHESTER AVE DORCHESTER, MA 02124 (617)436-3400 2235 DORCHESTER AVE DORCHESTER, MA 02124 (617)296-1025 468 BLUE HILL AVE DORCHESTER, MA 02121 (617)427-7806 715 MORRISSEY BLVD DORCHESTER, MA 02122 (617)822-1307 778 DUDLEY ST DORCHESTER, MA 02125 (617)825-2572 DORCHESTER HOUSE MULTI SRVS 1353 DORCHESTER AVE DORCHESTER, MA 02122 (617)740-2544 EATON APOTHECARY 950 DORCHESTER AVE DORCHESTER, MA 02125 (617)265-3331 GEIGER GIBSON COMM HLTH CTR 250 MOUNT VERNON ST DORCHESTER, MA 02125 (617)533-2295 HARVARD NEIGHBORHOOD 632 BLUE HILL AVE DORCHESTER, MA 02121 (617)825-3400 KIMMY 1435 DORCHESTER AVE DORCHESTER, MA 02122 (617)288-8199 MAXIM 1365 DORCHESTER AVE # 1377 DORCHESTER, MA 02122 (617)282-9800 NEPONSET HEALTH CENTER PHCY 398 NEPONSET AVE DORCHESTER, MA 02122 (617)533-6190 PRIME 201 HUMBOLT AVE DORCHESTER, MA 02121 (617)427-2222 1100 DORCHESTER AVE DORCHESTER, MA 02125 (617)282-3069 540 GALLIVAN BLVD DORCHESTER, MA 02124 (617)825-3776 SAIGON 1167 DORCHESTER AVE # A DORCHESTER, MA 02125 (617)282-9134 STAR 45 MORRISSEY BLVD DORCHESTER, MA 02124 (617)265-7911 8 ALLSTATE RD STE B DORCHESTER, MA 02125 (617)541-4300 TARGET 7 ALLSTATE RD DORCHESTER, MA 02125 (617)602-1922 UPHAM'S CORNER HLTH COMM PHCY 415 COLUMBIA RD DORCHESTER, MA 02125 (617)287-8000 DORCHESTER CENTER 703 GALLIVAN BLVD DORCHESTER CENTER, MA 02124 (617)287-8292 EATON APOTHECARY 637 WASHINGTON ST FL G DORCHESTER CENTER, MA 02124 (617)265-7400 DRACUT ALEXANDER'S 505 NASHUA RD DRACUT, MA 01826 (978)957-0330 4 BROADWAY RD DRACUT, MA 01826 (978)937-9995 2019 LAKEVIEW AVE DRACUT, MA 01826 (978)957-6550 301 PLEASANT ST DRACUT, MA 01826 (978)452-5255 DUDLEY 13 W MAIN ST DUDLEY, MA 01571 (508)949-0512 DUXBURY 28 DEPOT ST DUXBURY, MA 02331 (781)934-0694 EAST BOSTON 1150 SARATOGA ST EAST BOSTON, MA 02128 (617)569-2638 210 BORDER ST EAST BOSTON, MA 02128 (617)567-5147 E BOSTON NEIGHBORHOOD HLTH CTR 10 GOVE ST EAST BOSTON, MA 02128 (617)568-4000 EAST BRIDGEWATER 225 BEDFORD ST EAST BRIDGEWATER, MA 02333 (508)378-1370 DUVAL'S 1 COMPASS WAY STE 101 EAST BRIDGEWATER, MA 02333 (508)350-2900 EAST FALMOUTH 415 E FALMOUTH HWY EAST FALMOUTH, MA 02536 (508)540-8621 20 TEATICKET HWY EAST FALMOUTH, MA 02536 (508)540-4711 EAST LONGMEADOW BIG Y 441 N MAIN ST EAST LONGMEADOW, MA 01028 (413)525-6346 217 N MAIN ST EAST LONGMEADOW, MA 01028 (413)525-4510 470 N MAIN ST EAST LONGMEADOW, MA 01028 (413)525-6929 EAST WAREHAM 2992 CRANBERRY HWY EAST WAREHAM, MA 02538 (508)295-3880 3005 CRANBERRY HWY, RT 6 & 28 EAST WAREHAM, MA 02538 (508)295-8822 EASTHAMPTON 118 NORTHAMPTON ST EASTHAMPTON, MA 01027 (413)527-1562 November 2011

EASTHAMPTON GEORGETOWN LOUIS AND CLARK 238 NORTHAMPTON ST EASTHAMPTON, MA 01027 (413)529-1811 32 UNION ST EASTHAMPTON, MA 01027 (413)527-7410 EASTON 555 WASHINGTON ST EASTON, MA 02375 (508)238-3476 25 ROBERT DR EASTON, MA 02375 (508)238-4067 TARGET 41 ROBERT DR EASTON, MA 02375 (508)230-0006 EDGARTOWN 245 VINEYARD HAVEN RD EDGARTOWN, MA 02539 (508)627-5107 EVERETT COSTCO 2 MYSTIC VIEW RD EVERETT, MA 02149 (617)544-4805 PRESCRIPTION SHOPPE 378 BROADWAY EVERETT, MA 02149 (617)389-7440 405 BROADWAY EVERETT, MA 02149 (617)387-0005 TARGET ONE MYSTIC VIEW RD EVERETT, MA 02149 (617)960-0166 FAIRHAVEN 10 SARAHS WAY RTE 6 FAIRHAVEN, MA 02719 (508)999-0790 KMART 9 PLAZA WAY FAIRHAVEN, MA 02719 (508)990-1072 85 HUTTLESTON AVE FAIRHAVEN, MA 02719 (508)999-2970 SHAWS 11 BERDON WAY FAIRHAVEN, MA 02719 (508)979-8556 SOUTHCOAST CLINICAL 200 MILL RD STE 120 FAIRHAVEN, MA 02719 (508)910-0370 221 HUTTLETSON AVE FAIRHAVEN, MA 02719 (508)990-4700 42 FAIRHAVEN COMMONS WAY FAIRHAVEN, MA 02719 (508)993-4250 FALL RIVER 1620 PRESIDENT AVE FALL RIVER, MA 02720 (508)672-2403 4171 N MAIN ST FALL RIVER, MA 02720 (508)677-3555 245 WILLIAM S CANNING BLVD FALL RIVER, MA 02721 (508)678-9031 550 PLEASANT ST FALL RIVER, MA 02721 (508)678-3945 DEVILLERS 1392 RODMAN ST FALL RIVER, MA 02721 (508)679-1944 HEALTH CARE 1030 PRESIDENT AVE FALL RIVER, MA 02720 (508)675-5858 10 STAFFORD RD FALL RIVER, MA 02721 (508)679-9600 1024 S MAIN ST FALL RIVER, MA 02724 (508)672-0888 1533 S MAIN ST FALL RIVER, MA 02724 (508)674-0255 933 PLEASANT ST FALL RIVER, MA 02723 (508)679-9130 323 WM S CANNING BLVD FALL RIVER, MA 02721 (508)678-0080 233 S MAIN ST FALL RIVER, MA 02721 (508)679-1838 870 N MAIN ST FALL RIVER, MA 02720 (508)677-9555 STANDARD 246 E MAIN ST FALL RIVER, MA 02724 (508)672-6911 501 RODMAN ST FALL RIVER, MA 02721 (508)672-2366 333 MARIANO BISHOP BLVD FALL RIVER, MA 02720 (508)675-0887 374 WILLIAM S CANNINA BLVD FALL RIVER, MA 02721 (508)730-2978 WALSH OF ROCK ST 202 ROCK ST FALL RIVER, MA 02720 (508)679-1300 FALMOUTH CAPE COD HOME INFUSION SVCS 200 MAIN ST STE 205 FALMOUTH, MA 02540 (800)457-0096 105 DAVIS STRAITS FALMOUTH, MA 02540 (508)540-4307 HOME SOLUTIONS 295 MAIN ST FALMOUTH, MA 02540 (508)548-4266 NORTH FALMOUTH 17 ACADEMY LN FALMOUTH, MA 02540 (508)564-4459 520 MAIN ST FALMOUTH, MA 02540 (508)495-2991 SHAWS 137 TEA TICKET HWY FALMOUTH, MA 02540 (508)457-1185 FEEDING HILLS 1282 SPRINGFIELD ST FEEDING HILLS, MA 01030 (413)789-2226 FITCHBURG COMMUNITY HEALTH CONNECTIONS 275 NICHOLS RD FITCHBURG, MA 01420 (978)878-8465 96 WATER ST FITCHBURG, MA 01420 (978)342-8941 57 ROLLSTONE RD FITCHBURG, MA 01420 (978)342-8740 436 JOHN FITCH HWY FITCHBURG, MA 01420 (978)345-7606 PROCARE 370 LUNENBURG ST FITCHBURG, MA 01420 (978)343-9687 KMART 140 WHALON ST FITCHBURG, MA 01420 (978)345-7540 FOXBORO 67 CENTRAL ST FOXBORO, MA 02035 (508)543-6646 141 MAIN ST FOXBORO, MA 02035 (508)543-6174 FRAMINGHAM 145 CONCORD ST FRAMINGHAM, MA 01702 (508)820-9218 776 WATER ST FRAMINGHAM, MA 01701 (508)877-2600 1280 WORCESTER RD FRAMINGHAM, MA 01702 (508)872-1432 EATON APOTHECARY 266 WAVERLY ST FRAMINGHAM, MA 01702 (508)629-2800 235 OLD CONNECTICUT PATH FRAMINGHAM, MA 01701 (508)820-0903 TARGET 400 COCHITUATE RD FRAMINGHAM, MA 01701 (508)628-9004 121 WORCESTER RD FRAMINGHAM, MA 01701 (508)872-4265 FRANKLIN 272 E CENTRAL ST FRANKLIN, MA 02038 (508)528-0597 435 W CENTRAL ST FRANKLIN, MA 02038 (508)520-0253 265 E CENTRAL ST FRANKLIN, MA 02038 (508)528-0190 SHAWS 255 E CENTRAL ST FRANKLIN, MA 02038 (508)520-7017 40 FRANKLIN VILLAGE DR FRANKLIN, MA 02038 (508)520-4106 GARDNER 314 MAIN ST GARDNER, MA 01440 (978)632-1760 FAMILY HEYWOOD HOSP 250 GREEN ST STE 101 GARDNER, MA 01440 (978)632-4533 100 WEST ST GARDNER, MA 01440 (978)630-2808 52 PEARSON BLVD GARDNER, MA 01440 (978)632-7832 384 TIMPANY BLVD GARDNER, MA 01440 (978)632-8644 677 TIMPANY BLVD GARDNER, MA 01440 (978)630-1353 GEORGETOWN 65 CENTRAL ST GEORGETOWN, MA 01833 (978)352-8540 GEORGETOWN 50 CENTRAL ST GEORGETOWN, MA 01833 (978)352-2121 November 2011

GLOUCESTER HULL GLOUCESTER CONLEYS STORE 7 RAILROAD AVE GLOUCESTER, MA 01930 (978)283-3131 177 MAIN ST GLOUCESTER, MA 01930 (978)281-2450 6 THATCHER RD GLOUCESTER, MA 01930 (978)283-7480 127 EASTERN AVE STE 8 GLOUCESTER, MA 01930 (978)281-2720 GRANBY CENTER 242 STATE ST GRANBY, MA 01033 (413)467-7022 GREAT BARRINGTON 362 MAIN ST STE 2 GREAT BARRINGTON, MA 01230 (413)528-2860 FAIRVIEW HOSPITAL 29 LEWIS AVE GREAT BARRINGTON, MA 01230 (413)854-9667 PRICE CHOPPER 300 STOCKBRIDGE RD GREAT BARRINGTON, MA 01230 (413)528-2408 740 S MAIN ST GREAT BARRINGTON, MA 01230 (413)528-5460 197 MAIN ST GREAT BARRINGTON, MA 01230 (413)528-2425 GREENFIELD BIG Y 237 MOHAWK TRL GREENFIELD, MA 01301 (413)772-0435 137 FEDERAL ST GREENFIELD, MA 01301 (413)774-7201 107 MAIN ST GREENFIELD, MA 01301 (413)774-3976 89 FRENCH KING HWY GREENFIELD, MA 01301 (413)774-6006 GROTON 106 BOSTON RD GROTON, MA 01450 (978)448-5238 SHAWS/OSCO 760A BOSTON RD GROTON, MA 01450 (978)448-2605 HADLEY 440 RUSSELL ST HADLEY, MA 01035 (413)256-4167 TARGET 367 RUSSELL ST HADLEY, MA 01035 (413)586-6681 337 RUSSELL ST HADLEY, MA 01035 (413)586-4265 HALIFAX 341 PLYMOUTH ST HALIFAX, MA 02338 (781)293-5786 295 PLYMOUTH ST HALIFAX, MA 02338 (781)294-7001 HANOVER 207 ROCKLAND ST HANOVER, MA 02339 (781)826-8381 TARGET 1167 WASHINGTON ST HANOVER, MA 02339 (781)499-1962 1755 WASHINGTON ST HANOVER, MA 02339 (781)826-2382 HANSON 471 LIBERTY ST HANSON, MA 02341 (781)293-3545 SHAWS 476 LIBERTY ST HANSON, MA 02341 (781)293-0561 HARWICH 148 ROUTE 137 HARWICH, MA 02645 (508)432-2018 11 CHATHAM RD HARWICH, MA 02645 (508)432-5001 HARWICH PORT 6 POST OFFICE SQ MAIN ST HARWICH PORT, MA 02646 (508)430-0660 STAR 18 SISSON RD HARWICH PORT, MA 02646 (508)432-0895 HAVERHILL 259 MAIN ST HAVERHILL, MA 01830 (978)374-0719 241 LINCOLN AVE HAVERHILL, MA 01830 (978)372-0291 150 LAFAYETTE SQ HAVERHILL, MA 01832 (978)556-5076 425 LOWELL AVE HAVERHILL, MA 01832 (978)373-1234 PREFERRED SOLUTIONS 35 AVCO RD HAVERHILL, MA 01835 (978)374-9100 68 S MAIN ST HAVERHILL, MA 01830 (978)373-0292 2 WATER ST HAVERHILL, MA 01830 (978)374-0171 TARGET 35 COMPUTER DR HAVERHILL, MA 01832 (978)377-9003 HINGHAM 405 LINCOLN ST HINGHAM, MA 02043 (781)749-1163 86 SOUTH ST HINGHAM, MA 02043 (781)740-8952 HINGHAM CENTRE 294 MAIN ST HINGHAM, MA 02043 (781)749-1277 NEIGHBORCARE-LINDEN PONDS 203 LINDEN PONDS WAY HINGHAM, MA 02043 (781)534-7270 100 DERBY ST HINGHAM, MA 02043 (781)749-8730 184 LINCOLN ST HINGHAM, MA 02043 (781)749-0407 400 LINCOLN ST HINGHAM, MA 02043 (781)749-5856 HOLBROOK 842 S FRANKLIN ST HOLBROOK, MA 02343 (781)767-0555 480 N FRANKLIN ST HOLBROOK, MA 02343 (781)963-3029 HOLDEN 160 RESERVOIR ST HOLDEN, MA 01520 (508)829-7631 5 SHREWSBURY ST HOLDEN, MA 01520 (508)829-6504 HOLLISTON 101 CENTRAL ST HOLLISTON, MA 01746 (508)429-5561 HOLYOKE 2213B NORTHAMPTON ST HOLYOKE, MA 01040 (413)532-3216 400 BEECH ST HOLYOKE, MA 01040 (413)536-1432 HOLYOKE HEALTH CENTER 230 MAPLE ST STE 1 HOLYOKE, MA 01040 (413)533-7323 KMART 2203 NORTH HAMPTON ST HOLYOKE, MA 01040 (413)538-6908 1504 N HAMPTON ST HOLYOKE, MA 01040 (413)533-7985 28 LINCOLN ST HOLYOKE, MA 01040 (413)536-5483 2217 N HAMPTON ST HOLYOKE, MA 01040 (413)536-9101 TARGET 50 HOLYOKE ST HOLYOKE, MA 01041 (413)532-9568 HOPKINTON HOPKINTON 52 MAIN ST HOPKINTON, MA 01748 (508)435-4441 INTEGRITY 45 SOUTH ST STE 2 HOPKINTON, MA 01748 (508)544-9828 HUDSON 234 WASHINGTON ST HUDSON, MA 01749 (978)562-2663 157 WASHINGTON ST HUDSON, MA 01749 (978)562-5096 280 WASHINGTON ST HUDSON, MA 01749 (978)568-3377 HULL NANTASKET 480 NANTASKET AVE HULL, MA 02045 (781)925-1270 November 2011

HYANNIS LUNENBURG HYANNIS APOTHECARE 201 MAIN ST HYANNIS, MA 02601 (508)775-9254 CAPE COD HOSP EMPLOYEE PHCY 27 PARK ST HYANNIS, MA 02601 (508)862-5900 176 NORTH ST HYANNIS, MA 02601 (508)775-8346 1080 FALMOUTH RD HYANNIS, MA 02601 (508)778-4064 MEDICINE STORE 596 W MAIN ST HYANNIS, MA 02601 (508)778-5928 360 BARNSTABLE RD HYANNIS, MA 02601 (508)771-6511 520 W MAIN ST HYANNIS, MA 02601 (508)775-9211 65 INDEPENDENCE DR HYANNIS, MA 02601 (508)790-2149 HYDE PARK 942 HYDE PARKE AVE HYDE PARK, MA 02136 (617)364-5141 HYDE PARK 1461 RIVER ST HYDE PARK, MA 02136 (617)361-1545 1329 HYDE PARK AVE HYDE PARK, MA 01236 (617)364-2000 SHAWS 1377 HYDE PARK AVE HYDE PARK, MA 02136 (617)364-3161 IPSWICH CONLEY'S STORE 146 HIGH ST UNIT H IPSWICH, MA 01938 (978)356-2121 114 CENTRAL ST IPSWICH, MA 01938 (978)356-9198 JAMAICA PLAIN 704 CENTER ST JAMAICA PLAIN, MA 02130 (617)524-4714 467 CENTRE ST JAMAICA PLAIN, MA 02130 (617)522-8062 301 CENTRE ST JAMAICA PLAIN, MA 02130 (617)524-2419 KINGSTON 189 SUMMER ST KINGSTON, MA 02364 (781)585-6581 182 SUMMER ST KINGSTON, MA 02364 (781)585-1326 160 SUMMER ST KINGSTON, MA 02364 (781)582-3703 TARGET 101 INDEPENDENCE MALL WAY KINGSTON, MA 02364 (781)585-6337 TURA'S 85 SUMMER ST KINGSTON, MA 02364 (781)585-2595 LAKEVILLE 11 MAIN ST LAKEVILLE, MA 02347 (508)946-8690 SEDELL'S 290 BEDFORD ST LAKEVILLE, MA 02347 (508)946-4766 LANESBOROUGH TARGET 655 CHESHIRE RD LANESBOROUGH, MA 01237 (412)236-4223 LAWRENCE 205 S BROADWAY LAWRENCE, MA 01840 (978)681-9943 GREATER LAWRENCE FHC 150 PARK ST LAWRENCE, MA 01841 (978)689-6635 GREATER LAWRENCE FHC 34 HAVERHILL ST LAWRENCE, MA 01841 (978)689-6635 GREATER LAWRENCE FHC 700 ESSEX ST LAWRENCE, MA 01841 (978)689-6635 PACKARD MEDICAL 128 PARKER ST LAWRENCE, MA 01841 (978)682-5122 PERROTTA'S SUPER 292 PROSPECT ST LAWRENCE, MA 01841 (978)682-2557 73 WINTHROP AVE LAWRENCE, MA 01843 (978)687-0445 365 ESSEX ST LAWRENCE, MA 01840 (978)682-5986 LEE 25 PARK ST LEE, MA 01238 (413)243-2402 LEICESTER 1666 MAIN ST LEICESTER, MA 01524 (508)892-4058 LENOX ROUTE 7 AND 20 LENOX, MA 02140 (413)499-3430 LENOX VILLAGE 5 WALKER ST LENOX, MA 01240 (413)637-4700 LEOMINSTER 188 CENTRAL ST LEOMINSTER, MA 01453 (978)537-7940 9 NELSON ST LEOMINSTER, MA 01453 (978)840-8343 63 SACK BLVD LEOMINSTER, MA 01453 (978)534-5114 PROCARE 165 MILL ST LEOMINSTER, MA 01453 (978)537-7091 927 MERRIAM AVE LEOMINSTER, MA 01453 (978)466-7458 118 LANCASTER ST LEOMINSTER, MA 01453 (978)840-2737 TARGET 86 ORCHARD HILL PARK DR LEOMINSTER, MA 01453 (978)534-4358 11 JUNGLE RD LEOMINSTER, MA 01453 (978)466-1221 LEXINGTON 1735 MASSACHUSETTS AVE LEXINGTON, MA 02420 (781)862-4080 THEATRE 1784 MASSACHUSETTS AVE LEXINGTON, MA 02420 (781)862-4480 LITTLETON 10 MEETING HOUSE RD LITTLETON, MA 01460 (978)486-9230 LONGMEADOW BIG Y 802 WILLIAMS ST LONGMEADOW, MA 01106 (413)567-6231 720 BLISS RD LONGMEADOW, MA 01106 (413)567-8961 410 LONGMEADOW ST LONGMEADOW, MA 01106 (413)567-2033 LOWELL 1815 MIDDLESEX ST LOWELL, MA 01851 (978)458-4621 35 MERRIMACK ST LOWELL, MA 01852 (978)454-1000 336 BRIDGE ST LOWELL, MA 01850 (978)452-7165 777 ROGERS RD LOWELL, MA 01852 (978)453-7257 LONG TERM SOLUTIONS 225 STEDMAN ST STE 27 LOWELL, MA 01851 (978)458-4000 PAWTUCKET OF LOWELL 65 SCHOOL ST LOWELL, MA 01854 (978)458-3366 25 WOOD ST LOWELL, MA 01852 (978)458-6397 121 CHURCH ST LOWELL, MA 01852 (978)937-0030 86 DUMMER ST LOWELL, MA 01854 (978)458-8441 TARGET 181 PLAIN ST LOWELL, MA 01852 (978)703-2021 LUDLOW BIG Y 433 CENTER ST STE 3 LUDLOW, MA 01056 (413)583-7910 451 CENTER ST LUDLOW, MA 01056 (413)589-9559 LUNENBURG 454 ELECTRIC AVE LUNENBURG, MA 01462 (978)345-1064 333 MASS AVE LUNENBURG, MA 01462 (978)582-7013 301 MASSACHUSETTS AVE LUNENBURG, MA 01462 (978)582-6499 November 2011

LYNN METHUEN LYNN CROWN 232 LEWIS ST LYNN, MA 01902 (781)598-9400 200 S COMMON ST LYNN, MA 01905 (781)592-1470 509 EASTERN AVE LYNN, MA 01902 (781)599-4482 102 BOSTON ST LYNN, MA 01904 (781)595-5997 EATON APOTHECARY 298 UNION ST LYNN, MA 01901 (781)593-4805 EATON 12 MARKET SQ LYNN, MA 01905 (781)598-3535 FLAG 7 WILLOW ST LYNN, MA 01901 (781)599-5900 LYNN COMMUNITY HLTH CTR PHCY 298 UNION ST LYNN, MA 01901 (781)593-4805 OSBORNE 59 ESSEX ST LYNN, MA 01902 (781)598-3500 RICHMOND 499 EASTERN AVENUE LYNN, MA 01902 (781)592-4172 52 BOSTON ST LYNN, MA 01904 (781)581-1681 156 LEWIS ST LYNN, MA 01902 (781)592-5868 SHAWS 43 STATE ST LYNN, MA 01901 (781)596-9625 SPECTOR 289 ESSEX ST LYNN, MA 01902 (781)592-3179 35 WASHINGTON ST LYNN, MA 01901 (781)596-3277 780 LYNNWAY LYNN, MA 01905 (781)592-4330 LYNNFIELD VILLAGE 590 MAIN ST LYNNFIELD, MA 01940 (781)334-3133 MALDEN AUCELLA 705 SALEM ST MALDEN, MA 02148 (781)324-7060 36 PLEASANT ST MALDEN, MA 02148 (781)324-1101 60 BROADWAY MALDEN, MA 02148 (781)322-5890 575 BROADWAY MALDEN, MA 02148 (781)321-1017 ELMWOOD 299 PLEASANT ST MALDEN, MA 02148 (781)322-2117 99 CHARLES ST MALDEN, MA 02148 (781)397-0050 MANCHESTER ALLEN'S 40 BEACH ST MANCHESTER, MA 01944 (978)526-1321 MANSFIELD 261 CHAUNCY ST MANSFIELD, MA 02048 (508)339-6711 243 CHAUNCY ST MANSFIELD, MA 02048 (508)337-8800 377 CHAUNCY ST MANSFIELD, MA 02048 (508)337-9455 MARBLEHEAD 45 ATLANTIC AVE MARBLEHEAD, MA 01945 (781)639-1466 VILLAGE 1 VILLAGE PLZ MARBLEHEAD, MA 01945 (781)631-8100 MARLBOROUGH ACCREDO THERAPEUTICS 261 CEDAR HILL ST MARLBOROUGH, MA 01752 (508)460-9813 BOUVIER 515 LINCOLN ST MARLBOROUGH, MA 01752 (508)485-0432 264 E MAIN ST MARLBOROUGH, MA 01752 (508)485-6119 193 BOSTON POST RD W MARLBOROUGH, MA 01752 (508)229-0647 MEDICINE STORE 164 PLEASANT ST MARLBOROUGH, MA 01752 (508)481-5916 PARTNERS OF MA 181 CEDAR HILL MARLBOROUGH, MA 01752 (508)624-8880 75 S BOLTON ST MARLBOROUGH, MA 01752 (508)229-2924 TARGET 605 BOSTON POST RD E MARLBOROUGH, MA 01752 (508)251-6958 TARGET 423 DONALD LYNCH BLVD MARLBOROUGH, MA 01752 (508)573-1005 WEST RIVER PHARM 140 LOCKE DR MARLBOROUGH, MA 01752 (508)573-5200 MARSHFIELD 1880 OCEAN RD MARSHFIELD, MA 02050 (781)837-5381 1900 OCEAN ST MARSHFIELD, MA 02050 (781)319-0012 STAR 16 WEBSTER SQ MARSHFIELD, MA 02050 (781)837-5163 MARSTONS MILLS 1030 PUTNAM AVE MARSTONS MILLS, MA 02648 (508)428-9638 3858 FALMOUTH RD MARSTONS MILLS, MA 02648 (508)428-3525 MASHPEE 11 MARKET ST MASHPEE, MA 02649 (508)477-1535 39 NATHAN ELLIS HWY MASHPEE, MA 02649 (508)539-1803 MATTAPAN 90 RIVER ST STE 7 MATTAPAN, MA 02126 (617)298-4940 MAYNARD 105 MAIN ST MAYNARD, MA 01754 (978)897-2939 MEDFIELD 555 MAIN ST MEDFIELD, MA 02052 (508)359-7783 SHAWS 230 MAIN ST MEDFIELD, MA 02052 (508)359-6855 MEDFORD 85 HIGH ST MEDFORD, MA 02155 (781)396-4770 55 RIVERSIDE AVE MEDFORD, MA 02155 (781)395-1515 590 FELLSWAY MEDFORD, MA 02155 (781)391-2668 HARVARD VANGUARD MED ASSOC 26 CITY HALL MALL MEDFORD, MA 02155 (781)306-5240 491 HIGH ST STE 497 MEDFORD, MA 02155 (781)646-9622 467 SALEM ST MEDFORD, MA 02155 (781)396-8352 SHAWS 61 LOCUST ST MEDFORD, MA 02155 (781)395-3233 760 FELLSWAY MEDFORD, MA 02155 (781)396-2940 MEDWAY 67 D MAIN ST MEDWAY, MA 02053 (508)533-6771 MELROSE 516 MAIN ST # 522 MELROSE, MA 02176 (781)665-7107 GREEN STREET 35 GREEN ST MELROSE, MA 02176 (781)665-0022 MELROSE CENTER 462 MAIN ST MELROSE, MA 02176 (781)665-7400 882 MAIN ST MELROSE, MA 02176 (781)665-1719 METHUEN CONLIN'S 30 LAWRENCE ST METHUEN, MA 01844 (978)552-1700 76 SWAN ST METHUEN, MA 01844 (978)688-9002 233 BROADWAY ST METHUEN, MA 01844 (978)685-6311 RESIDENT CARE 213 BROADWAY METHUEN, MA 01844 (978)327-6551 256 PLEASANT ST METHUEN, MA 01844 (978)683-5690 176 HAVERHILL ST METHUEN, MA 01844 (978)686-3058 November 2011

METHUEN NORTH ATTLEBORO 90 PLEASANT VALLEY ST METHUEN, MA 01844 (978)837-6644 TARGET 67 PLEASANT VALLEY ST METHUEN, MA 01844 (978)983-2021 70 PLEASANT VALLEY ST METHUEN, MA 01844 (978)686-3359 MIDDLEBORO 438 W GROVE ST STE B MIDDLEBORO, MA 02346 (508)946-0080 8 MERCHANTS WAY MIDDLEBORO, MA 02346 (508)923-2989 131 MAIN ST # 133 MIDDLEBORO, MA 02346 (508)946-0149 MIDDLETON 220 MAPLE ST MIDDLETON, MA 01949 (978)774-1061 MILFORD 137 S MAIN ST MILFORD, MA 01757 (508)478-0331 50 MEDWAY RD MILFORD, MA 01757 (508)634-3095 PROCARE 176 WEST ST MILFORD, MA 01757 (508)634-8800 5 MEDWAY RD MILFORD, MA 01757 (508)478-7514 98 PROSPECT ST MILFORD, MA 01757 (508)478-3918 196 E MAIN ST MILFORD, MA 01757 (508)478-5748 TARGET 250 FORTUNE BLVD MILFORD, MA 01757 (508)478-5276 MILLBURY 65 CANAL ST MILLBURY, MA 01527 (508)865-8805 PROCARE 110 ELM ST MILLBURY, MA 01527 (508)865-1136 25 MAIN ST MILLBURY, MA 01527 (508)865-0544 TARGET 70 WORCESTER PROVIDN TPKE MILLBURY, MA 01527 (508)865-7454 MILLIS 2 MILLISTON RD MILLIS, MA 02054 (508)376-2975 MILTON 10 BASSETT ST MILTON, MA 02186 (617)698-2805 MONSON 117 MAIN ST MONSON, MA 01057 (413)267-4021 NANTUCKET DAN'S 100 PLEASANT ST NANTUCKET, MA 02554 (508)825-9100 ISLAND VALUE 122 PLEASANT ST NANTUCKET, MA 02554 (508)228-6400 NANTUCKET 45 MAIN ST NANTUCKET, MA 02554 (508)228-0180 NATICK 137 W CENTRAL ST NATICK, MA 01760 (508)655-2271 JONES 7 MAIN ST NATICK, MA 01760 (508)653-1820 829 WORCESTER ST NATICK, MA 01760 (508)653-3504 NEEDHAM BIRDS HILL 401 GREAT PLAIN AVE NEEDHAM, MA 02492 (781)449-0550 936 HIGHLAND AVE NEEDHAM, MA 02492 (781)453-0550 980 GREAT PLAIN AVE NEEDHAM, MA 02492 (781)449-2270 NEW BEDFORD 2100 ACUSHNET AVE NEW BEDFORD, MA 02745 (508)995-2653 1145 KEMPTON ST NEW BEDFORD, MA 02740 (508)999-3241 786 ASHLEY BLVD NEW BEDFORD, MA 02745 (508)998-3831 136 ASHLEY BLVD NEW BEDFORD, MA 02746 (508)996-2094 PHARMAHEALTH 2206 ACUSHNET AVE NEW BEDFORD, MA 02745 (508)998-8000 PHARMAHEALTH 458 DARTMOUTH ST NEW BEDFORD, MA 02740 (508)996-3778 1383 COVE RD NEW BEDFORD, MA 02744 (508)991-3368 824 PURCHASE ST NEW BEDFORD, MA 02740 (508)992-2422 1245 ACUSHNET AVE NEW BEDFORD, MA 02745 (508)984-5402 565 MILL ST NEW BEDFORD, MA 02740 (508)996-5781 2170 ACUSHNET AVE NEW BEDFORD, MA 02745 (508)995-6408 SILVA 133 COUNTY ST NEW BEDFORD, MA 02744 (508)992-4741 ST LUKE'S RETAIL 101 PAGE ST NEW BEDFORD, MA 02740 (508)961-5449 1001 KINGS HWY NEW BEDFORD, MA 02745 (508)998-0999 438 DARTMOUTH ST NEW BEDFORD, MA 02742 (508)996-5090 NEWBURYPORT 13 1/2 POND ST NEWBURYPORT, MA 01950 (978)462-5339 DANIEL L. LYNCH 173 HIGH ST NEWBURYPORT, MA 01950 (978)462-2232 STOREY AVE NEWBURYPORT, MA 01950 (978)462-8530 NEWTON AMERICA'S COMPOUNDING CENTER 153 CALIFORNIA ST NEWTON, MA 02458 (617)527-1563 978 BOYLSTON ST NEWTON, MA 02464 (617)244-0821 NEWTON CENTER 1199 CENTER ST NEWTON CENTER, MA 02459 (617)332-4900 NEWTONVILLE 304 WALNUT ST NEWTONVILLE, MA 02460 (617)527-0120 NORTH ADAMS BIG Y SHOPPING CTR NORTH ADAMS, MA 01247 (413)664-8712 LITTLES 109 EAGLE ST NORTH ADAMS, MA 01247 (413)663-6450 60 LINCOLN ST NORTH ADAMS, MA 01247 (413)663-5270 876 STATE RD NORTH ADAMS, MA 01247 (413)664-8550 830 CURRAN MEMORIAL HWY NORTH ADAMS, MA 01247 (413)664-4040 NORTH ANDOVER 110 TURNPIKE ST NORTH ANDOVER, MA 01845 (978)686-3854 115 MAIN ST NORTH ANDOVER, MA 01845 (978)682-0941 525 TURNPIKE ST NORTH ANDOVER, MA 01845 (978)794-8720 757 TURNPIKE ST NORTH ANDOVER, MA 01845 (978)683-4925 NORTH ATTLEBORO 8 E WASHINGTON ST NORTH ATTLEBORO, MA 02760 (508)695-1481 11 ROBERT TONER BLVD NORTH ATTLEBORO, MA 02763 (508)695-1895 SHAWS 125 TONER BLVD NORTH ATTLEBORO, MA 02760 (508)643-0312 260 E WASHINGTON ST NORTH ATTLEBORO, MA 02763 (508)695-6111 November 2011

NORTH ATTLEBORO PEMBROKE TARGET 1205 S WASHINGTON ST NORTH ATTLEBORO, MA 02760 (508)669-2748 1470 S WASHINGTON ST NORTH ATTLEBORO, MA 02760 (508)699-2007 NORTH BILLERICA 210 BOSTON RD NORTH BILLERICA, MA 01862 (978)663-6616 MEDICAL CENTER 221 BOSTON RD NORTH BILLERICA, MA 01862 (978)663-6583 NORTH BROOKFIELD 5 GILBERT ST NORTH BROOKFIELD, MA 01535 (508)867-4891 NORTH DARTMOUTH PHARMAHEALTH 535 FAUNCE CORNER RD NORTH DARTMOUTH, MA 02747 (508)998-7888 25 FAUNCE CORNER MALL RD NORTH DARTMOUTH, MA 02747 (508)999-7300 TARGET 479 STATE RD NORTH DARTMOUTH, MA 02747 (508)979-7531 506 STATE RD NORTH DARTMOUTH, MA 02747 (508)984-7774 NORTH EASTON 2 ROCHE BROTHERS WAY NORTH EASTON, MA 02356 (508)230-0259 689 DEPOT ST NORTH EASTON, MA 02356 (508)238-0604 690 DEPOT ST NORTH EASTON, MA 02356 (508)238-6929 NORTH GRAFTON 100 WORCESTER ST NORTH GRAFTON, MA 01536 (508)839-2240 217 WORCESTER RD NORTH GRAFTON, MA 01536 (508)839-6134 STAT-CARE 198 WORCHESTER ST NORTH GRAFTON, MA 01536 (508)839-1221 NORTH OXFORD 742 MAIN ST NORTH OXFORD, MA 01537 (508)987-1111 NORTH READING 22 MAIN ST NORTH READING, MA 01864 (978)664-4621 72 MAIN ST NORTH READING, MA 01864 (978)664-3207 NORTHAMPTON BIG Y 136 N KING ST RTE 5 NORTHAMPTON, MA 01060 (413)586-5145 366 KING ST NORTHAMPTON, MA 01060 (413)586-8315 90 MAIN ST NORTHAMPTON, MA 01060 (413)584-2580 SERIO'S 63 STATE ST NORTHAMPTON, MA 01060 (413)584-8980 228 KING ST NORTHAMPTON, MA 01060 (413)584-9700 180 N KING ST NORTHAMPTON, MA 01060 (413)587-9555 NORTHBOROUGH 14 W MAIN ST NORTHBOROUGH, MA 01532 (508)393-6027 SHATTUCK 17 W MAIN ST NORTHBOROUGH, MA 01532 (508)393-2670 200 OTIS ST NORTHBOROUGH, MA 01532 (508)393-1745 WEGMANS 9102 SHOPS WAY NORTHBOROUGH, MA 01532 (508)936-1900 NORTON 35 W MAIN ST NORTON, MA 02766 (508)285-4032 HASKINS 4 SCOTT DR NORTON, MA 02766 (508)285-4481 ROCHE BROS 175 MANSFIELD AVE NORTON, MA 02766 (508)285-5293 NORWELL 104 WASHINGTON ST NORWELL, MA 02061 (781)871-0183 10 WASHINGTON ST NORWELL, MA 02061 (781)878-7063 PROFESSIONAL 75 WASHINGTON ST NORWELL, MA 02061 (781)878-3234 119 WASHINGTON ST STE 2 NORWELL, MA 02061 (781)878-6063 468 WASHINGTON ST NORWELL, MA 02061 (781)982-2946 NORWOOD 136 NAHATAN ST NORWOOD, MA 02062 (781)769-2422 MEDI-SON SOLUTIONS 898 WASHINGTON ST NORWOOD, MA 02062 (781)352-2606 420 WALPOLE ST NORWOOD, MA 02062 (781)769-5400 991 PROVIDENCE HWY NORWOOD, MA 02062 (781)762-4979 OAK BLUFFS CONROY APOTHECARY OB 82 PENNACOOK AVE OAK BLUFFS, MA 02557 (508)696-0700 ORANGE 555 E MAIN ST ORANGE, MA 01364 (978)544-6405 ORLEANS 110 RTE 6A ORLEANS, MA 02653 (508)240-2759 9 WEST RD SKAKET CORS ORLEANS, MA 02653 (508)255-0570 ORLEANS S/C, RT 6A ORLEANS, MA 02653 (508)255-5931 RTE 6 A CRANBERRY COVE PLZ ORLEANS, MA 02653 (508)255-3851 OXFORD 302 MAIN ST OXFORD, MA 01540 (508)987-1327 175 MAIN ST OXFORD, MA 01540 (508)987-5386 PALMER BIG Y 1180 THORNDIKE ST PALMER, MA 01069 (413)283-4827 1001 THORNDYKE ST PALMER, MA 01069 (413)283-2546 1047 THORNDIKE ST PALMER, MA 01069 (413)283-3658 PEABODY 637 LOWELL ST PEABODY, MA 01960 (978)535-5465 85 LYNNFIELD ST PEABODY, MA 01960 (978)531-6953 535 LOWELL ST PEABODY, MA 01960 (978)535-2062 174 MAIN ST PEABODY, MA 01960 (978)977-4844 EATON APOTHECARY 23 CENTENNIAL DR PEABODY, MA 01960 (978)532-3732 HARVARD VANGUARD MED ASSOC 2 ESSEX CENTER DR PEABODY, MA 01960 (978)977-4100 LAHEY CLINIC NORTH 1 ESSEX CENTER DR PEABODY, MA 01960 (978)538-4150 NEIGHBORCARE- BROOKSBY VILLAGE 100 BROOKSBY VILLAGE DR PEABODY, MA 01960 (978)326-2350 19 HOWLEY ST PEABODY, MA 01960 (978)977-3946 TREMONT COMPANY 86 TREMONT ST PEABODY, MA 01960 (978)531-1853 PEMBROKE 44 MATTAKEESETT ST PEMBROKE, MA 02359 (781)293-3113 125 CHURCH ST PEMBROKE, MA 02359 (781)826-8315 November 2011

PEPPERELL RUTLAND PEPPERELL PEPPERELL FAMILY 74 MAIN ST PEPPERELL, MA 01463 (978)433-6130 6062 GROTON ST PEPPERELL, MA 01463 (978)433-2711 PITTSFIELD BERKSHIRE MEDICAL CENTER 725 NORTH ST PITTSFIELD, MA 01201 (413)395-7610 BIG Y 200 WEST ST PITTSFIELD, MA 01201 (413)447-9844 107 WEST ST PITTSFIELD, MA 01201 (413)499-4624 FLYNN'S 173 ELM ST PITTSFIELD, MA 01201 (413)445-5567 PRICE CHOPPER 555 HUBBARD AVE PITTSFIELD, MA 01201 (413)496-9332 37 CHESHIRE RD PITTSFIELD, MA 01201 (413)443-4486 180 ELM ST PITTSFIELD, MA 01201 (413)499-1640 163 SOUTH ST PITTSFIELD, MA 01201 (413)445-5030 501 NORTH ST PITTSFIELD, MA 01201 (413)499-5411 1 DAN FOX DR PITTSFIELD, MA 01201 (413)442-8898 660 MERRILL RD PITTSFIELD, MA 01201 (413)443-0064 555 HUBBARD AVE STE 12 PITTSFIELD, MA 01201 (413)442-2241 PLAINVILLE PLAINVILLE PRESCRIPTION CENTER 122 SOUTH ST PLAINVILLE, MA 02762 (508)695-5091 13 TAUNTON ST PLAINVILLE, MA 02762 (508)695-9493 TARGET 103 TAUNTON ST PLAINVILLE, MA 02762 (508)643-9221 PLYMOUTH APOTHECARE OF PLYMOUTH 121-3 CAMELOT DR PLYMOUTH, MA 02360 (508)732-9700 BALBONI'S 289 COURT ST PLYMOUTH, MA 02360 (508)746-1251 8 PILGRIM HILL RD PLYMOUTH, MA 02360 (508)747-1465 517 STATE RD PLYMOUTH, MA 02360 (508)224-3312 2253 STATE RD PLYMOUTH, MA 02360 (508)833-3875 HIGH POINT 1233 STATE RD PLYMOUTH, MA 02360 (508)503-2402 179 COURT ST STE 5 PLYMOUTH, MA 02360 (508)746-2227 SHAWS - OSCO 2260 STATE RD PLYMOUTH, MA 02360 (508)833-8819 127 SAMOSET ST PLYMOUTH, MA 02360 (508)746-7114 300 COLONY PLACE PLYMOUTH, MA 02360 (508)830-6766 PROVINCETOWN 56 SHANK PAINTER RD PROVINCETOWN, MA 02657 (508)487-3738 QUINCY BAXTER 464 WASHINGTON ST QUINCY, MA 02169 (617)773-7733 BLACKWOOD 181 PARKING WAY QUINCY, MA 02169 (617)471-3300 321 QUINCY SHORE DR QUINCY, MA 02171 (617)471-0041 22 INDEPENDENCE AVE QUINCY, MA 02169 (617)773-0558 600 SOUTHERN ARTERY QUINCY, MA 02169 (617)472-7534 HARVARD VANGUARD MED ASSOC 1250 HANCOCK ST QUINCY, MA 02169 (617)774-0742 475 HANCOCK ST QUINCY, MA 02171 (617)328-6002 132 GRANITE ST QUINCY, MA 02169 (617)479-3220 495 SOUTHERN ARTERY QUINCY, MA 02169 (617)471-6707 65 NEWPORT AVE QUINCY, MA 02171 (617)328-6622 301 FALLS BLVD QUINCY, MA 02169 (617)745-4393 RANDOLPH 171 N MAIN ST RANDOLPH, MA 02368 (781)963-3906 47 MEMORIAL PKWY RANDOLPH, MA 02368 (781)961-1244 RAYNHAM 266 ROUTE 44 RAYNHAM, MA 02767 (508)824-1361 252 BROADWAY RAYNHAM, MA 02767 (508)824-8621 36 NEW STATE HWY RAYNHAM, MA 02767 (508)824-2845 36 PARAMOUNT DR RAYNHAM, MA 02767 (508)822-7122 READING 650 MAIN ST READING, MA 01867 (781)944-0432 15 BOLTON ST READING, MA 01867 (781)942-5810 25 HAVEN ST READING, MA 01867 (781)944-9625 REVERE 61 SQUIRE RD REVERE, MA 02151 (781)289-6099 REVERE HLTH CTR 300 OCEAN AVE REVERE, MA 02151 (781)485-6098 653 SQUIRE RD REVERE, MA 02151 (781)289-5743 467 BROADWAY REVERE, MA 02151 (781)289-8656 540 SQUIRE RD REVERE, MA 02151 (781)289-6879 151 VFW HWY REVERE, MA 02151 (781)485-0080 TARGET 36 FURLONG DR REVERE, MA 02151 (781)922-6031 ROCKLAND 80 MARKET ST ROCKLAND, MA 02370 (781)878-4225 201 MARKET ST ROCKLAND, MA 02370 (781)871-2990 ROCKPORT 33 WHISTLESTOP MALL ROCKPORT, MA 01966 (978)546-7521 ROSLINDALE 4600 WASHINGTON ST ROSLINDALE, MA 02131 (617)469-6302 ROSLINDALE 452 HYDE PARK AVE ROSLINDALE, MA 02131 (617)325-0300 SULLIVAN'S HEALTH CARE 30 BELGRADE AVE ROSLINDALE, MA 02131 (617)327-0210 SULLIVAN'S 1 CORINTH ST ROSLINDALE, MA 02131 (617)323-6544 ROWLEY MARKET BASKET CTR RTE 1 ROWLEY, MA 01969 (978)948-2575 ROWLEY 169 MAIN ST ROWLEY, MA 01969 (978)948-2208 ROXBURY DIMOCK CENTER 55 DIMOCK ST ROXBURY, MA 02119 (617)427-9800 ROXBURY CROSSING WHITTIER HEALTH 1123 TREMONT ST ROXBURY CROSSING, MA 02120 (617)536-1890 RUTLAND RUTLAND 18 MAPLE AVE RUTLAND, MA 01543 (508)886-6261 November 2011

SALEM SOUTHWICK SALEM 272 HIGHLAND AVE SALEM, MA 01970 (978)745-4943 426B ESSEX ST SALEM, MA 01970 (978)741-0484 200 ESSEX ST SALEM, MA 01970 (978)744-2224 TARGET 227 HIGHLAND AVE SALEM, MA 01970 (978)224-4001 450 HIGHLAND AVE SALEM, MA 01970 (978)825-0845 SALISBURY 2 LAFAYETTE RD SALISBURY, MA 01952 (978)462-1303 SANDWICH 65 TUPPER RD PURITY PLZ SANDWICH, MA 02563 (508)888-4333 77 QUAKER MEETING HOUSE RD SANDWICH, MA 02563 (508)477-2655 65 ROUTE 6A SANDWICH, MA 02563 (508)833-3288 SAUGUS 1075 BROADWAY SAUGUS, MA 01906 (781)233-2643 359 BROADWAY SAUGUS, MA 01906 (781)233-4991 164 MAIN ST SAUGUS, MA 01906 (781)231-5775 TARGET 400 LYNN FELLS PKWY SAUGUS, MA 01906 (781)307-0001 SCITUATE HARBOR MALL 100 FRONT ST SCITUATE, MA 02066 (781)545-0240 SCITUATE 384 GANNETT RD SCITUATE, MA 02066 (781)545-1020 SEEKONK 1475 NEWMAN AVE SEEKONK, MA 02771 (508)399-8801 SAM'S CLUB 1110 FALL RIVER AVE SEEKONK, MA 02771 (508)336-4052 125 HIGHLAND AVE SEEKONK, MA 02771 (508)336-4453 TARGET 79 COMMERCE WAY SEEKONK, MA 02771 (508)336-1107 1180 FALL RIVER AVE SEEKONK, MA 02771 (508)336-5308 SHARON 66 S MAIN ST SHARON, MA 02067 (781)784-6714 800 S MAIN ST SHARON, MA 02067 (781)784-1235 SHELBURNE FALLS BAKER 52 BRIDGE ST SHELBURNE FALLS, MA 01370 (413)625-6324 SHREWSBURY CRITICAL CARE SYSTEMS 246 BOSTON TPKE SHREWSBURY, MA 01545 (508)363-3665 197 BOSTON TPKE SHREWSBURY, MA 01545 (508)752-0439 PRICE CHOPPER 731 BOSTON TPKE SHREWSBURY, MA 01545 (000)000-0000 557 MAIN ST SHREWSBURY, MA 01545 (508)842-8400 SHAWS 50 BOSTON TPKE RD SHREWSBURY, MA 01545 (508)363-0057 539 BOSTON TPKE # 571 SHREWSBURY, MA 01545 (508)842-2771 SOMERSET 1587 BRAYTON POINT RD SOMERSET, MA 02725 (508)673-9663 985 COUNTY ST SOMERSET, MA 02726 (508)676-3370 815 GRAND ARMY HWY SOMERSET, MA 02725 (508)324-9693 SOMERVILLE 532 MEDFORD ST SOMERVILLE, MA 02145 (617)628-1401 1 DAVIS SQ SOMERVILLE, MA 02144 (617)629-4156 HARVARD VANGUARD MED ASSOC 40 HOLLAND ST SOMERVILLE, MA 02144 (617)629-6200 530 SOMERVILLE AVE SOMERVILLE, MA 02143 (617)776-9320 14 MCGRATH HWY SOMERVILLE, MA 02143 (617)776-3000 393 HIGHLAND AVE SOMERVILLE, MA 02144 (617)776-7730 299 BROADWAY SOMERVILLE, MA 02145 (617)628-1014 779 MCGRATH HWY SOMERVILLE, MA 02145 (617)666-1404 TARGET 180 SOMERVILLE AVE SOMERVILLE, MA 02143 (617)776-4036 SOUTH ATTLEBORO 366 WASHINGTON ST SOUTH ATTLEBORO, MA 02703 (508)761-7392 SOUTH BOSTON 423 W BROADWAY SOUTH BOSTON, MA 02127 (617)269-7656 SOUTH DARTMOUTH 548 DARTMOUTH ST SOUTH DARTMOUTH, MA 02748 (508)991-7934 676 DARTMOUTH ST SOUTH DARTMOUTH, MA 02748 (508)990-3875 SOUTH DEERFIELD DEERFIELD 45 MAIN ST SOUTH DEERFIELD, MA 01373 (413)665-8143 SOUTH DENNIS RTE 134 PATRIOT SQ SC SOUTH DENNIS, MA 02660 (508)398-0133 SOUTH HADLEY BIG Y 44 WILLIMANSETT ST SOUTH HADLEY, MA 01075 (413)538-6178 BIG Y 501 NEWTON ST SOUTH HADLEY, MA 01075 (413)534-1766 SOUTH HAMILTON CONNOLLYS 44 BAY RD SOUTH HAMILTON, MA 01982 (978)468-3711 15 WALNUT RD SOUTH HAMILTON, MA 01982 (978)468-4522 SOUTH WEYMOUTH PLEASANT ST RTE 18 SOUTH WEYMOUTH, MA 02190 (781)337-6338 OLDENS 101 PLEASANT ST SOUTH WEYMOUTH, MA 02190 (781)337-0187 SOUTH YARMOUTH 976 ROUTE 28 SOUTH YARMOUTH, MA 02664 (508)398-8800 453 STATION AVE SOUTH YARMOUTH, MA 02664 (508)394-0926 55 LONG POND DR SOUTH YARMOUTH, MA 02664 (508)394-8909 SOUTHAMPTON 14 COLLEGE HWY SOUTHAMPTON, MA 01073 (413)527-1811 SOUTHBOROUGH EATON APOTHECARY 162 CORDAVILLE RD SOUTHBOROUGH, MA 01772 (508)357-8970 SOUTHBRIDGE 399 MAIN ST SOUTHBRIDGE, MA 01550 (508)765-0646 455 MAIN ST SOUTHBRIDGE, MA 01550 (508)765-5924 SOUTHWICK BIG Y 195 COLLEGE HWY SOUTHWICK, MA 01077 (413)569-6163 215 COLLEGE HWY SOUTHWICK, MA 01077 (413)569-4174 519 COLLEGE HWY SOUTHWICK, MA 01077 (413)569-1251 November 2011

SPENCER WAKEFIELD SPENCER BIG Y 62 W MAIN ST SPENCER, MA 01562 (508)885-9073 131 MAIN ST SPENCER, MA 01562 (508)885-3838 SPRINGFIELD BAYSTATE 3300 MAIN ST SPRINGFIELD, MA 01107 (413)794-7016 BAYSTATE 140 HIGH ST SPRINGFIELD, MA 01199 (413)794-9960 BAYSTATE 380 PLAINFIELD ST SPRINGFIELD, MA 01107 (413)794-9442 BAYSTATE 759 CHESTNUT ST SPRINGFIELD, MA 01199 (413)794-2197 BIG Y 300 COOLEY ST SPRINGFIELD, MA 01128 (413)783-0105 CARING 377 BELMONT AVE SPRINGFIELD, MA 01108 (413)342-4238 COMMUNITY PHCY AT MERCY MED 299 CAREW ST SPRINGFIELD, MA 01104 (413)452-6337 970 SAINT JAMES AVE SPRINGFIELD, MA 01104 (413)737-6346 770 BOSTON RD SPRINGFIELD, MA 01119 (413)783-0125 1500 MAIN ST SPRINGFIELD, MA 01103 (413)827-7143 615 BELMONT AVE STE 621 SPRINGFIELD, MA 01108 (413)732-2998 1242 PARKER ST SPRINGFIELD, MA 01129 (413)796-5501 LOUIS & CLARK 490 PAGE BLVD SPRINGFIELD, MA 01104 (413)781-2996 LOUIS & CLARK 471 BRECKWOOD BLVD SPRINGFIELD, MA 01109 (413)783-1209 LOUIS & CLARK 1295 STATE ST SPRINGFIELD, MA 01111 (413)744-0461 LOUIS AND CLARK 300 BIRNIE AVE SPRINGFIELD, MA 01107 (413)736-5649 126 ISLAND POND RD SPRINGFIELD, MA 01118 (413)737-6294 381 COOLEY ST SPRINGFIELD, MA 01128 (413)783-4451 SPRING STREET S 600 STATE ST SPRINGFIELD, MA 01109 (413)736-0351 1277 LIBERTY ST SPRINGFIELD, MA 01104 (413)732-7040 1530 BOSTON RD SPRINGFIELD, MA 01129 (413)543-5428 THE APOTHECARY CENTER 1985 MAIN ST SPRINGFIELD, MA 01103 (413)734-2080 1105 BOSTON RD SPRINGFIELD, MA 01119 (413)782-6897 STONEHAM 107 MAIN ST STONEHAM, MA 02180 (781)438-3170 STOUGHTON 1025 CENTRAL ST STOUGHTON, MA 02072 (781)341-6114 MEDICAL 769 WASHINGTON ST STOUGHTON, MA 02072 (781)344-2311 638 WASHINGTON ST STOUGHTON, MA 02072 (781)344-9436 278 WASHINGTON ST STOUGHTON, MA 02072 (781)341-2640 TARGET 1 HAWES WAY STOUGHTON, MA 02072 (781)847-4003 STOW SHAWS/OSCO 155 GREAT RD # 117 STOW, MA 01775 (978)897-1736 STURBRIDGE 182 MAIN ST STURBRIDGE, MA 01566 (508)347-7874 100 CHARLTON RD STURBRIDGE, MA 01566 (508)347-6344 SUDBURY 501 BOSTON POST RD SUDBURY, MA 01776 (978)443-7141 423 BOSTON POST RD SUDBURY, MA 01776 (978)443-0410 SUDBURY 447 BOSTON POST RD SUDBURY, MA 01776 (978)443-6311 SWAMPSCOTT 413 PARADISE RD SWAMPSCOTT, MA 01907 (781)595-8588 450 PARADISE RD SWAMPSCOTT, MA 01907 (781)596-0224 SWANSEA 2340 GAR HWY SWANSEA, MA 02777 (508)379-9080 LIFELINE PRESCRIPTION CENTER 1211 GAR HIGHWAY SWANSEA, MA 02777 (508)646-6400 510 WILBUR AVE SWANSEA, MA 02777 (508)678-9066 TARGET 579 GAR HWY STE 5 SWANSEA, MA 02777 (774)488-3685 626 SWANSEA MALL DR SWANSEA, MA 02777 (508)677-2493 TAUNTON 675 COUNTY ST TAUNTON, MA 02780 (508)823-5376 284 WINTHROP ST TAUNTON, MA 02780 (508)822-3658 7 WASHINGTON ST TAUNTON, MA 02780 (508)821-5605 255 JOSEPH E WARREN BLVD TAUNTON, MA 02780 (508)824-1057 175 DEAN ST TAUNTON, MA 02780 (508)823-7120 51 TREMONT ST TAUNTON, MA 02780 (508)823-1755 237 BROADWAY TAUNTON, MA 02780 (508)880-3237 SHAWS 260 WINTHROP ST TAUNTON, MA 02780 (508)824-7781 TARGET 801 TAUNTON DEPOT DR TAUNTON, MA 02780 (508)824-5848 TEATICKET 137 TEATICKET HWY TEATICKET, MA 02536 (508)540-9196 TEWKSBURY 1900 MAIN ST TEWKSBURY, MA 01876 (978)851-6856 10 MAIN ST STADIUM PLZ TEWKSBURY, MA 01876 (978)851-8446 KMART 10 MAIN ST TEWKSBURY, MA 01876 (978)858-0750 953 ANDOVER ST TEWKSBURY, MA 01876 (978)851-6331 TEWKSBURY HOSPITAL 365 EAST ST TEWKSBURY, MA 01876 (978)858-2102 333 MAIN ST TEWKSBURY, MA 01876 (978)851-7047 TOWNSEND MCNABB 233 MAIN ST TOWNSEND, MA 01469 (978)597-2392 18 MAIN ST TOWNSEND, MA 01469 (978)597-5897 TURNERS FALLS 206 AVENUE A TURNERS FALLS, MA 01376 (413)863-3109 UXBRIDGE 323 N MAIN ST UXBRIDGE, MA 01569 (508)278-2456 158 N MAIN ST UXBRIDGE, MA 01569 (508)278-2341 VINEYARD HAVEN CONROY APOTHECARY 459 STATE RD VINEYARD HAVEN, MA 02568 (508)693-7070 F E LESLIE GIST 65 MAIN ST VINEYARD HAVEN, MA 02568 (508)693-1010 VINEYARD SCRIPTS 117 BEACH RD VINEYARD HAVEN, MA 02568 (508)693-7979 WAKEFIELD 376 MAIN ST WAKEFIELD, MA 01880 (781)245-2270 November 2011

WAKEFIELD WESTBOROUGH NORTH SHORE SERVICES 360 AUDUBON RD WAKEFIELD, MA 01880 (800)552-4449 SMITH 390 MAIN ST WAKEFIELD, MA 01880 (781)245-0380 THE MEDICINE STORE 409 LOWELL ST WAKEFIELD, MA 01880 (781)246-3527 WALPOLE BETRO 965 MAIN ST WALPOLE, MA 02081 (508)668-0048 BIG Y 999 PROVIDENCE HWY WALPOLE, MA 02081 (508)660-9710 929 MAIN ST WALPOLE, MA 02081 (508)660-1190 547 MAIN ST WALPOLE, MA 02081 (508)660-9879 550 PROVIDENCE HWY WALPOLE, MA 02081 (508)668-5959 WALTHAM CLINICAL CARE AMERICA 69 HICKORY DR WALTHAM, MA 02451 (781)250-1500 COSTCO 71 SECOND AVE WALTHAM, MA 02451 (781)622-3894 800 LEXINGTON ST WALTHAM, MA 02452 (781)893-2070 51 LINDEN ST WALTHAM, MA 02452 (781)894-4522 12 HARVARD ST WALTHAM, MA 02453 (781)894-1600 55 RUSSELL ST WALTHAM, MA 02453 (781)642-7416 JOHNSON COMPOUND AND WELL CTR 577 MAIN ST WALTHAM, MA 02452 (781)893-3870 MASS GENERAL OPD 40 SECOND AVE WALTHAM, MA 02451 (781)487-4390 ONCOMED 150 BEAR HILL RD WALTHAM, MA 02451 (516)869-0920 PELHAM COMMUNITY 196 BEAR HILL RD WALTHAM, MA 02451 (617)739-2266 80 RIVER ST WALTHAM, MA 02454 (781)891-5902 ROGERS 923 MAIN ST WALTHAM, MA 02451 (781)894-1800 STAR/OSCO 1070 LEXINGTON ST WALTHAM, MA 02452 (781)899-3332 WARE 104 WEST ST WARE, MA 01082 (413)967-5997 139 WEST ST WARE, MA 01082 (413)967-5371 352 PALMER RD WARE, MA 01082 (413)967-0044 WAREHAM 419 MAIN ST STE C WAREHAM, MA 02571 (508)291-6289 133 MARION RD WAREHAM, MA 02571 (508)295-5772 TARGET 2421 CRANBERRY HWY STE 110 WAREHAM, MA 02571 (508)273-0437 WATERTOWN 189 WATERTOWN ST WATERTOWN, MA 02472 (617)332-5528 27 MAIN ST # 43 WATERTOWN, MA 02472 (617)926-6662 HARVARD VANGUARD MED ASSOC 485 ARSENAL ST WATERTOWN, MA 02472 (617)972-5300 TARGET 550 ARSENAL ST WATERTOWN, MA 02472 (617)924-5987 WAYLAND 325 BOSTON POST RD WAYLAND, MA 01778 (508)358-2381 35 MAIN ST WAYLAND, MA 01778 (508)655-8085 WEBSTER 112 E MAIN ST WEBSTER, MA 01570 (508)949-0641 PROCARE 344 THOMPSON RD WEBSTER, MA 01570 (508)949-0358 PRICE CHOPPER 118 E MAIN ST STE 1 WEBSTER, MA 01570 (508)949-8804 80 E MAIN ST WEBSTER, MA 01570 (508)943-5394 ROYAL PALM SPECIALTY 118 MAIN ST WEBSTER, MA 01570 (508)461-4045 WELLESLEY ANDREWS 324 WESTON RD WELLESLEY, MA 02482 (781)235-1001 65 CENTRAL ST WELLESLEY, MA 02482 (781)237-2520 188 LINDEN ST WELLESLEY, MA 02482 (781)235-0219 HARVARD VANGUARD MED ASSOC 230 WORCESTER ST WELLESLEY, MA 02481 (781)431-5405 WELLFLEET OUTER CAPE HEALTH SERIVCES 2700 STATE HWY RTE 6 UNIT 3 WELLFLEET, MA 02667 (508)214-0187 WEST BOYLSTON 264 W BOYLSTON ST WEST BOYLSTON, MA 01583 (508)835-3157 137 W BOYLSTON RD WEST BOYLSTON, MA 01583 (508)835-3999 WEST NEWTON 999 WATERTOWN ST WEST NEWTON, MA 02465 (617)964-7736 WEST PEABODY 637 LOWELL ST WEST PEABODY, MA 01961 (978)536-3222 WEST ROXBURY 1921 CENTER ST # 1943 WEST ROXBURY, MA 02132 (617)469-2222 GREATER BOSTON LONG TERM CARE 1864 CENTRE ST WEST ROXBURY, MA 02132 (617)325-7744 SHAWS/OSCO 75 SPRING ST WEST ROXBURY, MA 02132 (617)327-9360 WEST ROXBURY 1868 CENTRE ST WEST ROXBURY, MA 02132 (617)325-0017 WEST SPRINGFIELD COSTCO 119 DAGGETT DR WEST SPRINGFIELD, MA 01089 (413)747-5524 239B MEMORIAL AVE WEST SPRINGFIELD, MA 01089 (413)732-3119 152 ELM ST WEST SPRINGFIELD, MA 01089 (413)827-0734 928 RIVERDALE ST WEST SPRINGFIELD, MA 01089 (413)733-6490 INTEGRISCRIPT 95 ASHLEY AVE STE B WEST SPRINGFIELD, MA 01089 (413)750-7000 MCCLELLAND HOME HEALTH PHCY 85 INTERSTATE DR WEST SPRINGFIELD, MA 01089 (413)733-8600 99 WESTFIELD ST WEST SPRINGFIELD, MA 01089 (413)737-6523 935 RIVERDALE ST WEST SPRINGFIELD, MA 01089 (413)733-8511 WESTERN MASS COMPOUNDING CNTR 138 MEMORIAL AVE WEST SPRINGFIELD, MA 01089 (413)737-2600 WEST YARMOUTH 438 ROUTE 28 WEST YARMOUTH, MA 02673 (508)771-4429 WESTBOROUGH 74 E MAIN ST WESTBOROUGH, MA 01581 (508)366-0670 PROCARE 106 E MAIN ST WESTBOROUGH, MA 01581 (508)366-2850 November 2011

WESTBOROUGH WORCESTER 32 LYMAN ST WESTBOROUGH, MA 01581 (508)389-1673 TARGET 330 TURNPIKE RD WESTBOROUGH, MA 01581 (508)366-4475 WESTFIELD ARROW PRESCRIPTION CENTER 427 N ELM ST WESTFIELD, MA 01085 (413)568-8911 BIG Y 475 E MAIN ST WESTFIELD, MA 01085 (413)562-4141 427 E MAIN ST WESTFIELD, MA 01085 (413)562-5181 208 ELM ST WESTFIELD, MA 01085 (413)568-4149 7 E SILVER ST WESTFIELD, MA 01085 (413)568-5116 57 MAIN ST WESTFIELD, MA 01085 (413)568-9660 141 SPRINGFIELD RD WESTFIELD, MA 01085 (413)572-0800 WESTFORD 174 LITTLETON RD WESTFORD, MA 01886 (978)692-2111 1 CARLISLE RD WESTFORD, MA 01886 (978)392-6995 WESTMINSTER WESTMINSTER 128 MAIN ST WESTMINSTER, MA 01473 (978)874-5812 WESTPORT 599 STATE RD WESTPORT, MA 02790 (508)673-3072 WESTPORT APOTHECARY 784 MAIN RD WESTPORT, MA 02790 (508)636-5957 WESTWOOD 278 WASHINGTON ST WESTWOOD, MA 02090 (781)326-1906 WEYMOUTH 474 WASHINGTON ST WEYMOUTH, MA 02188 (781)335-0404 1504 MAIN ST WEYMOUTH, MA 02189 (781)331-2580 1515 COMMERCIAL ST WEYMOUTH, MA 02189 (781)340-1124 737 BRIDGE ST WEYMOUTH, MA 02191 (781)335-3331 316 WASHINGTON ST WEYMOUTH, MA 02188 (781)331-5100 700 MIDDLE ST WEYMOUTH, MA 02188 (781)331-1902 740 MIDDLE ST WEYMOUTH, MA 02188 (781)331-0588 WHITINSVILLE 1163 PROVIDENCE RD WHITINSVILLE, MA 01588 (508)234-7341 100 VALLEY PKWY WHITINSVILLE, MA 01588 (508)234-9196 WHITMAN 351 BEDFORD ST WHITMAN, MA 02382 (781)447-0003 DUVAL'S 571 WASHINGTON ST WHITMAN, MA 02382 (781)447-0606 WILBRAHAM BIG Y 2035 BOSTON RD WILBRAHAM, MA 01095 (413)543-9912 1990 BOSTON RD WILBRAHAM, MA 01095 (413)543-8256 LOUIS & CLARK 459 MAIN ST WILBRAHAM, MA 01095 (413)596-6121 WILLIAMSBURG WILLIAMSBURG 49 MAIN ST WILLIAMSBURG, MA 01096 (413)268-3387 WILLIAMSTOWN 212 MAIN ST WILLIAMSTOWN, MA 01267 (413)458-4034 WILMINGTON 222 MAIN ST WILMINGTON, MA 01887 (978)658-3377 208 MAIN ST WILMINGTON, MA 01887 (978)988-0232 WINCHENDON 250 CENTRAL ST WINCHENDON, MA 01475 (978)297-3248 WINCHENDON FAMILY 117 CENTRAL ST WINCHENDON, MA 01475 (978)297-5100 WINCHESTER 539 MAIN ST STE 545 WINCHESTER, MA 01890 (781)721-5163 WINCHESTER 568 MAIN ST WINCHESTER, MA 01890 (781)729-2700 WINTHROP BROWN'S REXALL 214 WINTHROP ST WINTHROP, MA 02152 (617)846-1500 3 WOODSIDE AVE WINTHROP, MA 02152 (617)846-9155 E BOS NEIGHBOR HLTH CTR 26 STURGIS ST WINTHROP, MA 02152 (617)568-4602 SAMUELS 46 WOODSIDE AVE WINTHROP, MA 02152 (617)846-2200 WOBURN 300 MISHAWAM RD WOBURN, MA 01801 (781)935-3221 415 MAIN ST WOBURN, MA 01801 (781)935-5530 NEIGHBORHOOD 15 COMMONWEALTH AVE WOBURN, MA 01801 (781)486-0000 NEW ENGLAND LIFE CARE 4 CONSTITUTION WAY WOBURN, MA 01801 (781)933-6352 PALLIMED 400 W CUMMINGS PARK WOBURN, MA 01801 (781)937-3344 350 CAMBRIDGE ST WOBURN, MA 01801 (781)933-4411 2 ELM ST WOBURN, MA 01801 (781)932-8660 TARGET 101 COMMERCE WAY WOBURN, MA 01801 (781)904-0003 WOLLASTON 42 BEALE ST WOLLASTON, MA 02170 (617)471-7451 WORCESTER BEACON 810 MAIN ST WORCESTER, MA 01610 (508)757-1005 BIG Y 100 MAYFIELD ST WORCESTER, MA 01604 (508)890-8589 CARE PLUS 123 SUMMER ST STE 360 WORCESTER, MA 01608 (508)799-3829 COMPARE QUALITY 664 MAIN ST WORCESTER, MA 01610 (508)755-3000 400 PARK AVE WORCESTER, MA 01610 (508)792-3866 256 LINCOLN ST WORCESTER, MA 01605 (508)791-2579 44 W BOYLSTON ST WORCESTER, MA 01605 (508)852-0238 500 GRAFTON ST WORCESTER, MA 01604 (508)798-8743 115 STAFFORD ST WORCESTER, MA 01603 (508)753-3297 638 CHANDLER ST WORCESTER, MA 01602 (508)798-0221 481 LINCOLN ST WORCESTER, MA 01605 (508)852-3578 110 FRONT ST STE 102 WORCESTER, MA 01608 (508)752-6001 50 SW CUTOFF WORCESTER, MA 01604 (508)793-1903 PROCARE 630 PLANTATION ST WORCESTER, MA 01605 (508)852-2866 PROCARE 135 GOLDSTAR BLVD WORCESTER, MA 01606 (508)856-9257 EDWARD M KENNEDY COMM HLTH CTR 19 TACOMA ST WORCESTER, MA 01605 (508)854-2128 FAMILY HEALTH CENTER 26 QUEEN ST WORCESTER, MA 01610 (508)860-7730 November 2011

WORCESTER YARMOUTH PORT HAIG & HAIG 550 W BOYLSTON ST WORCESTER, MA 01606 (508)853-0360 PARK AVENUE 414 PARK AVE WORCESTER, MA 01610 (508)757-3805 PRICE CHOPPER 50 CAMBRIDGE ST WORCESTER, MA 01610 (508)363-4570 PRICE CHOPPER 72 PULLMAN ST WORCESTER, MA 01606 (508)854-8318 725 GRAFTON ST WORCESTER, MA 01604 (508)798-9394 25 ABRAMSON LANE WORCESTER, MA 01607 (508)752-1911 393 CHANDLER ST WORCESTER, MA 01602 (508)754-5348 SHAWS/OSCO 14 W BOYLSTON ST WORCESTER, MA 01605 (508)852-5344 STOP ABD SHOP 949 GRAFTON ST WORCESTER, MA 01613 (508)791-0070 940 W BOYLSTON ST WORCESTER, MA 01605 (508)852-2202 TARGET 529 LINCOLN ST WORCESTER, MA 01605 (508)852-5790 TRANG 456 PARK AVE WORCESTER, MA 01610 (508)799-7979 UMASS MEMORIAL MED CTR PHCY 55 LAKE AVE N WORCESTER, MA 01655 (508)421-1900 UMASS MEMORIAL MED CTR PHCY 281 LINCOLN ST WORCESTER, MA 01605 (508)421-1990 25 TOBIAS BOLAND WAY WORCESTER, MA 01607 (774)314-3162 WINTHROP APOTHECARY 10 WINTHROP ST WORCESTER, MA 01604 (508)755-2551 WORCESTER FAMILY 108 GROVE ST STE 12 WORCESTER, MA 01605 (508)791-1100 YARMOUTH PORT 918 MAIN ST YARMOUTH PORT, MA 02675 (508)362-2114 November 2011

AMHERST MANCHESTER NEW HAMPSHIRE 03031 AMHERST 85 RTE 101-A AMHERST, NH 03031 (603)672-2021 03038 DERRY 48 E BROADWAY DERRY, NH 03038 (603)434-2600 35 MANCHESTER RD DERRY, NH 03038 (603)421-2596 QOL MEDS 10 TSIENNETO RD DERRY, NH 03038 (603)965-0255 20 CRYSTAL AVE DERRY, NH 03038 (603)437-9799 59 ROCKINGHAM ST DERRY, NH 03038 (603)432-2505 SHAWS 55 CRYSTAL AVE DERRY, NH 03038 (603)437-9654 30 MANCHESTER RD DERRY, NH 03038 (603)434-4898 03042 EPPING 26 CALEF HWY EPPING, NH 03042 (603)679-2419 75 CALES HWY EPPING, NH 03042 (603)679-5942 03045 GOFFSTOWN HOWE'S 39 MAIN ST GOFFSTOWN, NH 03045 (603)497-4771 553 MAST RD GOFFSTOWN, NH 03045 (603)623-3290 SHAWS 533 MAST RD GOFFSTOWN, NH 03045 (603)668-6761 03049 HOLLIS HOLLIS 6 ASH ST HOLLIS, NH 03049 (603)465-7100 03051 HUDSON 77 DERRY RD HUDSON, NH 03051 (603)882-2301 71 LOWELL RD HUDSON, NH 03051 (603)882-5684 212 LOWELL RD HUDSON, NH 03051 (603)880-1744 SAM'S CLUB 7 BLVD HUDSON, NH 03051 (603)598-6533 254 LOWELL RD HUDSON, NH 03051 (603)598-4638 03053 LONDONDERRY 117 MAMMOUTH RD LONDONDERRY, NH 03053 (603)432-2657 6 HAMPTON DR LONDONDERRY, NH 03053 (603)421-0076 NEIGHBORCARE - PEMBROKE 13 COMMERCE AVE LONDONDERRY, NH 03053 (603)625-6406 123 NASHUA RD LONDONDERRY, NH 03053 (603)437-8100 SHAWS RT 102 OLD ORCHARD VIEW DR LONDONDERRY, NH 03053 (603)437-4927 03054 MERRIMACK 456 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603)424-1120 416 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603)424-4833 SHAWS 7 CONTINENTAL BLVD MERRIMACK, NH 03054 (603)429-0759 SHAWS 570 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603)424-4519 03055 MILFORD 15 MT VERNON ST MILFORD, NH 03055 (603)673-0224 614 NASHUA ST MILFORD, NH 03055 (603)672-7602 86 ELM ST MILFORD, NH 03055 (603)249-9901 03060 NASHUA COSTCO 311 DANIEL WEBSTER HWY NASHUA, NH 03060 (603)888-0514 214 DANIEL WEBSTER HWY NASHUA, NH 03060 (603)888-4354 240 MAIN ST # 242 NASHUA, NH 03060 (603)886-1786 331 MAIN ST NASHUA, NH 03060 (603)886-9210 S NEW HAMPSHIRE MEDICAL CTR 8 PROSPECT ST NASHUA, NH 03060 (603)577-2115 SHAWS 300 MAIN ST NASHUA, NH 03060 (603)579-5445 ST JOSEPH HEALTHCARE RET PHCY 172 KINSELY ST NASHUA, NH 03060 (603)595-3090 TARGET 310 DANIEL WEBSTER HWY NASHUA, NH 03060 (603)891-4869 WINGATE'S 129 MAIN ST NASHUA, NH 03060 (603)882-9733 03062 NASHUA MEDICINE WORLD 262 MAIN DUNSTABLE RD. NASHUA, NH 03062 (603)881-9500 03063 NASHUA 633 AMHERST ST NASHUA, NH 03063 (603)880-6861 175 COLISEUM AVE NASHUA, NH 03063 (603)889-6663 KMART 375 AMHERST ST BLDG 1 NASHUA, NH 03063 (603)579-0615 145 AMHERST ST NASHUA, NH 03063 (603)598-9450 TARGET 600 AMHERST ST NASHUA, NH 03063 (603)324-0040 03064 NASHUA RICE'S 59 MAIN ST NASHUA, NH 03064 (603)882-5153 03076 PELHAM 48 ATWOOD RD PELHAM, NH 03076 (603)635-7996 03077 RAYMOND 2 FREETOWN RD RAYMOND, NH 03077 (603)895-0011 3 FREETOWN RD RAYMOND, NH 03077 (603)895-0657 03079 SALEM 510 S BROADWAY # 512 SALEM, NH 03079 (603)898-5983 53 S BROADWAY SALEM, NH 03079 (603)870-9494 142 MAIN ST SALEM, NH 03079 (603)894-4693 TARGET 203-219 S BROADWAY SALEM, NH 03079 (603)870-0083 300-344 N BROADWAY SALEM, NH 03079 (603)894-6128 03087 WINDHAM 1 WALL ST WINDHAM, NH 03087 (603)425-6189 SHAWS 43 INDIAN ROCK RD WINDHAM, NH 03087 (603)437-3481 03101 MANCHESTER 788 S WILLOW ST MANCHESTER, NH 03101 (603)668-4637 KEN'S 36 ELM ST MANCHESTER, NH 03101 (603)623-2813 1631 ELM ST MANCHESTER, NH 03101 (603)623-4393 November 2011

MANCHESTER WARNER 03102 MANCHESTER 432 S MAIN ST MANCHESTER, NH 03102 (603)623-3532 605 MAST RD MANCHESTER, NH 03102 (603)626-4366 122 MCGREGOR ST MANCHESTER, NH 03102 (603)627-3822 03103 MANCHESTER 201 JOHN DEVINE DR MANCHESTER, NH 03103 (603)626-1233 MANCHESTER METRO TREATMENT CTR 5 A DRIVING PARK RD MANCHESTER, NH 03103 (603)622-5005 1 WILLOW ST MANCHESTER, NH 03103 (603)623-5773 SHAWS 375 S WILLOW ST MANCHESTER, NH 03103 (603)627-2564 300 KELLER ST MANCHESTER, NH 03103 (603)621-9922 03104 MANCHESTER 271 MAMMOUTH RD MANCHESTER, NH 03104 (603)623-3995 79 BICENTENNIAL DR MANCHESTER, NH 03104 (603)644-2204 859 HANOVER ST MANCHESTER, NH 03104 (603)627-4354 53 HOOKSETT RD MANCHESTER, NH 03104 (603)623-1135 03106 HOOKSETT 10 WHITEHALL RD HOOKSETT, NH 03106 (603)627-2496 1285 HOOKSETT RD HOOKSETT, NH 03106 (603)668-4705 TARGET 100 QUALITY DR HOOKSETT, NH 03106 (603)621-0672 3 COMMERCE DR HOOKSETT, NH 03106 (603)621-0631 03109 MANCHESTER 270 MAMMOTH RD MANCHESTER, NH 03109 (603)645-1146 03110 BEDFORD BEDFORD 209 ROUTE 101 BEDFORD, NH 03110 (603)472-3919 CRITICAL CARE SYSTEMS 10 COMMERCE PARK NORTH BEDFORD, NH 03110 (603)625-8880 66 S RIVER RD BEDFORD, NH 03110 (603)669-6187 4 JENKINS RD BEDFORD, NH 03110 (603)472-2501 5 COLBY CT BEDFORD, NH 03110 (603)622-2320 1 SOUTH RIVER RD BEDFORD, NH 03110 (603)644-1275 TARGET 220 S RIVER RD BEDFORD, NH 03110 (603)563-0062 17 COLBY CT BEDFORD, NH 03110 (603)626-9799 03220 BELMONT 96 DANIEL WEBSTER HWY UNIT 17 BELMONT, NH 03220 (603)528-1113 03222 BRISTOL 360 SUMMER ST BRISTOL, NH 03222 (603)744-2652 03229 CONTOOCOOK COLONIAL VILLAGE 54 PARK AVENUE PLZ CONTOOCOOK, NH 03229 (603)746-4600 03234 EPSOM CARE 1912 DOVER RD EPSOM, NH 03234 (603)736-9308 03235 FRANKLIN 861 CENTRAL ST FRANKLIN, NH 03235 (603)934-0225 952 CENTRAL ST FRANKLIN, NH 03235 (603)934-2832 951 CENTRAL ST FRANKLIN, NH 03235 (603)934-6862 03242 HENNIKER HENNIKER 4 BRIDGE ST HENNIKER, NH 03242 (603)428-3456 03244 HILLSBORO OSCO 276 W MAIN ST HILLSBORO, NH 03244 (603)464-4133 315 W MAIN ST HILLSBORO, NH 03244 (603)464-5678 03246 LACONIA 220 UNION AVE LACONIA, NH 03246 (603)527-0173 288 UNION AVE LACONIA, NH 03246 (603)528-1700 SHAWS 1400 LAKE SHORE DR LACONIA, NH 03246 (603)524-5240 1458 LAKE SHORE RD LACONIA, NH 03246 (603)528-8055 03249 GILFORD 1371 LAKE SHORE DR GILFORD, NH 03249 (603)524-2460 03251 LINCOLN 50 MAIN ST LINCOLN, NH 03251 (603)745-5660 03253 MEREDITH 38 NH ROUTE 25 STE 4 MEREDITH, NH 03253 (603)279-4551 03257 NEW LONDON COLONIAL 247 NEWPORT RD NEW LONDON, NH 03257 (603)526-2233 03261 NORTHWOOD 174 FIRST NH TPKE NORTHWOOD, NH 03261 (603)942-8891 03263 PITTSFIELD 41 CARROLL ST PITTSFIELD, NH 03263 (603)435-8353 03264 PLYMOUTH RTE 25 HATCH SHOPPING PLAZA PLYMOUTH, NH 03264 (603)536-3233 OLIVER 19 AVERY ST STE 7 PLYMOUTH, NH 03264 (603)536-1086 6 S MAIN ST PLYMOUTH, NH 03264 (603)536-4377 683 TENNEY MTN HWY PLYMOUTH, NH 03264 (603)536-5350 03275 ALLENSTOWN EXPRESS 68 SCHOOL ST ALLENSTOWN, NH 03275 (603)485-4000 46 ALLENSTOWN RD ALLENSTOWN, NH 03275 (603)485-3612 03276 TILTON SHAWS 75 LACONIA RD TILTON, NH 03276 (603)286-7305 39 E MAIN TILTON, NH 03276 (603)286-3480 03278 WARNER WARNER 11 E MAIN ST WARNER, NH 03278 (603)456-3556 November 2011

CONCORD WEST LEBANON 03301 CONCORD CONCORD METRO TREATMENT CENTER 8 LOUDON RD CONCORD, NH 03301 (603)229-4260 4 HALL ST CONCORD, NH 03301 (603)224-3189 46 N MAIN ST CONCORD, NH 03301 (603)225-9300 73 FORT EDDY RD CONCORD, NH 03301 (603)228-2121 MODERN 5 CLINTON ST CONCORD, NH 03301 (603)224-3715 NORTHEAST SERVICES 125 N MAIN ST CONCORD, NH 03301 (603)226-8686 PHARMERICA 38 LOCKE RD UNIT 3 CONCORD, NH 03301 (603)223-0380 24 FORT EDDY RD CONCORD, NH 03301 (603)224-7784 92 SOUTH ST CONCORD, NH 03301 (603)228-8400 165 NORTH ST CONCORD, NH 03301 (603)223-6713 SAM'S CLUB 304 SHEEP DAVIS RD CONCORD, NH 03301 (603)224-8637 SHAWS 246 LOUDON RD CONCORD, NH 03301 (603)228-2279 TARGET 80 D'AMANTE DR CONCORD, NH 03301 (603)227-0816 THE PRESCRIPTION CENTER 246 PLEASANT ST STE 100 CONCORD, NH 03301 (603)226-4848 THE PRESCRIPTION CENTER 18 FOUNDRY ST CONCORD, NH 03301 (603)224-2111 THE PRESCRIPTION CENTER 125 N MAIN ST CONCORD, NH 03301 (603)224-9591 344 LOUDON RD CONCORD, NH 03301 (603)226-9327 03303 CONCORD PENACOOK 305 VILLAGE ST CONCORD, NH 03303 (603)753-6391 PENACOOK FISHERVILLE 219 FISHERVILLE RD PENACOOK, NH 03303 (603)565-0210 03431 KEENE 268 W ST KEENE, NH 03431 (603)357-2840 481 WEST ST KEENE, NH 03431 (603)357-0423 PRICE CHOPPER 16 ASHBROOK RD KEENE, NH 03431 (603)352-2469 352 WINCHESTER ST KEENE, NH 03431 (603)352-6969 TARGET 46 ASH BROOK RD KEENE, NH 03431 (603)354-2165 03451 HINSDALE 724 BRATTLEBORO RD HINSDALE, NH 03451 (603)336-5548 03452 JAFFREY 14 PETERBOROUGH ST JAFFREY, NH 03452 (603)532-6955 03458 PETERBOROUGH 125 DUBLIN RD PETERBOROUGH, NH 03458 (603)924-6397 19 WILTON RD PETERBOROUGH, NH 03458 (603)924-3632 03461 RINDGE 752 US ROUTE 202 RINDGE, NH 03461 (603)899-2115 249 RT 202 RINDGE, NH 03461 (603)899-6965 03469 WEST SWANZEY KEENE METRO TREATMENT CENTER 1076 OLD SWANZEY RD WEST SWANZEY, NH 03469 (603)358-0050 03470 WINCHESTER 10 W MAIN ST WINCHESTER, NH 03470 (603)239-6000 03561 LITTLETON AMMONOOSUC COMMMUNITY HEALTH 25 MOUNT EUSTIS RD LITTLETON, NH 03561 (603)444-7979 118 MEADOW ST STE 136 LITTLETON, NH 03561 (603)444-2244 SHAWS 625 MEADOW ST LITTLETON, NH 03561 (603)444-6673 615 MEADOW ST LITTLETON, NH 03561 (603)444-6400 03570 BERLIN 200 PLEASANT ST BERLIN, NH 03570 (603)752-3952 03576 COLEBROOK 91 MAIN ST COLEBROOK, NH 03576 (603)237-8388 03581 GORHAM 561 MAIN ST GORHAM, NH 03581 (603)752-7330 03584 LANCASTER 177 MAIN ST LANCASTER, NH 03584 (603)788-2433 03743 CLAREMONT BANNON 109 PLEASANT ST CLAREMONT, NH 03743 (603)542-7722 1 WALL ST CLAREMONT, NH 03743 (000)000-0000 71-73 PLEASANT ST CLAREMONT, NH 03743 (603)543-0153 14 BOWEN ST CLAREMONT, NH 03743 (603)542-3325 03748 ENFIELD FAMILY BROOKSIDE PLZ RTE 4 ENFIELD, NH 03748 (603)632-5720 03755 HANOVER 79 S MAIN ST HANOVER, NH 03755 (603)643-3178 DICK'S HOUSE 5 ROPE FERRY RD HANOVER, NH 03755 (603)646-9447 EASTMAN'S STORE 22 S MAIN ST HANOVER, NH 03755 (603)643-4112 03756 LEBANON DARTMOUTH HITCHCOCK 1 MEDICAL CENTER DR LEBANON, NH 03756 (603)653-3788 03766 LEBANON PRICE CHOPPER 370 MIRACLE MILE RD LEBANON, NH 03766 (603)448-3753 03773 NEWPORT 51 S MAIN ST NEWPORT, NH 03773 (603)863-5766 SUGAR RIVER 46 JOHN STARK HWY NEWPORT, NH 03773 (603)863-4111 Z 239 SUNAPEE ST NEWPORT, NH 03773 (603)865-1800 03784 WEST LEBANON 250 PLAINFIELD RD WEST LEBANON, NH 03784 (603)298-8350 8 MARKET ST WEST LEBANON, NH 03784 (603)298-6671 November 2011

WEST LEBANON EFFINGHAM KMART ROUTE 12 A WEST LEBANON, NH 03784 (603)298-8086 PRICE CHOPPER 285 PLAINFIELD RD WEST LEBANON, NH 03784 (877)525-1696 10 BENNING ST WEST LEBANON, NH 03784 (603)298-7828 285 PLAINFIELD RD WEST LEBANON, NH 03784 (603)298-5060 03785 WOODSVILLE 4976 DARTMOUTH COLLEGE HWY WOODSVILLE, NH 03785 (603)747-3300 4901 DARTMOUTH COLLEGE HWY WOODSVILLE, NH 03785 (603)747-3355 03801 NEWINGTON 2200 WOODBURY AVE NEWINGTON, NH 03801 (603)430-4427 PORTSMOUTH 674 ISLINGTON ST PORTSMOUTH, NH 03801 (603)431-0234 MARTIN'S POINT PORTSMOUTH PHCY 161 CORPORATE DR PORTSMOUTH, NH 03801 (603)436-0562 800 ISLINGTON ST UNIT 1 PORTSMOUTH, NH 03801 (603)436-2214 1500 LAFAYETTE RD STE 3 PORTSMOUTH, NH 03801 (603)430-7595 1303 WOODBURY AVE PORTSMOUTH, NH 03801 (603)431-1580 2460 LAFAYETTE RD PORTSMOUTH, NH 03801 (603)433-6129 03809 ALTON 80 WOLFBORO HWY ALTON, NH 03809 (603)875-5300 03813 CENTER CONWAY SHAWS 1150 EASTMAN RD CENTER CONWAY, NH 03813 (603)356-5888 03820 DOVER CARE 118 CENTRAL AVE DOVER, NH 03820 (603)742-3995 833 CENTRAL AVE DOVER, NH 03820 (603)749-9361 30 GRAPEVINE DR DOVER, NH 03820 (603)749-2374 679 CENTRAL AVE DOVER, NH 03820 (603)742-5313 865 CENTRAL AVE DOVER, NH 03820 (603)749-6112 03824 DURHAM 5 MILL RD DURHAM, NH 03824 (603)868-5221 03826 EAST HAMPSTEAD 305 SANDOWN RD EAST HAMPSTEAD, NH 03826 (603)329-0187 03833 EXETER 69 PORTSMOUTH AVE EXETER, NH 03833 (603)778-0553 03835 FARMINGTON 829 NH ROUTE 11 FARMINGTON, NH 03835 (603)755-2440 03840 GREENLAND TARGET 1450 GREENLAND RD STE 1 GREENLAND, NH 03840 (603)501-1471 03842 HAMPTON 321 A LAFAYETTE RD HAMPTON, NH 03842 (603)926-2885 630 LAFAYETTE RD HAMPTON, NH 03842 (603)926-3344 356 LAFAYETTE RD HAMPTON, NH 03842 (603)929-0168 03848 KINGSTON 53 CHURCH ST KINGSTON, NH 03848 (603)642-3191 03857 NEWMARKET 73 EXETER ST NEWMARKET, NH 03857 (603)659-7852 03860 NORTH CONWAY 1351 WHITE MOUNTAIN HWY NORTH CONWAY, NH 03860 (603)356-6916 ROUTE 16 MTN VALLEY MALL NORTH CONWAY, NH 03860 (603)356-6361 1623 WHITE MOUNTAIN HWY NORTH CONWAY, NH 03860 (603)356-5512 225 MOUNTAIN VALLEY BLVD NORTH CONWAY, NH 03860 (603)356-3170 03861 LEE 58 CALEF HWY LEE, NH 03861 (603)868-6404 03862 NORTH HAMPTON 72 LAFAYETTE RD NORTH HAMPTON, NH 03862 (603)964-5105 03864 OSSIPEE RTE 16 AMES PLAZA OSSIPEE, NH 03864 (603)539-3898 910 ROUTE 16 OSSIPEE, NH 03864 (603)539-4822 03865 PLAISTOW 4 PLAISTOW RD PLAISTOW, NH 03865 (603)382-5885 34 PLAISTOW RD PLAISTOW, NH 03865 (603)382-9217 58 PLAISTOW RD. PLAISTOW, NH 03865 (603)382-2844 03867 ROCHESTER CARE OF ROCHESTER 161 S MAIN ST ROCHESTER, NH 03867 (603)332-4281 26 LILAC MALL # 2 ROCHESTER, NH 03867 (603)332-9401 290 N MAIN ST ROCHESTER, NH 03867 (603)332-9264 60 WAKEFIELD ST ROCHESTER, NH 03867 (603)332-3800 116 FARMINGTON RD ROCHESTER, NH 03867 (603)332-5540 03868 ROCHESTER 104 MILTON RD ROCHESTER, NH 03868 (603)335-7851 03874 SEABROOK 628 LAFAYETTE RD SEABROOK, NH 03874 (603)474-9511 SAM'S CLUB 11 BATCHELDER RD SEABROOK, NH 03874 (603)474-9827 270 LAFAYETTE RD SEABROOK, NH 03874 (603)474-2514 03878 SOMERSWORTH 338 HIGH ST SOMERSWORTH, NH 03878 (603)692-6636 341 HIGH ST SOMERSWORTH, NH 03878 (603)692-3161 TARGET 11 ANDREWS RD SOMERSWORTH, NH 03878 (603)692-6751 430 HIGH ST SOMERSWORTH, NH 03878 (603)692-7258 03882 EFFINGHAM LAKEVIEW 244 HIGHWATCH RD EFFINGHAM, NH 03882 (603)539-8780 November 2011

STRATHAM WOLFEBORO FALLS 03885 STRATHAM 1 WEST RD STRATHAM, NH 03885 (603)772-3768 28 PORTSMOUTH AVE STRATHAM, NH 03885 (603)772-0749 SHAWS 100 SHAW'S LN STRATHAM, NH 03885 (603)773-5992 03894 WOLFEBORO 50 S MAIN ST WOLFEBORO, NH 03894 (603)569-3348 03896 WOLFEBORO FALLS CARE 36 CENTER ST WOLFEBORO FALLS, NH 03896 (603)515-1213 November 2011

BARRINGTON NEWPORT RHODE ISLAND BARRINGTON 180 COUNTY RD BARRINGTON, RI 02806 (401)245-0464 GENOA HEALTHCARE OF RI 2 OLD COUNTY RD BARRINGTON, RI 02806 (401)237-4125 236 COUNTY RD BARRINGTON, RI 02806 (401)245-8855 BRISTOL 173 STATE ST BRISTOL, RI 02809 (401)253-8808 400 METACOM AVE BRISTOL, RI 02809 (401)253-2050 580 METACOM AVE BRISTOL, RI 02809 (401)253-2723 CENTRAL FALLS 309 BROAD ST CENTRAL FALLS, RI 02863 (401)721-9880 1114 BROAD ST CENTRAL FALLS, RI 02863 (401)722-5801 CHARLESTOWN OCEAN HEALTH MART 3986 OLD POST RD CHARLESTOWN, RI 02813 (401)364-0900 CHEPACHET 1068 PUTNAM PIKE CHEPACHET, RI 02814 (401)568-6043 COVENTRY APOTHECARE COMP SOLUTION 85 SANDY BOTTOM RD COVENTRY, RI 02816 (401)821-5000 763 TIOGUE AVE COVENTRY, RI 02816 (401)821-2060 NEW ENGLAND HOME INFUSION 85 SANDY BOTTOM RD COVENTRY, RI 02816 (401)821-0600 OMNICARE OF RHODE ISLAND 30 CENTER OF NEW ENGLAND COVENTRY, RI 02816 (401)823-8575 719 TIOGUE AVE COVENTRY, RI 02816 (401)822-4800 900 TIOGUE AVE COVENTRY, RI 02816 (401)823-4343 650 CTR OF NEW ENGLAND BLVD COVENTRY, RI 02816 (401)823-7060 CRANSTON 681 RESERVOIR AVE CRANSTON, RI 02910 (401)943-7186 205 ATWOOD AVE CRANSTON, RI 02920 (401)942-4100 1188 PONTIAC AVE CRANSTON, RI 02920 (401)736-5701 1776 BROAD ST CRANSTON, RI 02905 (401)780-8902 1195 OAKLAWN AVE CRANSTON, RI 02920 (401)463-1971 PHRED'S 1300 OAKLAWN AVE CRANSTON, RI 02920 (401)463-6300 570 PONTIAC AVE CRANSTON, RI 02910 (401)781-6360 1285 RESERVOIR AVE CRANSTON, RI 02920 (401)464-6155 250 ATWOOD AVE CRANSTON, RI 02920 (401)944-7172 1011 CRANSTON ST CRANSTON, RI 02920 (401)275-0849 548 DYER AVE CRANSTON, RI 02920 (401)942-4703 200 ATWOOD AVE CRANSTON, RI 02920 (401)944-2669 204 GARFIELD AVE CRANSTON, RI 02920 (401)943-7601 1776 PLAINFIELD PIKE CRANSTON, RI 02921 (401)946-2040 WE CARE RX 678 PARK AVE UNIT 2 CRANSTON, RI 02910 (401)623-9246 CUMBERLAND CHAPEL 2081 DIAMOND HILL RD CUMBERLAND, RI 02864 (401)333-5858 1998 MENDON RD CUMBERLAND, RI 02864 (401)333-1225 2125 DIAMOND HILL RD CUMBERLAND, RI 02864 (401)335-4563 315 BROAD ST CUMBERLAND, RI 02864 (401)726-8110 2136 MENDON RD CUMBERLAND, RI 02864 (401)333-1220 70 MENDON RD CUMBERLAND, RI 02864 (401)722-3401 EAST GREENWICH 2250 NEW LONDON TPKE EAST GREENWICH, RI 02818 (401)821-3145 527 MAIN ST EAST GREENWICH, RI 02818 (401)884-7045 1285 S COUNTY TRL EAST GREENWICH, RI 02818 (404)886-0902 EAST PROVIDENCE CRITICAL CARE SYSTEMS 70 CATAMORE BLVD EAST PROVIDENCE, RI 02914 (401)435-4030 583 TAUNTON AVE EAST PROVIDENCE, RI 02914 (401)434-2993 640 WARREN AVE EAST PROVIDENCE, RI 02914 (401)438-2272 655 WARREN AVE EAST PROVIDENCE, RI 02914 (401)434-5700 1925 PAWTUCKET AVE EAST PROVIDENCE, RI 02914 (401)431-0476 GREENVILLE 445 PUTNAM PIKE GREENVILLE, RI 02828 (401)231-5320 446 PUTNAM PIKE GREENVILLE, RI 02828 (401)949-1848 JAMESTOWN BAKER'S HEALTH MART 53 NARRAGANSETT AVE JAMESTOWN, RI 02835 (401)423-2800 JOHNSTON ATWOOD PRESCRIPTION CTR 1524 ATWOOD AVE JOHNSTON, RI 02919 (401)831-0100 1993 PLAINFIELD PIKE JOHNSTON, RI 02919 (401)942-3286 1400 HARTFORD AVE JOHNSTON, RI 02919 (401)861-0310 JB HEALTH MART 113 PUTNAM PIKE JOHNSTON, RI 02919 (401)232-1194 1459 ATWOOD AVE JOHNSTON, RI 02919 (401)273-4470 11 COMMERCE WAY JOHNSTON, RI 02919 (401)861-3150 LINCOLN RHODE ISLAND VILLAGE 1 COMMERCE ST STE B LINCOLN, RI 02865 (401)312-4087 6220 GEORGE WASHINGTON HWY LINCOLN, RI 02865 (401)334-0754 TARGET 620 GEORGE WASHINGTON HWY LINCOLN, RI 02865 (401)642-0081 MIDDLETOWN 99 E MAIN RD MIDDLETOWN, RI 02842 (401)847-0254 1360 W MAIN RD MIDDLETOWN, RI 02842 (401)849-9640 NARRAGANSETT 1123 BOSTON NECK RD NARRAGANSETT, RI 02882 (401)783-1753 20 WOODRUFF AVE NARRAGANSETT, RI 02882 (401)792-7179 1193 BOSTON NECK RD NARRAGANSETT, RI 02882 (401)789-5037 91 POINT JUDITH RD STE 24 NARRAGANSETT, RI 02882 (401)783-7768 NEWPORT 181 BELLEVUE AVE NEWPORT, RI 02840 (401)846-7800 NEWPORT PRESCRIPTION CENTER HM 289 BROADWAY NEWPORT, RI 02840 (401)847-6762 December 2011

NEWPORT TIVERTON 7 E MAIN RD NEWPORT, RI 02840 (401)849-4600 199 CONNELL HWY NEWPORT, RI 02840 (401)848-5861 NORTH KINGSTOWN 6495 POST RD NORTH KINGSTOWN, RI 02852 (401)885-4920 5945 POST RD NORTH KINGSTOWN, RI 02852 (401)885-5100 7691 POST RD NORTH KINGSTOWN, RI 02852 (401)295-8811 63 BROWN ST NORTH KINGSTOWN, RI 02852 (401)294-6387 1031 TEN ROD RD NORTH KINGSTOWN, RI 02852 (401)294-3455 NORTH PROVIDENCE 1510 SMITH ST NORTH PROVIDENCE, RI 02911 (401)353-3500 NORTH SCITUATE 47 VILLAGE PLAZA WAY NORTH SCITUATE, RI 02857 (401)934-2480 NORTH SMITHFIELD 120 EDDIE DOWLING HWY NORTH SMITHFIELD, RI 02896 (401)762-3172 595 SMITHFIELD RD NORTH SMITHFIELD, RI 02896 (401)765-6722 7 DOWLING VILLAGE BLVD NORTH SMITHFIELD, RI 02896 (401)769-1695 PASCOAG 20 HIGH ST PASCOAG, RI 02859 (401)568-5190 PAWTUCKET BLACKSTONE HEALTH MART PHCY 465 LONSDALE AVE UNIT B PAWTUCKET, RI 02860 (401)475-5655 835 NEWPORT AVE PAWTUCKET, RI 02861 (401)726-0724 601 SMITHFIELD AVE PAWTUCKET, RI 02860 (401)727-1866 425 E AVE PAWTUCKET, RI 02860 (401)722-8704 HOWELL SMITH GISTS 749 CENTRAL AVE PAWTUCKET, RI 02861 (401)725-7711 QOL MEDS 101 BACON ST PAWTUCKET, RI 02860 (401)722-0299 342 POWER RD PAWTUCKET, RI 02860 (401)724-3274 150 MINERAL SPRING AVE PAWTUCKET, RI 02860 (401)726-0547 727 EAST AVE PAWTUCKET, RI 02860 (401)724-6800 SIMPSON'S 10 NEWPORT AVE PAWTUCKET, RI 02861 (401)722-7600 640 BROADWAY PAWTUCKET, RI 02860 (401)722-6537 PORTSMOUTH 10 TURNPIKE AVE PORTSMOUTH, RI 02871 (401)682-2098 2456 E MAIN ST PORTSMOUTH, RI 02871 (401)683-3062 3034 E MAIN RD PORTSMOUTH, RI 02871 (401)683-1270 PROVIDENCE ANTHONY'S HM STORE 219 MANTON AVE PROVIDENCE, RI 02909 (401)351-9495 BROWN UNIVERSITY 13 BROWN ST PROVIDENCE, RI 02912 (401)863-7882 799 HOPE ST PROVIDENCE, RI 02906 (401)331-5240 935 MANTON AVE PROVIDENCE, RI 02909 (401)453-5612 400 ADMIRAL ST PROVIDENCE, RI 02908 (401)351-5030 960 BROAD ST PROVIDENCE, RI 02905 (401)461-3699 131 WEBSTER AVE PROVIDENCE, RI 02909 (401)944-6060 100 FRANCIS ST PROVIDENCE, RI 02903 (401)270-4440 1919 MINERAL SPRING AVE PROVIDENCE, RI 02904 (401)353-2501 481 ANGELL ST PROVIDENCE, RI 02906 (401)521-4340 PROCARE 2 DUDLEY ST STE 170 PROVIDENCE, RI 02905 (401)421-1555 EAST SIDE PRESCRIPTION CENTER 632 HOPE ST PROVIDENCE, RI 02906 (401)751-1430 GENOA HEALTHCARE 530 N MAIN ST STE 124 PROVIDENCE, RI 02904 (401)276-6377 JB 1001 SMITH ST PROVIDENCE, RI 02908 (401)861-1194 N D S 866 BROAD ST PROVIDENCE, RI 02907 (401)941-5698 PROVIDENCE METRO TREATMENT CTR 160 NARRAGANSETT AVE PROVIDENCE, RI 02914 (401)941-4488 135 PITMAN ST PROVIDENCE, RI 02906 (401)861-4846 1665 MINERAL SPRING RD PROVIDENCE, RI 02904 (401)353-3113 200 ACADEMY AVE PROVIDENCE, RI 02908 (401)521-4941 456 BRANCH ST PROVIDENCE, RI 02904 (401)331-3554 1200 N MAIN ST PROVIDENCE, RI 02904 (401)272-3048 711 BROAD ST PROVIDENCE, RI 02907 (401)331-9550 SHAWS 15 SMITHFIELD RD PROVIDENCE, RI 02904 (401)353-4075 1128 MINERAL SPRING AVE PROVIDENCE, RI 02904 (401)727-3900 850 MANTON AVE PROVIDENCE, RI 02909 (401)453-0288 VIDASCRIP 500 BROAD ST STE 6 PROVIDENCE, RI 02907 (401)868-9070 51 SILVER SPRING ST PROVIDENCE, RI 02904 (401)272-5340 WHITE CROSS 1 RANDALL SQ PROVIDENCE, RI 02904 (401)351-5900 RICHMOND 21 KINGSTOWN RD RICHMOND, RI 02898 (401)539-6001 RIVERSIDE 444 WILLETT AVE RIVERSIDE, RI 02915 (401)433-1120 INFUSION RESOURCE 2 HEMINGWAY DR RIVERSIDE, RI 02915 (401)431-0200 1086 WILLETT AVE RIVERSIDE, RI 02915 (401)433-5710 RUMFORD 63 NEWPORT AVE RUMFORD, RI 02916 (401)431-0461 220 NEWPORT AVE RUMFORD, RI 02916 (401)434-1333 SAUNDERSTOWN BAYVIEW 3045 TOWERHILL RD UNIT 3 SAUNDERSTOWN, RI 02874 (401)284-4505 SLATERSVILLE 900 VICTORY HWY SLATERSVILLE, RI 02876 (401)766-4603 SMITHFIELD MILLENNIUM 33 APPIAN WAY STE B SMITHFIELD, RI 02917 (724)940-2490 400 PUTNAM PIKE SMITHFIELD, RI 02917 (401)949-6212 TARGET 371 PUTMAN PIKE SMITHFIELD, RI 02917 (401)232-2854 TIVERTON 500 MAIN RD TIVERTON, RI 02878 (401)624-8421 677 MAIN RD TIVERTON, RI 02878 (401)624-8411 December 2011

WAKEFIELD WYOMING WAKEFIELD 11 MAIN ST WAKEFIELD, RI 02879 (401)783-3384 QOL MEDS 55 CHERRY LN WAKEFIELD, RI 02879 (401)482-3511 604 KINGSTOWN RD WAKEFIELD, RI 02879 (401)783-8630 WAKEFIELD PRESCRIPTION CENTER 580 KINGSTOWN RD WAKEFIELD, RI 02879 (401)789-9791 WARREN 615 METACOM AVE WARREN, RI 02885 (401)245-0400 DELEKTA 496 MAIN ST WARREN, RI 02885 (401)245-6767 WARWICK 2400 WARWICK AVE WARWICK, RI 02889 (401)737-2305 767 WARWICK AVE WARWICK, RI 02888 (401)467-7788 2790 POST RD WARWICK, RI 02886 (401)739-3173 OXNARD HEALTH MART 198 BUTTONWOOD AVE WARWICK, RI 02886 (401)739-4330 PHARMERICA 83 VERMONT AVE UNIT 2 WARWICK, RI 02888 (401)737-4165 2055 WARWICK AVE WARWICK, RI 02889 (401)738-6300 2595 W SHORE RD WARWICK, RI 02886 (401)737-4771 1201 WARWICK AVE WARWICK, RI 02888 (401)463-6010 1080 BALD HILL RD WARWICK, RI 02886 (401)822-0002 300 QUAKER LN WARWICK, RI 02886 (401)828-0533 2470 WARWICK AVE WARWICK, RI 02889 (401)732-4060 SUBURBAN 242 PAWTUXET AVE WARWICK, RI 02888 (401)781-2110 TARGET 400 BALD HILL RD STE 200 WARWICK, RI 02886 (401)244-1973 TARGET 1245 BALD HILL RD WARWICK, RI 02888 (401)821-8283 650 BALD HILL RD WARWICK, RI 02886 (401)821-7844 840 POST RD WARWICK, RI 02888 (401)781-8340 WEST WARWICK 1734 MAIN ST WEST WARWICK, RI 02893 (401)821-7428 834 PROVIDENCE ST WEST WARWICK, RI 02893 (401)821-3563 1125 MAIN ST WEST WARWICK, RI 02893 (401)822-2762 1193 MAIN ST WEST WARWICK, RI 02893 (401)828-9793 UROLOGIC SPECIALISTS 207 QUAKER LN WEST WARWICK, RI 02893 (401)275-8110 WESTERLY 151 FRANKLIN ST WESTERLY, RI 02891 (401)596-8182 150 GRANITE ST WESTERLY, RI 02891 (401)348-2070 MCQUADES MARKETPLACE 106 MAIN ST WESTERLY, RI 02891 (401)596-0277 170 GRANITE ST WESTERLY, RI 02891 (401)596-2734 258 POST RD WESTERLY, RI 02891 (401)322-0793 WOONSOCKET 1516 DIAMOND HILL RD WOONSOCKET, RI 02895 (401)765-7133 166 CASS AVE WOONSOCKET, RI 02895 (401)767-3600 PROCARE 450 CLINTON ST WOONSOCKET, RI 02895 (401)767-2120 200 SOCIAL ST WOONSOCKET, RI 02895 (401)762-9200 WYOMING 1187 MAIN ST WYOMING, RI 02898 (401)539-4000 December 2011

ANSONIA CHESHIRE CONNECTICUT ANSONIA 24 PERSHING DR ANSONIA, CT 06401 (203)735-7837 HANCOCK VI 95 WAKELEE AVE ANSONIA, CT 06401 (203)734-8900 LEAR 198 WAKELEE AVE ANSONIA, CT 06401 (203)735-7433 404 MAIN ST ANSONIA, CT 06401 (203)734-3152 100 DIVISION ST ANSONIA, CT 06401 (203)732-3907 TARGET 20 W MAIN ST ANSONIA, CT 06401 (203)278-5056 AVON 358 W MAIN ST AVON, CT 06001 (860)678-8605 RT 44 & DALE RD AVON, CT 06001 (860)674-0353 255 W MAIN ST AVON, CT 06001 (860)409-0406 BEACON FALLS BEACON FALLS 20 N MAIN ST BEACON FALLS, CT 06403 (203)729-4567 BERLIN 1055 FARMINGTON AVE BERLIN, CT 06037 (860)828-6584 308 WILBUR CROSS HWY BERLIN, CT 06037 (860)829-0800 PHARMERICA 77 OLD BRICKYARD LN STE 1 BERLIN, CT 06037 (860)829-6575 1135 FARMINGTON AVE BERLIN, CT 06037 (860)828-0772 BETHEL BIG Y 81 STONY HILL RD BETHEL, CT 06801 (203)791-9820 7 DURANT AVE BETHEL, CT 06801 (203)794-9500 ENGLISH APOTHECARY 140 GREENWOOD AVE BETHEL, CT 06801 (860)927-3725 289 GREENWOOD AVE BETHEL, CT 06801 (203)792-6190 TARGET 7 STONY HILL RD BETHEL, CT 06801 (203)448-1030 BETHLEHEM TOWNE APOTHECARY 95 MAIN ST S BETHLEHEM, CT 06751 (203)266-7801 BLOOMFIELD 341 COTTAGE GROVE RD BLOOMFIELD, CT 06002 (860)243-8351 799-824 PARK AVE BLOOMFIELD, CT 06002 (860)243-1704 RELIANCE 699 COTTAGE GROVE RD BLOOMFIELD, CT 06002 (860)242-3332 774 PARK AVE BLOOMFIELD, CT 06002 (860)242-5551 BOLTON BOLTON 667 BOSTON TPKE BOLTON, CT 06043 (860)643-0165 BRANFORD 2-6 SHORT BEACH RD BRANFORD, CT 06405 (203)488-9485 22 LEETES ISLAND RD BRANFORD, CT 06405 (203)481-3392 TOWNE 1012 MAIN ST BRANFORD, CT 06405 (203)488-1631 120 COMMERCIAL PKWY BRANFORD, CT 06405 (203)488-3914 BRIDGEPORT ARROW PRESCRIPTION CENTER 2660 MAIN ST BRIDGEPORT, CT 06606 (203)367-7979 BRIDGEPORT 978 E MAIN ST BRIDGEPORT, CT 06608 (203)367-9000 3710 MAIN ST BRIDGEPORT, CT 06606 (203)371-1280 2610 E MAIN ST BRIDGEPORT, CT 06610 (203)368-0944 1875 BOSTON AVE BRIDGEPORT, CT 06610 (203)330-8278 HANCOCK 1557 FAIRFIELD AVE BRIDGEPORT, CT 06605 (203)367-4571 HANCOCK 1020 FAIRFIELD AVE BRIDGEPORT, CT 06605 (203)576-9000 HANCOCK IV 500 SYLVAN AVE BRIDGEPORT, CT 06606 (203)416-9000 LUPE'S STORE 3129 MAIN ST BRIDGEPORT, CT 06606 (203)374-0610 MAIN STREET 2117 BOSTON AVE BRIDGEPORT, CT 06610 (203)870-9901 MAIN STREET 1001 MAIN ST STE 7 BRIDGEPORT, CT 06604 (203)870-9901 1060 E MAIN ST BRIDGEPORT, CT 06608 (203)382-0009 2600 MADISON AVE BRIDGEPORT, CT 06606 (203)372-7150 4531 N MAIN ST BRIDGEPORT, CT 06602 (203)372-6538 BRISTOL BEACON MEDICATION SERVICES 25 MELLEN ST BRISTOL, CT 06010 (860)582-4847 BEACON PRESCRIPTION SOUTH ST 57 SOUTH ST BRISTOL, CT 06010 (860)583-1006 BEACON PRESCRIPTIONS 25 COLLINS RD BRISTOL, CT 06010 (860)589-5587 59 N MAIN ST BRISTOL, CT 06010 (860)584-8998 60 MIDDLE ST BRISTOL, CT 06010 (860)585-0122 839 FARMINGTON AVE BRISTOL, CT 06010 (860)582-8167 PRICE CHOPPER 121 FARMINGTON AVE BRISTOL, CT 06010 (860)582-3702 430 N MAIN ST STE A BRISTOL, CT 06010 (860)582-3491 SHOPRITE 1200 FARMINGTON AVE BRISTOL, CT 06010 (860)584-5733 597 FARMINGTON AVE BRISTOL, CT 06010 (860)582-4080 747 PINE ST BRISTOL, CT 06010 (860)583-9213 1400 FARMINGTON AVE BRISTOL, CT 06010 (860)585-1103 BROOKFIELD BROOKFIELD 31 OLD ROUTE 7 BROOKFIELD, CT 06804 (203)775-0463 BROOKFIELD 60 OLD NEW MILFORD RD BROOKFIELD, CT 06804 (203)775-9040 COSTCO 200 FEDERAL RD BROOKFIELD, CT 06804 (203)740-7965 14 CANDLEWOOD LAKE RD BROOKFIELD, CT 06804 (203)775-9593 215 FEDERAL RD BROOKFIELD, CT 06804 (203)740-1005 BROOKLYN 542 PROVIDENCE RD BROOKLYN, CT 06234 (860)779-0523 BURLINGTON 292 SPEILMAN HWY BURLINGTON, CT 06013 (860)673-8006 CANAAN CANAAN APOTHECARY 91 MAIN ST CANAAN, CT 06018 (860)824-8000 GEER 99 S CANAAN RD CANAAN, CT 06018 (860)824-3822 76 MAIN ST CANAAN, CT 06018 (860)824-5481 CANTERBURY 200 WESTMINSTER RD CANTERBURY, CT 06331 (860)546-6766 CHESHIRE 581 HIGHLAND AVE CHESHIRE, CT 06410 (203)250-2251 905 S MAIN ST CHESHIRE, CT 06410 (203)272-3255 December 2011

CHESHIRE ENFIELD 922 S MAIN ST CHESHIRE, CT 06410 (203)271-0282 180 MAIN ST CHESHIRE, CT 06410 (203)272-3543 275 HIGHLAND AVE CHESHIRE, CT 06410 (203)272-3697 VALUE HEALTHCARE SERVICES 525 KNOTTER DR CHESHIRE, CT 06410 (203)272-3856 CLINTON 14 E MAIN ST CLINTON, CT 06413 (860)664-9337 SHOPRITE 266 E MAIN ST CLINTON, CT 06413 (860)669-6619 215 E MAIN ST CLINTON, CT 06413 (860)669-6636 COLCHESTER 119 S MAIN ST COLCHESTER, CT 06415 (860)537-0711 27 BROADWAY ST COLCHESTER, CT 06415 (860)537-9034 99 LINWOOD AVE COLCHESTER, CT 06415 (860)537-2570 COS COB 122 E PUTNAM AVE COS COB, CT 06807 (203)422-2129 COVENTRY 3514 MAIN ST COVENTRY, CT 06238 (860)742-3543 CROMWELL 72 BERLIN RD CROMWELL, CT 06416 (860)613-0499 PROFESSIONAL HOME CARE SVCS 104 SEBETHE DR CROMWELL, CT 06416 (860)632-3611 35 SHUNPIKE RD CROMWELL, CT 06416 (860)635-6303 161 BERLIN RD CROMWELL, CT 06416 (860)635-1507 XPECT 47 SHUNPIKE RD CROMWELL, CT 06416 (860)632-9092 DANBURY A AND P SUPER FOODMART 35 MAIN ST DANBURY, CT 06810 (203)748-9122 A AND P SUPER FOODMART 1 PANDANARAM RD DANBURY, CT 06811 (203)791-2356 35 PADANARAM RD DANBURY, CT 06811 (203)730-4870 47 LAKE AVENUE EXT # 49 DANBURY, CT 06811 (203)778-7471 146 SOUTH ST DANBURY, CT 06810 (203)797-8919 303 WHITE ST DANBURY, CT 06810 (203)790-9485 DANBURY 95 LOCUST AVE DANBURY, CT 06810 (203)792-2044 MAIN STREET 151 MAIN ST DANBURY, CT 06810 (203)297-6132 113 MILL PLAIN RD DANBURY, CT 06810 (203)798-7520 30 GERMANTOWN RD DANBURY, CT 06810 (203)797-0223 1-A PADANARUM RD DANBURY, CT 06810 (203)748-4134 72 NEW TOWN RD DANBURY, CT 06810 (203)798-0735 44 LAKE AVENUE EXT DANBURY, CT 06810 (203)797-8476 67 NEWTOWN RD DANBURY, CT 06810 (203)791-8178 DANIELSON BIG Y 70 WAUREGAN RD DANIELSON, CT 06239 (860)774-7437 BONNEVILLE 77 WESTCOTT RD DANIELSON, CT 06239 (860)774-9362 DARIEN 964 POST RD DARIEN, CT 06820 (203)655-6335 GRIEB'S 1021 POST RD DARIEN, CT 06820 (203)655-1000 DAYVILLE GENOA HEALTHCARE 1007 N MAIN ST DAYVILLE, CT 06241 (860)457-4690 1046 N MAIN ST DAYVILLE, CT 06241 (860)774-5301 TARGET 2177 KILLINGLY CMNS DAYVILLE, CT 06241 (860)412-1284 DERBY 656 NEW HAVEN AVE DERBY, CT 06418 (203)732-4495 GRIFFIN AND GIFT 130 DIVISION ST DERBY, CT 06418 (203)732-1490 SHOPRITE 49 PERSHING DR DERBY, CT 06418 (203)736-1055 656 NEW HAVEN AVE DERBY, CT 06418 (203)736-2667 DURHAM DURHAM 321 MAIN ST DURHAM, CT 06422 (860)349-3478 EAST BERLIN CAP 80 CLARK DR EAST BERLIN, CT 06023 (866)632-1551 EAST HAMPTON 54 E HIGH ST EAST HAMPTON, CT 06424 (860)267-6853 25 E HIGH ST EAST HAMPTON, CT 06424 (860)267-0732 11 E HIGH ST EAST HAMPTON, CT 06424 (860)267-2771 EAST HARTFORD 20 BURNSIDE AVE EAST HARTFORD, CT 06118 (860)290-2091 16 MAIN ST EAST HARTFORD, CT 06118 (860)568-1700 271 ELLINGTON RD EAST HARTFORD, CT 06108 (860)528-6115 SHOPRITE 31 MAIN ST EAST HARTFORD, CT 06118 (860)895-8106 940 SILVER LN EAST HARTFORD, CT 06108 (860)569-7135 EAST HAVEN BEACON PRESCRIPTIONS 875 FOXON RD EAST HAVEN, CT 06513 (203)467-2600 369 MAIN ST EAST HAVEN, CT 06512 (203)468-6594 660 FOXON RD EAST HAVEN, CT 06513 (203)467-8876 588 MAIN ST EAST HAVEN, CT 06512 (203)469-7648 10 HEMINGWAY AVE EAST HAVEN, CT 06512 (203)469-4609 645 FOXON RD EAST HAVEN, CT 06513 (203)468-1039 370 HEMINGWAY AVE EAST HAVEN, CT 06512 (203)468-1113 EAST LYME 15 CHESTERFIELD RD EAST LYME, CT 06333 (860)739-0276 324 FLANDERS AVE EAST LYME, CT 06333 (860)739-9007 248 FLANDERS RD EAST LYME, CT 06333 (860)739-5957 EAST WINDSOR BIG Y 67 PROSPECT HILL RD EAST WINDSOR, CT 06028 (860)623-1407 74 BRIDGE ST EAST WINDSOR, CT 06088 (860)623-3327 69 PROSPECT HILL RD EAST WINDSOR, CT 06088 (860)292-1573 ELLINGTON BIG Y 135 WEST RD ELLINGTON, CT 06029 (860)896-0264 ENFIELD ABLE CARE PHCY AND MED SPPLY 15 PALOMBA DR ENFIELD, CT 06082 (860)745-0183 December 2011

ENFIELD JEWETT CITY COSTCO 75 FRESHWATER BLVD ENFIELD, CT 06082 (860)394-2028 47 HAZARD AVE ENFIELD, CT 06082 (860)741-0751 872 ENFIELD ST ENFIELD, CT 06082 (860)741-3014 71 PALOMBA DR ENFIELD, CT 06082 (860)749-4184 SOUTHWOOD 89 RAFFIA RD ENFIELD, CT 06082 (860)749-8334 54 HAZARD AVE ENFIELD, CT 06082 (860)741-2230 TARGET 90 ELM ST ENFIELD, CT 06083 (860)741-8054 ESSEX 125 WESTBROOK RD ESSEX, CT 06426 (860)767-2181 FAIRFIELD 330 GRASMERE AVE FAIRFIELD, CT 06824 (203)255-0060 961 BLACK ROCK TPKE FAIRFIELD, CT 06825 (203)331-4743 1968 BLACK ROCK TPKE FAIRFIELD, CT 06825 (203)366-8070 698 POST RD FAIRFIELD, CT 06824 (203)255-1089 LUPE'S STORE 2035 BLACK ROCK TPKE FAIRFIELD, CT 06825 (203)368-1955 1619 POST RD FAIRFIELD, CT 06824 (203)259-2353 1160 KINGS HIGHWAY CUTOFF FAIRFIELD, CT 06824 (203)254-8538 FARMINGTON ARROW PHARM AND NUTRITION CTR 838 FARMINGTON AVE FARMINGTON, CT 06032 (888)787-2800 188 MAIN ST RTE 10 FARMINGTON, CT 06032 (860)677-5047 GEORGETOWN REDDING 73 REDDING RD GEORGETOWN, CT 06829 (203)544-8306 GLASTONBURY 766 NEW LONDON TPKE GLASTONBURY, CT 06033 (860)633-4668 2639 MAIN ST GLASTONBURY, CT 06033 (860)659-1329 215 GLASTONBURY BLVD GLASTONBURY, CT 06033 (860)659-5844 55 OAK ST GLASTONBURY, CT 06033 (860)652-9208 GRANBY 20 BANK ST GRANBY, CT 06035 (860)653-4221 GRANBY 9 HARTFORD AVE GRANBY, CT 06035 (860)653-2517 120 SALMON BROOK ST GRANBY, CT 06035 (860)844-8346 GREENWICH 99 GREENWICH AVE GREENWICH, CT 06830 (203)862-9320 FINCH 3 RIVERSVILLE RD GREENWICH, CT 06831 (203)531-8494 GRANNICK'S 277 GREENWICH AVE GREENWICH, CT 06830 (203)869-3492 GREENVIEW 13 N WATER ST GREENWICH, CT 06830 (203)531-3323 GREENWICH 116 GREENWICH AVE GREENWICH, CT 06830 (203)661-2721 HARMONY & HEALTH CTR 84 E PUTNAM AVE GREENWICH, CT 06830 (917)574-5335 NORTH STREET 1043 NORTH ST GREENWICH, CT 06831 (203)869-2130 PALMERS PROFESSIONAL 49 LAKE AVE GREENWICH, CT 06830 (203)869-5700 GROTON BIG Y 995 POQUONNOCK RD GROTON, CT 06340 (860)445-7719 915 POQUONNOCK RD GROTON, CT 06340 (860)446-0912 FORT HILL 116 FORT HILL RD GROTON, CT 06340 (860)445-6431 220 ROUTE 12 GROTON, CT 06340 (860)445-8807 150 GOLD STAR HWY GROTON, CT 06340 (860)449-6902 GUILFORD BIG Y 830 BOSTON POST RD GUILFORD, CT 06437 (203)453-7446 1057 BOSTON POST RD STE 2 GUILFORD, CT 06437 (203)458-1444 HAMDEN ANNEX 2380 A DIXWELL AVE HAMDEN, CT 06514 (203)287-3127 APEX AND HOME CARE 2380 DIXWELL AVE HAMDEN, CT 06514 (203)281-6571 2045 DIXWELL AVE HAMDEN, CT 06514 (203)287-0835 2175 DIXWELL AVE HAMDEN, CT 06514 (203)288-3895 SHOPRITE 2100 DIXWELL AVE HAMDEN, CT 06514 (203)230-8019 1245 DIXWELL AVE HAMDEN, CT 06514 (203)281-4235 2335 DIXWELL AVE HAMDEN, CT 06514 (203)248-9631 2300 DIXWELL AVE HAMDEN, CT 06514 (203)230-2841 HARTFORD ARROW PRESCRIPTION CENTER 100 WOODLAND ST HARTFORD, CT 06105 (860)527-2800 ARROW PRESCRIPTION CENTER 85 SEYMOUR ST HARTFORD, CT 06106 (860)727-1123 ARROW PRESCRIPTION CENTER 500 ALBANY AVE HARTFORD, CT 06120 (860)524-5304 ARROW PRESCRIPTION CENTER 500 FARMINGTON AVE HARTFORD, CT 06105 (860)522-9289 ARROW PRESCRIPTION CENTER 131 COVENTRY ST HARTFORD, CT 06112 (860)286-2766 690 WETHERSFIELD AVE HARTFORD, CT 06114 (860)296-1155 566 FARMINGTON AVE HARTFORD, CT 06105 (860)233-9673 750 MAIN ST HARTFORD, CT 06103 (860)244-9424 479 BLUE HILLS AVE HARTFORD, CT 06112 (860)769-6870 908 910 MAPLE AVE HARTFORD, CT 06114 (860)956-7107 ONCOLOGY ASSOCIATES 85 RETREAT AVE HARTFORD, CT 06106 (860)249-6291 1291 ALBANY AVE HARTFORD, CT 06112 (860)560-1881 315 FRANKLIN AVE HARTFORD, CT 06114 (860)296-3478 10 SCHOOL ST HARTFORD, CT 06108 (860)289-8289 150 NEW PARK AVE HARTFORD, CT 06106 (860)232-8848 495 FLATBUSH AVE HARTFORD, CT 06106 (860)953-0725 HEBRON HEBRON 117 MAIN ST HEBRON, CT 06248 (860)228-3888 HIGGANUM HIGGANUM 3 CANDLEWOOD HILL RD STE A HIGGANUM, CT 06441 (860)345-3607 JEWETT CITY JEWETT CITY 78 MAIN ST JEWETT CITY, CT 06351 (860)376-4468 December 2011

JEWETT CITY NAUGATUCK 27 MAIN ST JEWETT CITY, CT 06351 (860)376-1206 KENSINGTON BEACON PRESCRIPTIONS 59 CHAMBERLAIN HWY KENSINGTON, CT 06037 (860)828-4161 900 FARMINGTON AVE KENSINGTON, CT 06037 (860)829-0742 KENT KENT APOTHECARY 3 MAPLE ST KENT, CT 06757 (860)927-3725 KILLINGWORTH KILLINGWORTH FAMILY 183 ROUTE 81 STE 3 KILLINGWORTH, CT 06419 (860)452-4275 LISBON TARGET 195 RIVER RD LISBON, CT 06351 (860)823-2961 180 RIVER RD LISBON, CT 06351 (860)376-0132 LITCHFIELD 266 WEST ST LITCHFIELD, CT 06759 (860)567-0856 MURPHY'S 59 WEST ST LITCHFIELD, CT 06759 (860)567-8325 331 WEST ST LITCHFIELD, CT 06759 (860)567-7064 MADISON 613 BOSTON POST RD MADISON, CT 06443 (203)245-3165 136 SAMSON ROCK DR MADISON, CT 06443 (203)245-7467 MANCHESTER BIG Y 234 TOLLAND TPKE MANCHESTER, CT 06042 (860)646-4832 260 N MAIN ST MANCHESTER, CT 06040 (860)646-4510 241 MIDDLE TPKE W MANCHESTER, CT 06040 (860)533-1156 GENOA HEALTHCARE 587 MIDDLE TPKE E MANCHESTER, CT 06040 (860)288-2119 LENOX 299 E CENTER ST MANCHESTER, CT 06040 (860)649-0896 MANCHESTER 348 MAIN ST MANCHESTER, CT 06040 (860)649-1025 335 CENTER ST MANCHESTER, CT 06040 (860)649-9110 SAM'S CLUB 69 PAVILIONS DR MANCHESTER, CT 06040 (860)644-5807 SHOPRITE 214 SPENCER ST MANCHESTER, CT 06040 (860)645-3244 286 BROAD ST MANCHESTER, CT 06040 (860)647-0325 TARGET 125 BUCKLAND HILLS DR MANCHESTER, CT 06040 (860)327-0083 420 BUCKLAND HILLS DR MANCHESTER, CT 06040 (860)644-5105 WESTOWN 455 HARTFORD RD MANCHESTER, CT 06040 (860)649-9946 MANSFIELD BIG Y 141 B STORRS RD MANSFIELD, CT 06250 (860)456-1358 MERIDEN BIG Y 533 S BROAD ST MERIDEN, CT 06450 (203)237-5280 540 W MAIN ST MERIDEN, CT 06450 (203)237-8984 839 E MAIN ST MERIDEN, CT 06450 (203)235-8285 679 E MAIN ST MERIDEN, CT 06450 (203)237-8997 GENOA HEALTHCARE 883 PADDOCK AVE MERIDEN, CT 06450 (203)599-0187 GRAEBER'S 172 W MAIN ST MERIDEN, CT 06450 (203)235-4463 HANCOCKS 840 E MAIN ST MERIDEN, CT 06450 (203)235-6323 485 BROAD ST MERIDEN, CT 06540 (203)238-1261 TARGET 474 CHAMBERLAIN HWY MERIDEN, CT 06451 (203)634-6060 MIDDLETOWN CONNECTICUT ONCOLOGY GROUP 536 SAYBROOK RD MIDDLETOWN, CT 06457 (860)358-2220 308 MAIN STREET EXT MIDDLETOWN, CT 06457 (860)344-1857 675 WASHINGTON ST MIDDLETOWN, CT 06457 (860)344-1320 HANCOCK V 644 MAIN ST MIDDLETOWN, CT 06457 (860)346-9700 PRICE CHOPPER 855 WASHINGTON ST MIDDLETOWN, CT 06457 (860)740-7707 100 MAIN ST MIDDLETOWN, CT 06457 (860)346-8601 416 MAIN ST MIDDLETOWN, CT 06457 (860)346-1779 MILFORD COSTCO 1718 BOSTON POST RD MILFORD, CT 06460 (203)701-3051 989 BOSTON POST RD MILFORD, CT 06460 (203)783-9058 233 BROAD ST MILFORD, CT 06460 (203)877-8127 HOWES 78 BROAD ST MILFORD, CT 06460 (203)878-2441 1387 NEW HAVEN AVE MILFORD, CT 06460 (203)874-0845 1360 BOSTON POST RD MILFORD, CT 06460 (203)877-6774 42 W TOWN ST MILFORD, CT 06460 (203)877-1912 855 BRIDGEPORT AVE MILFORD, CT 06460 (203)876-0654 TARGET 1191 BOSTON POST RD MILFORD, CT 06460 (203)306-5064 1365 BOSTON POST RD MILFORD, CT 06460 (203)301-0570 XPECT 480 BOSTON POST RD MILFORD, CT 06460 (203)877-7828 MONROE 535 MONROE TPKE MONROE, CT 06468 (203)261-1185 508 MONROE TPKE MONROE, CT 06468 (203)268-5471 435 MAIN ST MONROE, CT 06468 (203)268-1098 MOODUS NATHAN HALE 26 FALLS RD MOODUS, CT 06469 (860)873-1481 MOOSUP 20 PROSPECT ST MOOSUP, CT 06354 (860)564-5871 MYSTIC BIG Y 179 STONINGTON RD MYSTIC, CT 06355 (860)536-5835 25 BROADWAY AVE MYSTIC, CT 06355 (860)536-5635 MCQUADES 10 CLARA DR MYSTIC, CT 06355 (860)536-4606 MCQUADES SPECIALTY 10 CLARA DR MYSTIC, CT 06355 (860)536-3349 NAUGATUCK BIG Y 85 BRIDGE ST NAUGATUCK, CT 06770 (203)723-0364 98 BRIDGE ST NAUGATUCK, CT 06770 (203)723-1172 FORD 2 CHURCH ST NAUGATUCK, CT 06770 (203)729-2680 NELSON'S 153 MAPLE ST NAUGATUCK, CT 06770 (203)729-2297 56 RUBBER AVE NAUGATUCK, CT 06770 (203)723-7745 727 RUBBER AVE NAUGATUCK, CT 06770 (203)723-6939 December 2011

NAUGATUCK NORWALK 1100 NEW HAVEN RD NAUGATUCK, CT 06770 (203)729-2288 NEW BRITAIN BEACON PRESCRIPTIONS 543 W MAIN ST NEW BRITAIN, CT 06053 (860)225-6487 713 W MAIN ST NEW BRITAIN, CT 06053 (860)224-3494 177 COLUMBUS BLVD NEW BRITAIN, CT 06050 (860)229-3757 1350 STANLEY ST NEW BRITAIN, CT 06053 (860)224-7798 1309 CORBIN AVE NEW BRITAIN, CT 06053 (860)348-9830 TARGET 475 HARTFORD RD NEW BRITAIN, CT 06051 (860)348-9163 NEW CANAAN 94 PARK ST NEW CANAAN, CT 06840 (203)966-6758 LANGS 136 ELM ST NEW CANAAN, CT 06840 (203)966-9593 VARNUM'S 91 MAIN ST NEW CANAAN, CT 06840 (203)966-4575 NEW FAIRFIELD CANDLEWOOD S 11 STATE ROUTE 37 NEW FAIRFIELD, CT 06812 (203)312-9999 25 STATE ROUTE 39 NEW FAIRFIELD, CT 06812 (203)312-9818 NEW HAVEN BELLA VISTA HLTH MART PHCY 321 EASTERN ST BLDG A NEW HAVEN, CT 06513 (203)467-1683 BERNEYS 615 HOWARD AVE NEW HAVEN, CT 06519 (203)562-4447 215 WHALLEY AVE NEW HAVEN, CT 06511 (203)401-4660 1168 WHALLEY AVE NEW HAVEN, CT 06515 (203)389-4714 EAST ROCK 767 ORANGE ST NEW HAVEN, CT 06511 (203)691-5405 HANCOCK 1 LONG WHARF DR STE 116 NEW HAVEN, CT 06511 (203)787-9908 HANCOCK VII 306 GRAND AVE NEW HAVEN, CT 06513 (203)776-7100 HOSP OF ST RAPHAEL APOTHECARY 1450 CHAPEL ST NEW HAVEN, CT 06511 (203)789-4076 MEDICAL CENTER 50 YORK ST NEW HAVEN, CT 06511 (203)688-7064 900 CHAPEL SQUARE ST NEW HAVEN, CT 06510 (203)777-7248 60 WHALLEY AVE NEW HAVEN, CT 06511 (203)777-3080 325 FERRY ST NEW HAVEN, CT 06513 (203)777-0695 112 AMITY RD NEW HAVEN, CT 06525 (203)389-8863 VISEL'S STORE 714 DIXWELL AVE NEW HAVEN, CT 06511 (203)562-6878 315 FOXON BLVD NEW HAVEN, CT 06513 (203)467-7637 NEW LONDON 817 BANK ST NEW LONDON, CT 06320 (860)443-5359 GENOA HEALTHCARE 165 STATE ST FLOOR 2 NEW LONDON, CT 06320 (860)447-9145 MEDICINE SHOPPE 613 BROAD ST NEW LONDON, CT 06320 (860)442-0669 280 BROAD ST NEW LONDON, CT 06320 (860)447-0661 SHOPRITE 351 N FRONTAGE RD NEW LONDON, CT 06320 (860)447-1194 NEW MILFORD BIG Y 2 BANK ST NEW MILFORD, CT 06776 (860)354-5554 40 EAST ST NEW MILFORD, CT 06776 (860)354-4455 173 DANBURY RD NEW MILFORD, CT 06776 (860)354-6313 180 DANBURY RD NEW MILFORD, CT 06776 (860)355-3763 164 DANBURY RD NEW MILFORD, CT 06776 (860)350-4815 NEWINGTON 1181 MAIN ST NEWINGTON, CT 06111 (860)667-1888 PRICE CHOPPER 2985 BERLIN TPKE NEWINGTON, CT 06111 (860)667-7603 40 CEDAR ST NEWINGTON, CT 06111 (860)666-4079 SAM'S CLUB 3465 BERLIN TPKE NEWINGTON, CT 06111 (860)665-7813 206 KITTS LN NEWINGTON, CT 06111 (860)594-7123 44 FENN RD NEWINGTON, CT 06111 (860)667-9292 TARGET 3265 BERLIN TPKE NEWINGTON, CT 06111 (860)616-0023 3164 BERLIN TPKE NEWINGTON, CT 06111 (860)667-0152 NEWTOWN 6 QUEENS ST NEWTOWN, CT 06470 (203)426-2595 CENTER OF NEWTOWN 61 CHURCH HILL RD NEWTOWN, CT 06470 (203)426-4505 228 S MAIN ST NEWTOWN, CT 06470 (203)270-0827 NIANTIC 58 PENNSYLVANIA AVE NIANTIC, CT 06357 (860)691-0380 NORTH BRANFORD BIG Y 1289 FOXON RD NORTH BRANFORD, CT 06471 (203)484-9681 280 BRANFORD RD NORTH BRANFORD, CT 06471 (203)488-8703 NORTH HAVEN 162 WASHINGTON AVE NORTH HAVEN, CT 06473 (203)239-4071 NORTH HAVEN 278 MAPLE AVE NORTH HAVEN, CT 06473 (203)239-2086 EXPRESS 262 STATE ST NORTH HAVEN, CT 06473 (203)287-7375 85 MIDDLETOWN AVE NORTH HAVEN, CT 06473 (203)865-3179 79 WASHINGTON AVE NORTH HAVEN, CT 06473 (203)234-1757 TARGET 2 UNIVERSAL DR N NORTH HAVEN, CT 06473 (203)859-3491 NORTH WINDHAM 474 BOSTON POST RD NORTH WINDHAM, CT 06256 (860)456-2126 NORTHFORD 1395 MIDDLETOWN AVE NORTHFORD, CT 06472 (203)484-0431 NORWALK ARCHFOOT CARE 761 MAIN AVE NORWALK, CT 06851 (203)838-0442 COSTCO 779 CONNECTICUT AVE NORWALK, CT 06854 (203)822-2002 6 WILLARD RD NORWALK, CT 06851 (203)750-6901 696 WEST AVE NORWALK, CT 06850 (203)866-0949 327 MAIN AVE NORWALK, CT 06851 (203)847-2351 NORWALK 250 WESTPORT AVE NORWALK, CT 06851 (203)956-0526 190 EAST AVE NORWALK, CT 06855 (203)838-6141 120 NEW CANAAN AVE NORWALK, CT 06850 (203)846-2398 SHOPRITE 360 CONNECTICUT AVE NORWALK, CT 06854 (203)838-5553 385 CONNECTICUT AVE NORWALK, CT 06856 (203)299-1718 December 2011

NORWALK SOMERS 380 MAIN ST NORWALK, CT 06850 (203)849-8735 SWC 120 CONNECTICUT AVE NORWALK, CT 06854 (203)899-0708 SWC 24 STEVENS ST NORWALK, CT 06850 (203)852-2690 VITAL CARE OF CONNECTICUT 189 MAIN ST NORWALK, CT 06851 (203)845-0616 650 MAIN AVE NORWALK, CT 06851 (203)846-8365 680 CONNECTICUT AVE NORWALK, CT 06854 (203)854-8519 NORWICH BIG Y 224 SALEM TPKE NORWICH, CT 06360 (860)886-1301 313 W MAIN ST NORWICH, CT 06360 (860)887-5970 GREENVILLE STORE 213 CENTRAL AVE NORWICH, CT 06360 (860)889-9857 624 W MAIN ST NORWICH, CT 06360 (860)886-1417 42 TOWN ST NORWICH, CT 06360 (860)887-1615 UMCAS 20 TOWN ST NORWICH, CT 06360 (860)889-8413 UTLEY AND JONES 112 LAFAYETTE ST NORWICH, CT 06360 (860)887-2538 220 SALEM TPKE NORWICH, CT 06360 (860)889-7530 OLD GREENWICH 225 SOUND BEACH AVE OLD GREENWICH, CT 06870 (203)698-1457 OLD LYME 90 HALLS RD OLD LYME, CT 06371 (860)434-8111 OLD SAYBROOK 519 BOSTON POST RD OLD SAYBROOK, CT 06475 (860)388-1045 105 ELM ST OLD SAYBROOK, CT 06475 (860)388-6461 665 BOSTON POST RD OLD SAYBROOK, CT 06475 (860)388-0560 ORANGE 279 BOSTON POST RD ORANGE, CT 06477 (203)795-4704 SAM'S CLUB 2 BOSTON POST RD ORANGE, CT 06477 (203)799-2355 259 BULL HILL LN ORANGE, CT 06477 (203)795-3514 TARGET 25 BOSTON POST RD ORANGE, CT 06477 (203)859-3695 OXFORD OXFORD 260 OXFORD RD OXFORD, CT 06478 (203)888-4567 PAWCATUCK 37 S BROAD ST PAWCATUCK, CT 06379 (860)599-4030 PLAINFIELD 10 LATHROP RD PLAINFIELD, CT 06374 (860)564-2111 PLAINVILLE 14 FARMINGTON AVE PLAINVILLE, CT 06062 (860)793-9248 DISCOVER RX 25 ROBERT JACKSON WAY PLAINVILLE, CT 06062 (860)793-2800 MEDSTAT 41 NORTHWEST DR PLAINVILLE, CT 06062 (860)351-5093 52 EAST ST PLAINVILLE, CT 06062 (860)747-5787 PLANTSVILLE PLANTSVILLE 1 W MAIN ST PLANTSVILLE, CT 06479 (860)628-2385 PORTLAND BORDONARO 283 MAIN ST PORTLAND, CT 06480 (860)342-3390 MEDICINE CENTRE- SENIOR CARE 283 MAIN ST PORTLAND, CT 06480 (800)788-5266 227 MAIN ST PORTLAND, CT 06480 (860)342-2121 PROSPECT 73 WATERBURY RD PROSPECT, CT 06712 (203)758-3316 PUTNAM 57 PROVIDENCE PIKE PUTNAM, CT 06260 (860)963-2548 PRICE CHOPPER 251 KENNEDY DR STE A PUTNAM, CT 06260 (860)928-1533 203 KENNEDY DR PUTNAM, CT 06260 (860)963-7230 60 PROVIDENCE PIKE PUTNAM, CT 06260 (860)963-2642 625 SCHOOL ST PUTNAM, CT 06260 (860)928-4199 RIDGEFIELD BISSELL 23 GOVERNOR ST RIDGEFIELD, CT 06877 (203)438-6600 467 MAIN ST RIDGEFIELD, CT 06877 (203)431-8481 125 DANBURY RD RIDGEFIELD, CT 06877 (203)438-7378 125 DANBURY RD RIDGEFIELD, CT 06877 (203)438-0340 RIVERSIDE 1239 E PUTNAM AVE RIVERSIDE, CT 06878 (203)698-4006 ROCKY HILL BIG Y 1040 ELM ST ROCKY HILL, CT 06067 (860)721-0580 2427 MAIN ST ROCKY HILL, CT 06067 (860)258-4963 323 CROMWELL AVE ROCKY HILL, CT 06067 (860)563-9393 RX HEALTH 70 INWOOD RD STE 5 ROCKY HILL, CT 06067 (860)727-4064 80 TOWN LINE RD ROCKY HILL, CT 06067 (860)563-4322 SALISBURY SALISBURY 20 MAIN ST SALISBURY, CT 06068 (860)435-9388 SEYMOUR 215 WEST ST SEYMOUR, CT 06483 (203)888-9068 SEYBRIDGE 37 NEW HAVEN RD SEYMOUR, CT 06483 (203)888-0073 15 FRANKLIN ST SEYMOUR, CT 06483 (203)881-2756 SHARON SHARON 8 GAY STREET SHARON, CT 06069 (860)364-5272 SHELTON MEDICINE SHOPPE 202 LEAVENWORTH RD SHELTON, CT 06484 (203)929-8668 SHOPRITE 875 BRIDGEPORT AVE SHELTON, CT 06484 (203)929-4597 898 BRIDGEPORT AVE SHELTON, CT 06484 (203)929-3887 465 BRIDGEPORT AVE SHELTON, CT 06484 (203)929-1144 SIMSBURY 714 HOPMEADOW ST SIMSBURY PLZ SIMSBURY, CT 06070 (860)651-1440 HOPMEADOW APOTH AND MED EQUIP 1300 HOPMEADOW ST SIMSBURY, CT 06070 (860)651-3331 SIMSBURY 1418 HOPMEADOW ST SIMSBURY, CT 06070 (860)658-4489 498 BUSHY HILL RD SIMSBURY, CT 06070 (860)651-9843 SOMERS SOMERS 629 MAIN ST SOMERS, CT 06071 (860)749-3433 December 2011

SOUTH WINDSOR TRUMBULL SOUTH WINDSOR 525 BUCKLAND RD SOUTH WINDSOR, CT 06074 (860)644-4241 SOUTHBURY 22 DEPOT HILL RD SOUTHBURY, CT 06488 (203)262-1831 ODIN DE LOS REYES DPM 1 POMPERAUG OFFICE PARK SOUTHBURY, CT 06488 (203)262-6100 RELIANT 200 MAIN ST S SOUTHBURY, CT 06488 (203)262-8000 SHOPRITE 775 MAIN ST S SOUTHBURY, CT 06488 (203)267-7422 100 MAIN ST N SOUTHBURY, CT 06488 (203)262-4559 SOUTHINGTON BEACON PRESCRIPTIONS 609 N MAIN ST SOUTHINGTON, CT 06489 (860)628-3972 326 MAIN ST SOUTHINGTON, CT 06489 (860)621-1996 724 QUEENS ST SOUTHINGTON, CT 06489 (860)621-7371 PRICE CHOPPER 410 QUEEN ST SOUTHINGTON, CT 06489 (860)621-5369 500 QUEEN ST SOUTHINGTON, CT 06489 (860)276-8511 167 MAIN ST SOUTHINGTON, CT 06489 (860)628-2444 SERAFINO 36 N MAIN ST SOUTHINGTON, CT 06489 (860)628-7979 505 N MAIN ST SOUTHINGTON, CT 06489 (860)620-9060 TARGET 600 EXECUTIVE BLVD SOUTHINGTON, CT 06489 (860)406-6755 235 QUEEN ST SOUTHINGTON, CT 06489 (860)621-9830 SOUTHPORT SWITZER 322 PEQUOT AVE SOUTHPORT, CT 06890 (203)259-7891 STAFFORD SPRINGS BIG Y 87 W STAFFORD RD STE C STAFFORD SPRINGS, CT 06076 (860)684-4597 88 W STAFFORD RD STAFFORD SPRINGS, CT 06076 (860)684-9555 STAMFORD 11 FOREST ST STAMFORD, CT 06901 (203)363-0627 229 HOPE ST STAMFORD, CT 06906 (203)921-1313 1058 HOPE ST STAMFORD, CT 06907 (203)325-5172 593 NEWFIELD AVE STAMFORD, CT 06905 (203)967-4600 66 HIGH RIDGE RD STAMFORD, CT 06905 (203)541-3972 HOPE STREET 221 HOPE ST STAMFORD, CT 06906 (203)348-5366 MAIN STREET 166 W BROAD ST STE G1 STAMFORD, CT 06902 (203)870-9902 MEDICINE SHOPPE 296 BEDFORD ST STAMFORD, CT 06901 (203)327-4479 HEALTHCARE SOLUTIONS 68 ELMCROFT RD STAMFORD, CT 06902 (203)921-4332 PROFESSIONAL 32 STRAWBERRY HILL CT STAMFORD, CT 06902 (203)323-9988 82 HOYT ST STAMFORD, CT 06905 (203)325-8190 SHOPRITE 1990 W MAIN ST STAMFORD, CT 06902 (203)978-0546 SHOPRITE 200 SHIPPAN AVE STAMFORD, CT 06902 (203)323-3491 SLAVIN'S PROFESSIONAL 922 WASHINGTON BLVD STAMFORD, CT 06901 (203)323-2161 STAMFORD 1055 HIGH RIDGE RD STAMFORD, CT 06905 (203)883-8484 1937 W MAIN ST STAMFORD, CT 06902 (203)358-9626 2200 BEDFORD ST STAMFORD, CT 06905 (203)356-0126 TARGET 21 BROAD ST STAMFORD, CT 06901 (203)388-0038 STORRS 632 MIDDLE TPKE STORRS, CT 06268 (860)487-2034 UCONN STDNT HLTH SVC 234 GLENBROOK RD UNIT 2011 STORRS, CT 06269 (860)486-0736 STORRS MANSFIELD STORRS 1232 STORRS RD STE 6 STORRS MANSFIELD, CT 06268 (860)429-9365 STRATFORD BIG Y 355 HAWLEY LN STRATFORD, CT 06614 (203)386-1489 1 HAWLEY LN STRATFORD, CT 06614 (203)383-7735 1425 BARNUM AVE STRATFORD, CT 06614 (203)383-7741 ORONOQUE 7365 MAIN ST STRATFORD, CT 06614 (203)378-1111 3680 MAIN ST STRATFORD, CT 06614 (203)377-8065 ROTARY 1030 BARNUM AVE STRATFORD, CT 06614 (203)378-9394 SHOPRITE 250 BARNUM AVENUE CUTOFF STRATFORD, CT 06614 (203)386-0550 200 E MAIN ST STRATFORD, CT 06614 (203)375-5717 150 BARNUM AVENUE CUTOFF STRATFORD, CT 06614 (203)502-7629 SUFFIELD 152 MOUNTAIN RD SUFFIELD, CT 06078 (860)668-5115 TERRYVILLE BEACON PRESCRIPTIONS 241 MAIN ST TERRYVILLE, CT 06786 (860)585-5158 311 MAIN ST VILLAGE PLZ TERRYVILLE, CT 06786 (860)314-2891 8 S MAIN ST STE A TERRYVILLE, CT 06786 (860)589-7713 THOMASTON PHOENIX INTERNAL MEDICINE 130 S MAIN THOMASTON, CT 06787 (860)283-0286 455 S MAIN ST THOMASTON, CT 06787 (860)283-8541 TOLLAND BIG Y 33 FIELDSTONE CMNS TOLLAND, CT 06084 (860)872-0369 TORRINGTON BIG Y 504 WINSTED RD TORRINGTON, CT 06790 (860)489-2970 661 MAIN ST TORRINGTON, CT 06790 (860)482-8298 PRICE CHOPPER 990 TORRINGFORD ST TORRINGTON, CT 06790 (860)496-5058 92 WILLOW ST TORRINGTON, CT 06790 (860)482-5522 211 HIGH ST TORRINGTON, CT 06790 (860)489-2433 TARGET 1922 E MAIN ST TORRINGTON, CT 06790 (860)618-4008 TORRINGTON PHCY PETRICONE'S 110 E MAIN ST TORRINGTON, CT 06790 (860)489-5511 970 TORRINGFORD ST TORRINGTON, CT 06790 (860)496-9193 TRUMBULL MACKENZIE'S 930 WHITE PLAINS RD TRUMBULL, CT 06611 (203)261-2541 100 QUALITY ST TRUMBULL, CT 06611 (203)261-3691 December 2011

TRUMBULL WESTON TARGET 5065 MAIN ST TRUMBULL, CT 06611 (203)873-2014 TARGET 120 HAWLEY LN TRUMBULL, CT 06611 (203)455-0103 UNCASVILLE 2005 NORWICH NEW LNDN TPKE UNCASVILLE, CT 06382 (860)848-3202 601 ROUTE 32 STE F UNCASVILLE, CT 06382 (860)848-7979 UNIONVILLE 45 S MAIN ST UNIONVILLE, CT 06085 (860)675-9212 THE RYAN 30 MILL ST UNIONVILLE, CT 06085 (860)673-3219 VERNON CRITICAL CARE SYSTEMS 176 BOLTON RD VERNON, CT 06066 (866)878-3264 PIONEER HLTH COMPOUNDING PHCY 520 HARTFORD TPKE STE D VERNON, CT 06066 (860)979-0089 PRICE CHOPPER 35 TALCOTTVILLE RD VERNON, CT 06066 (860)872-8961 50 WINDSORVILLE RD VERNON, CT 06066 (860)870-6255 VERNON ROCKVILLE BEACON PRESCRIPTIONS 40 W MAIN ST VERNON ROCKVILLE, CT 06066 (860)875-9263 22 WINDSOR AVE VERNON ROCKVILLE, CT 06066 (860)870-6765 142 TALCOTTVILLE RD VERNON ROCKVILLE, CT 06066 (860)871-1661 MEDICINE SHOPPE 79 EAST ST VERNON ROCKVILLE, CT 06066 (860)875-2507 10 PITKIN RD VERNON ROCKVILLE, CT 06066 (860)871-1053 WALLINGFORD MASONIC HEALTHCARE CTR PHCY 22 MASONIC AVE WALLINGFORD, CT 06492 (203)679-6266 605 N COLONY RD WALLINGFORD, CT 06492 (203)265-3600 SHOPRITE 846 N COLONY RD WALLINGFORD, CT 06492 (203)626-7765 930 N COLONY RD WALLINGFORD, CT 06492 (203)265-3942 844 N COLONY RD WALLINGFORD, CT 06492 (203)269-6633 WASHINGTON DEPOT WASHINGTON HLTH CTR AND PHCY 5 BRYAN HALL PLZ WASHINGTON DEPOT, CT 06794 (860)619-0251 WATERBURY BUNKER HILL 256 BUNKER HILL AVE WATERBURY, CT 06708 (203)574-7825 COSTCO 3600 E MAIN ST WATERBURY, CT 06705 (203)757-9115 464 REIDVILLE DR WATERBURY, CT 06705 (203)596-0909 2000 N MAIN ST WATERBURY, CT 06704 (203)591-3081 526 MERIDEN RD WATERBURY, CT 06705 (203)465-7055 1650 WATERTOWN AVE WATERBURY, CT 06708 (203)754-9399 1279 W MAIN ST WATERBURY, CT 06708 (203)755-5490 DELLA PIETRA 792 HIGHLAND AVE WATERBURY, CT 06708 (203)754-0181 EAST MAIN 2152 E MAIN ST WATERBURY, CT 06705 (203)755-7200 HEALTH COMPLEX 84 PROGRESS LANE WATERBURY, CT 06705 (203)753-7778 PHOENIX INTERNAL MEDICINE 500 CHASE PKWY DEPT 700 WATERBURY, CT 06708 (203)754-5504 PICKETT 675 N MAIN ST WATERBURY, CT 06704 (203)753-5158 141 MERIDEN RD WATERBURY, CT 06705 (203)573-0378 277 FAIRFIELD AVE WATERBURY, CT 06708 (203)596-8192 1030 WOLCOTT ST WATERBURY, CT 06705 (203)754-3636 SHOPRITE 943 WOLCOTT ST WATERBURY, CT 06705 (203)753-1718 STOLL'S 185 GROVE ST WATERBURY, CT 06710 (203)575-0199 410 READVILLE DR WATERBURY, CT 06705 (203)755-5814 920 WOLCOTT ST WATERBURY, CT 06705 (203)755-9538 240 CHASE AVE WATERBURY, CT 06704 (203)597-1498 TARGET 300 CHASE AVE WATERBURY, CT 06704 (203)437-3674 910 WOLCOTT ST WATERBURY, CT 06705 (203)759-1637 WATERBURY 197 E MAIN ST WATERBURY, CT 06702 (203)757-2000 WATERFORD 106 BOSTON POST RD WATERFORD, CT 06385 (860)443-1244 75 BOSTON POST RD WATERFORD, CT 06385 (860)437-8880 117 BOSTON POST RD WATERFORD, CT 06385 (860)442-6698 TARGET 900 HARTFORD TPKE WATERFORD, CT 06385 (860)443-3171 155 WATERFORD PKWY N WATERFORD, CT 06385 (860)447-3747 WATERTOWN HEALTH COMPLEX 55 DEFOREST ST WATERTOWN, CT 06795 (860)274-8816 620 MAIN ST WATERTOWN, CT 06795 (860)274-7550 1271 MAIN ST WATERTOWN, CT 06795 (860)274-9191 763 STRAITS TPKE WATERTOWN, CT 06795 (860)274-7461 WEST HARTFORD BIG Y 772 N MAIN ST WEST HARTFORD, CT 06117 (860)232-5964 976 FARMINGTON AVE WEST HARTFORD, CT 06107 (860)521-5844 1099 NEW BRITTAIN AVE WEST HARTFORD, CT 06110 (860)236-6181 150 S MAIN ST WEST HARTFORD, CT 06110 (860)561-6164 1044 BLVD WEST HARTFORD, CT 06119 (860)236-9348 1240 FARMINGTON AVE WEST HARTFORD, CT 06107 (860)521-9877 SHOPRITE 46 KANE ST WEST HARTFORD, CT 06119 (860)233-9622 SUBURBAN 344 N MAIN ST WEST HARTFORD, CT 06117 (860)236-3564 SUBURBAN LTC 344 N MAIN ST WEST HARTFORD, CT 06117 (860)882-1808 WEST HAVEN 252 ORANGE AVE WEST HAVEN, CT 06516 (203)931-4541 844 JONES HILL RD WEST HAVEN, CT 06516 (203)933-5499 70 ELM ST WEST HAVEN, CT 06516 (203)933-5260 460 ELM ST WEST HAVEN, CT 06516 (203)931-9478 515 SAWMILL RD WEST HAVEN, CT 06516 (203)931-2221 WESTON LANGS 190 WESTON RD WESTON, CT 06883 (203)226-7800 December 2011

WESTPORT WOODBURY WESTPORT ACHORN'S 166 MAIN ST WESTPORT, CT 06880 (203)226-0741 COLONIAL GISTS 611 POST RD E WESTPORT, CT 06880 (203)227-9538 397 POST RD E WESTPORT, CT 06880 (203)227-7343 1790 POST RD E WESTPORT, CT 06880 (203)254-9461 WETHERSFIELD 1078 SILAS DEAN HWY WETHERSFIELD, CT 06109 (860)529-2535 657 SILAS DEANE HWY WETHERSFIELD, CT 06109 (860)257-8000 680 SILAS DEANE HWY WETHERSFIELD, CT 06109 (860)563-4462 1380 BERLIN TPKE WETHERSFIELD, CT 06109 (860)956-3740 WILLIMANTIC BEACON PRESCRIPTIONS 972 MAIN ST WILLIMANTIC, CT 06226 (860)423-1410 1200 MAIN ST WILLIMANTIC, CT 06226 (860)456-5931 MEDICAL 1213 MAIN ST WILLIMANTIC, CT 06226 (860)423-1661 1391 MAIN ST WILLIMANTIC, CT 06226 (860)456-7240 WILTON 93 OLD RIDGEFIELD RD WILTON, CT 06897 (203)762-5020 5 RIVER RD WILTON, CT 06897 (203)834-2204 WINDSOR 219 BROAD ST WINDSOR, CT 06095 (860)298-5925 484 WINDSOR AVE WINDSOR, CT 06095 (860)947-5078 PRICE CHOPPER 675 POQUONOCK AVE WINDSOR, CT 06095 (860)687-1910 1095 KENNEDY RD WINDSOR, CT 06095 (860)688-1744 TARGET 1075 KENNEDY RD WINDSOR, CT 06095 (860)907-3069 WINDSOR LOCKS 90 MAIN ST WINDSOR LOCKS, CT 06096 (860)623-2407 WINSTED BEACON PRESCRIPTION 294 MAIN ST WINSTED, CT 06098 (860)738-2506 47 MAIN ST WINSTED, CT 06098 (860)738-6250 200 NEW HARTFORD RD WINSTED, CT 06098 (860)379-5436 200 NEW HARTFORD RD WINSTED, CT 06098 (860)738-2707 WOLCOTT 744 WOLCOTT RD WOLCOTT, CT 06716 (203)879-5853 WOODBURY CANFIELD CORNER 2 MAIN ST N WOODBURY, CT 06798 (203)263-2595 WOODBURY 238 MAIN ST S WOODBURY, CT 06798 (203)263-2282 December 2011

ALBION BRUNSWICK MAINE ALBION CENTRAL MAINE 18 CHINA RD ALBION, ME 04910 (207)437-7777 AUBURN BEDARD 359 MINOT AVE STE B AUBURN, ME 04210 (207)783-1410 8 UNION ST AUBURN, ME 04210 (207)784-9101 95 SPRING ST AUBURN, ME 04210 (207)783-0661 KMART 603 CENTER ST AUBURN, ME 04210 (207)784-3901 698 MINOT AVE AUBURN, ME 04210 (207)786-5330 61 UNION ST AUBURN, ME 04210 (207)753-0506 SHAWS/OSCO 600 CENTER ST AUBURN, ME 04210 (207)784-6971 100 MT AUBURN AVE AUBURN, ME 04210 (207)784-1244 AUGUSTA 2 STONE ST AUGUSTA, ME 04330 (207)623-4181 165 CAPITOL ST AUGUSTA, ME 04330 (207)623-1170 29 WHITTEN RD AUGUSTA, ME 04330 (207)622-3148 118 CONY ST AUGUSTA, ME 04330 (207)621-2574 KENNEBEC PHCY AND HOMECARE 43 LEIGHTON RD AUGUSTA, ME 04330 (207)626-2726 MVH 5 COMMUNITY DR STE 3 AUGUSTA, ME 04330 (207)622-0075 83 HOSPITAL ST AUGUSTA, ME 04330 (207)623-1414 7 N BELFAST AVE AUGUSTA, ME 04330 (207)622-2626 SHAWS/OSCO 150 WESTERN AVE AUGUSTA, ME 04330 (207)626-0364 TARGET 119 CROSSING WAY AUGUSTA, ME 04330 (207)622-8001 201 CIVIC CENTER DR AUGUSTA, ME 04330 (207)623-5144 BANGOR 1133 UNION ST BANGOR, ME 04401 (207)945-3772 653 BROADWAY BANGOR, ME 04401 (207)947-3680 MILLER LTC 208 STATE ST BANGOR, ME 04401 (207)992-4458 MILLER RIVERSIDE 431 STATE ST BANGOR, ME 04401 (207)973-8888 MILLER STATE STREET 210 STATE ST BANGOR, ME 04401 (207)947-8369 MILLER WESTGATE 915 UNION ST STE 7 BANGOR, ME 04401 (207)973-6788 PENOBSCOT COMM HLTH CTR PHCY 1012 UNION ST STE 3 BANGOR, ME 04401 (207)992-4100 PENOBSCOT CTY METRO TRTMNT CTR 659 HOGAN RD BANGOR, ME 04401 (207)973-0400 226 UNION ST BANGOR, ME 04401 (207)942-0515 713 BROADWAY BANGOR, ME 04401 (207)942-5521 566 UNION ST BANGOR, ME 04401 (207)262-5885 SAM'S CLUB 47 HASKELL RD BANGOR, ME 04401 (207)945-9723 SHAWS/OSCO 353 MAIN ST BANGOR, ME 04001 (207)945-6550 TARGET 60 LONGVIEW DR BANGOR, ME 04401 (207)945-9977 900 STILLWATER AVE BANGOR, ME 04401 (207)947-5811 BAR HARBOR 86 COTTAGE ST BAR HARBOR, ME 04609 (207)288-0421 34 COTTAGE ST BAR HARBOR, ME 04609 (207)288-2222 WEST END CO 105 MAIN ST BAR HARBOR, ME 04609 (207)288-3318 BATH 1 CHANDLER DR STE 27 BATH, ME 04530 (207)443-3307 WILSON'S 114 FRONT ST BATH, ME 04530 (207)442-8786 BELFAST 93 LINCOLNVILLE AVE BELFAST, ME 04915 (207)338-1918 254 MAIN ST BELFAST, ME 04915 (207)338-4411 BERWICK YORK HOSPITAL BERWICK 4 DANA LN BERWICK, ME 03901 (207)698-6740 BETHEL 26 MAYVILLE RD BETHEL, ME 04217 (207)824-8085 BIDDEFORD 384 ELM ST BIDDEFORD, ME 04005 (207)282-3187 299 ELM ST BIDDEFORD, ME 04005 (207)283-0409 335 ALFRED ST BIDDEFORD, ME 04005 (207)282-1577 SHAWS/OSCO 510 ALFRED ST BIDDEFORD, ME 04005 (207)286-9315 SOUTHERN MAINE MED CTR PHCY 1 MEDICAL CTR DR BIDDEFORD, ME 04005 (207)283-7875 TARGET 430 MARINER WAY BIDDEFORD, ME 04005 (207)284-2511 517 ALFRED RD BIDDEFORD, ME 04005 (207)286-9562 BINGHAM E W MOORE AND SON 337 MAIN ST BINGHAM, ME 04920 (207)672-3312 BLUE HILL COMMUNITY BLUE HILL 15 SOUTH ST BLUE HILL, ME 04614 (207)374-3707 17 SOUTH ST BLUE HILL, ME 04614 (207)374-3565 BOOTHBAY HARBOR 223 TOWNSEND AVE BOOTHBAY HARBOR, ME 04538 (207)633-7023 BREWER AIRLINE 405 N MAIN ST BREWER, ME 04412 (207)989-2424 BREWER MEDICAL CENTER PHCY 735 WILSON ST BREWER, ME 04412 (207)992-4100 383 WILSON ST BREWER, ME 04412 (207)989-8290 MILLER WHITING HILL 33 WHITING HILL RD STE 4 BREWER, ME 04412 (207)973-9444 422 WILSON ST BREWER, ME 04412 (207)989-6238 24 WALTON DR BREWER, ME 04412 (207)989-6174 BRIDGTON 109 PORTLAND RD BRIDGTON, ME 04009 (207)647-5795 19 PORTLAND RD BRIDGTON, ME 04009 (207)647-3445 BRUNSWICK 147 BATH RD BRUNSWICK, ME 04011 (207)729-8587 December 2011

BRUNSWICK GRAY 35 ELM ST BRUNSWICK, ME 04011 (207)729-1604 MEDICAL CENTER 121 MEDICAL CENTER DR BRUNSWICK, ME 04011 (207)729-3642 MEDICAL CENTER 56 BARIBEAU DR BRUNSWICK, ME 04011 (207)725-8100 MEDICAL CENTER 329 MAIN ST BRUNSWICK, ME 04011 (207)798-4535 156 MAINE ST BRUNSWICK, ME 04011 (207)729-8100 SHAWS/OSCO 147 BATH RD BRUNSWICK, ME 04011 (207)721-0900 328 BATH RD BRUNSWICK, ME 04011 (207)725-1176 BUCKSPORT COMMUNITY BUCKSPORT 75 MAIN ST BUCKSPORT, ME 04416 (207)469-7030 220 US ROUTE 1 STE 1 BUCKSPORT, ME 04416 (207)469-2201 BUXTON 24 PORTLAND RD BUXTON, ME 04093 (207)929-3152 226 PARKER FARM RD BUXTON, ME 04093 (207)727-5139 CALAIS 223 & 233 NORTH ST CALAIS, ME 04619 (207)454-2262 TREWORGY 333 MAIN ST CALAIS, ME 04619 (207)454-3100 379 SOUTH ST CALAIS, ME 04619 (207)454-8326 CAMDEN 35 ELM ST CAMDEN, ME 04843 (207)236-4546 WALTZ 157 MAIN ST CAMDEN, ME 04847 (207)563-3128 CAPE ELIZABETH 335 OCEAN HOUSE RD CAPE ELIZABETH, ME 04107 (207)799-1113 CARIBOU PARADIS SHOP N SAVE 114 HIGH ST CARIBOU, ME 04736 (207)498-3545 112 BENNETT DR CARIBOU, ME 04736 (207)498-8735 CHINA 33 HANNAFORD DR CHINA, ME 04358 (207)445-3389 CORINTH COMMUNITY OF CORINTH 689 MAIN ST CORINTH, ME 04427 (207)285-7289 CORNISH COMMUNITY OF CORNISH 200 MAPLE ST STE 3 CORNISH, ME 04020 (207)625-8050 MAPLE ST CORNISH, ME 04020 (207)625-8494 DAMARISCOTTA 469 MAIN ST DAMARISCOTTA, ME 04543 (207)563-1974 365 MAIN ST DAMARISCOTTA, ME 04543 (207)563-3506 DEXTER COMMUNITY OF DEXTER 37 CHURCH ST DEXTER, ME 04930 (207)924-6259 188 SPRING ST DEXTER, ME 04930 (207)924-7000 DOVER FOXCROFT 151 E MAIN ST DOVER FOXCROFT, ME 04426 (207)564-9011 SHAWS - OSCO 1073 W MAIN ST STE 9 DOVER FOXCROFT, ME 04426 (207)564-2857 EAST MILLINOCKET DAVIS 59 MAIN ST EAST MILLINOCKET, ME 04430 (207)746-3721 EAST WATERBORO GOOD FOR ALL 10 GOODALL WAY STE 800 EAST WATERBORO, ME 04030 (207)247-4000 20 SOKOKIS TRL EAST WATERBORO, ME 04030 (207)247-8200 ELLSWORTH 225 HIGH ST STE 1 ELLSWORTH, ME 04605 (207)667-3732 260 HIGH ST ELLSWORTH, ME 04605 (207)667-4644 SHAWS/OSCO 175 HIGH ST ELLSWORTH, ME 04605 (207)669-3005 461 HIGH ST ELLSWORTH, ME 04605 (207)667-2644 FAIRFIELD FAIRFIELD 66 WESTERN AVE FAIRFIELD, ME 04937 (207)453-4411 123 MAIN ST FAIRFIELD, ME 04937 (207)453-2233 FALMOUTH 65 GRAY RD FALMOUTH, ME 04105 (207)878-0017 33 DEPOT RD FALMOUTH, ME 04105 (207)781-4414 206 US ROUTE 1 FALMOUTH, ME 04105 (207)781-3754 FARMINGTON 131 HANNAFORD DR FARMINGTON, ME 04938 (207)778-0644 MT BLUE 624 WILTON RD FARMINGTON, ME 04938 (207)778-5419 131 WILTON RD FARMINGTON, ME 04938 (207)778-3919 615 WILTON RD FARMINGTON, ME 04938 (207)778-5615 FORT FAIRFIELD I CARE 227 MAIN ST FORT FAIRFIELD, ME 04742 (888)422-7319 355 MAIN ST FORT FAIRFIELD, ME 04742 (207)472-1191 FORT KENT PARADIS SHOP N SAVE 62 W MAIN ST STE 101 FORT KENT, ME 04743 (207)834-4204 84 E MAIN ST FORT KENT, ME 04743 (207)834-5444 ST JOHNS VALLEY 182 MARKET ST STE 2 FORT KENT, ME 04743 (207)834-2880 FREEPORT 10 MIDDLE ST FREEPORT, ME 04032 (207)865-6324 SHAWS/OSCO 200 LOWER MAIN ST FREEPORT, ME 04032 (207)865-0205 FRYEBURG 119 BRIDGTON RD STE 302 FRYEBURG, ME 04037 (207)935-2045 GARDINER 100 MAIN ST GARDINER, ME 04345 (207)582-3771 9 SPRING ST GARDINER, ME 04345 (207)582-3051 GORHAM COMMUNITY OF GORHAM 365 MAIN ST GORHAM, ME 04038 (207)839-7892 99 MAIN ST GORHAM, ME 04038 (207)839-6551 120 MAIN ST GORHAM, ME 04038 (207)839-3160 GRAY 130 SHAKER RD GRAY, ME 04039 (207)657-5832 62 W GRAY RD GRAY, ME 04039 (207)657-2333 December 2011

GREENVILLE PITTSFIELD GREENVILLE HARRIS 10 PRITHAM AVE GREENVILLE, ME 04441 (207)695-2921 GUILFORD 3 HUDSON AVE GUILFORD, ME 04443 (207)876-2788 HAMPDEN 77 WESTERN AVE HAMPDEN, ME 04444 (207)862-5280 65 WESTERN AVE HAMPDEN, ME 04444 (207)862-4900 HOULTON PARADIS SHOP N SAVE 33 LUDLOW ST HOULTON, ME 04730 (207)532-2500 137 NORTH ST HOULTON, ME 04730 (207)532-6876 RR #3 HOULTON, ME 04730 (207)532-2213 JAY 15 JAY PLAZA LN JAY, ME 04239 (207)897-7033 SPRUCE MOUNTAIN 3 TWEEDIE ST JAY, ME 04239 (207)897-9080 KENNEBUNK 48 PORTLAND RD KENNEBUNK, ME 04043 (207)467-8299 65 PORTLAND RD STE 9 KENNEBUNK, ME 04043 (207)985-9177 KENNEBUNK GOOD FOR ALL PHCY 2 LIVEWELL DR STE 101 KENNEBUNK, ME 04043 (207)985-9400 KENNEBUNK VILLAGE HM 18 BLUE WAVE PRO CTR KENNEBUNK, ME 04043 (207)985-1755 37 PORTLAND RD KENNEBUNK, ME 04043 (207)985-7144 KENNEBUNKPORT COLONIAL 40 DOCK SQ KENNEBUNKPORT, ME 04046 (207)967-4442 KINGFIELD WESTERN MAINE 238 MAIN ST KINGFIELD, ME 04947 (207)265-8020 KITTERY 15 SHAPELEIGH RD KITTERY, ME 03904 (207)439-3000 LEWISTON BEDARD 61 COLLEGE ST LEWISTON, ME 04240 (207)786-0138 10 EAST AVE LEWISTON, ME 04240 (207)783-9134 446 SABATTUS ST LEWISTON, ME 04240 (207)783-3784 692 SABATTUS ST LEWISTON, ME 04240 (207)786-0122 MEDICINE SHOPPE 373 SABATTUS ST LEWISTON, ME 04240 (207)783-3539 430 SABATTUS ST LEWISTON, ME 04240 (207)783-2013 315 MAIN ST LEWISTON, ME 04240 (207)783-2011 987 LISBON ST LEWISTON, ME 04240 (207)784-9588 SHAWS/OSCO 27 EAST AVE LEWISTON, ME 04240 (207)784-6666 LINCOLN 22 GODING AVE LINCOLN, ME 04457 (207)794-6513 2 W BROADWAY LINCOLN, ME 04457 (207)794-3344 1000 OUTER W BROADWAY LINCOLN, ME 04457 (207)794-2055 LISBON FALLS 575 LISBON ST LISBON FALLS, ME 04252 (207)353-4843 LIVERMORE FALLS 81 MAIN ST LIVERMORE FALLS, ME 04254 (207)897-6781 MACHIAS 144 DUBLIN ST MACHIAS, ME 04654 (207)255-3458 MADAWASKA MADAWASKA 104 MAIN ST STE 101 MADAWASKA, ME 04756 (207)728-7200 429 MAIN ST MADAWASKA, ME 04756 (207)728-3815 MADISON TAYLOR'S STORE 2 OLD POINT AVE MADISON, ME 04950 (207)696-3935 MANCHESTER 943 WESTERN AVE MANCHESTER, ME 04351 (207)622-6598 MARS HILL MARS HILL 106 MAIN ST MARS HILL, ME 04758 (207)425-4431 MARSHFIELD MACHIAS FRIENDLY 8 OLD COUNTY RD MARSHFIELD, ME 04654 (207)255-6400 MEXICO 258 RIVER ED MEXICO, ME 04257 (207)364-2993 MILBRIDGE MILBRIDGE 11 MAIN ST MILBRIDGE, ME 04658 (207)546-2304 MILLINOCKET 843 CENTRAL ST MILLINOCKET, ME 04462 (207)723-8148 720 CENTRAL ST MILLINOCKET, ME 04462 (207)723-9850 MILO 35 PARK ST MILO, ME 04463 (207)943-8750 NAPLES 665 ROOSEVELT TRL NAPLES, ME 04055 (207)693-3937 NEWPORT COMMUNITY OF NEWPORT 44 MOOSEHEAD TRL NEWPORT, ME 04953 (207)368-5230 36 MOOSEHEAD TRL NEWPORT, ME 04953 (207)368-5754 OAKLAND OAKLAND 54 MAIN ST OAKLAND, ME 04963 (207)465-4440 19 MAIN ST OAKLAND, ME 04963 (207)465-2757 OLD ORCHARD BEACH 15 SACO AVE OLD ORCHARD BEACH, ME 04064 (207)934-1000 OLD TOWN 500 STILLWATER AVE OLD TOWN, ME 04468 (207)827-3950 HELEN HUNT HEALTH CTR PHCY 242 BRUNSWICK ST OLD TOWN, ME 04468 (207)945-5247 302 MAIN ST OLD TOWN, ME 04468 (207)827-8021 ORONO ORONO 16 MILL ST ORONO, ME 04473 (207)866-3800 OXFORD 1603 MAIN ST OXFORD, ME 04270 (207)743-7982 1240 MAIN ST/RT 26 OXFORD, ME 04270 (207)743-5466 PALMYRA 1573 MAIN ST PALMYRA, ME 04965 (207)368-4401 PATTEN PATTEN 20 MAIN ST PATTEN, ME 04765 (207)528-2244 PITTSFIELD COMMUNITY PITTSFIELD 101 SOMERSET PLZ PITTSFIELD, ME 04967 (207)487-2411 December 2011

PITTSFIELD STANDISH 108 SOMERSET AVE PITTSFIELD, ME 04967 (207)487-5467 PORTLAND APOTHECARY BY DESIGN 84 MARGINAL WAY STE 100 PORTLAND, ME 04101 (207)774-5220 1096 BRIGHTON AVE PORTLAND, ME 04102 (207)772-6201 510 CONGRESS ST PORTLAND, ME 04101 (207)774-4525 111 AUBURN ST PORTLAND, ME 04103 (207)797-3393 1406 CONGRESS ST PORTLAND, ME 04102 (207)774-3636 449 FOREST AVE PORTLAND, ME 04101 (207)772-1928 295 FOREST AVE PORTLAND, ME 04101 (207)761-5967 787 RIVERSIDE ST PORTLAND, ME 04103 (207)878-1106 NEW ENGLAND LIFE CARE 108A INDUSTRIAL WAY PORTLAND, ME 04103 (207)878-1288 PHARMERICA 97 MCALISTER FARM RD PORTLAND, ME 04103 (207)775-0631 PORTLAND I 331 VERANDA ST PORTLAND, ME 04103 (888)408-8281 PORTLAND II 901 WASHINGTON AVE PORTLAND, ME 04103 (800)707-9853 713 CONGRESS ST W PORTLAND, ME 04102 (207)774-8456 701 FOREST AVE PORTLAND, ME 04103 (207)780-8144 290 CONGRESS ST PORTLAND, ME 04101 (207)774-0344 383 ALLEN AVE PORTLAND, ME 04103 (207)797-4351 SHAWS/OSCO 91 AUBURN ST PORTLAND, ME 04103 (207)797-0536 PRESQUE ISLE CITY STORE 172 ACADEMY ST PRESQUE ISLE, ME 04769 (207)764-4424 PRESQUE ISLE 797 MAIN ST PRESQUE ISLE, ME 04769 (207)760-9100 320 MAIN ST PRESQUE ISLE, ME 04769 (207)764-5221 781 MAIN ST. PRESQUE ISLE, ME 04769 (207)764-6935 RANDOLPH COMMUNITY OF RANDOLPH 268 WATER ST RANDOLPH, ME 04346 (207)588-2482 ROCKLAND GOOD NOW'S 58 PARK ST ROCKLAND, ME 04841 (207)594-5131 75 MAVERICK ST ROCKLAND, ME 04841 (207)596-6389 JENSEN'S 91 CAMDEN ST STE 105 ROCKLAND, ME 04841 (207)593-7922 28 PARK ST ROCKLAND, ME 04841 (207)596-0036 SHAWS/OSCO 235 CAMDEN ST ROCKLAND, ME 04841 (207)594-8070 265 CAMDEN ST ROCKLAND, ME 04841 (207)596-1060 ROCKPORT KENNEBEC AND HOMECARE 839 COMMERCIAL ST ROCKPORT, ME 04856 (207)594-0888 PENOBSCOT BAY MED CTR PHCY 6 GLEN COVE DR ROCKPORT, ME 04856 (207)596-8585 RUMFORD 520 WALDO ST RUMFORD, ME 04276 (207)364-3711 7 PORTLAND ST RUMFORD, ME 04276 (207)364-2969 SACO COMMUNITY OF SACO 244 MAIN ST SACO, ME 04072 (207)283-2792 532 MAIN ST SACO, ME 04072 (207)282-4131 461 MAIN ST SACO, ME 04072 (207)284-4363 SHAWS/OSCO 4 SCAMMON ST STE 12 SACO, ME 04072 (207)284-9955 SANFORD 797 MAIN ST STE D SANFORD, ME 04073 (207)324-3110 800 MAIN ST SANFORD, ME 04073 (207)324-3450 JUNE STREET 25A JUNE ST STE 13 SANFORD, ME 04073 (207)490-7947 SHAWS/OSCO 1364 MAIN ST SANFORD, ME 04073 (207)490-3562 1930 MAIN ST SANFORD, ME 04073 (207)490-2069 SCARBOROUGH 31 HANNAFORD DR SCARBOROUGH, ME 04074 (207)883-7674 MAINE CENTER FOR CANCER MED 100 CAMPUS DR UNIT 108 SCARBOROUGH, ME 04074 (207)396-7600 600 US ROUTE 1 SCARBOROUGH, ME 04074 (207)885-1515 SAM'S CLUB 440 PAYNE RD SCARBOROUGH, ME 04074 (207)883-5553 SHAWS 417 PAYNE RD SCARBOROUGH, ME 04074 (207)510-3005 500 GALLERY RD SCARBOROUGH, ME 04074 (207)885-5191 SKOWHEGAN 100 FAIRGROUND MKT PL SKOWHEGAN, ME 04976 (207)858-0076 225 MADISON AVE SKOWHEGAN, ME 04976 (207)474-2525 VARIETY 78 WATER ST SKOWHEGAN, ME 04976 (207)474-8594 60 FAIRGROUNDS MARKET PLACE SKOWHEGAN, ME 04976 (207)474-3013 SOUTH BERWICK SOUTH BERWICK 289 MAIN ST SOUTH BERWICK, ME 03908 (207)384-2772 SOUTH PARIS 259 MAIN ST SOUTH PARIS, ME 04281 (207)743-5177 SOUTH PORTLAND CRITICAL CARE SYSTEMS 10 DONALD B DEAN DR SOUTH PORTLAND, ME 04106 (207)775-3600 199 OCEAN ST SOUTH PORTLAND, ME 04106 (207)799-8166 50 COTTAGE RD SOUTH PORTLAND, ME 04106 (207)799-4023 415 PHILBROOK AVE SOUTH PORTLAND, ME 04106 (207)772-0758 MOBY RX 225 WATERMAN DR SOUTH PORTLAND, ME 04106 (207)899-4600 279 MAIN ST SOUTH PORTLAND, ME 04106 (207)741-2260 TARGET 200 RUNNING HILL RD SOUTH PORTLAND, ME 04106 (207)871-0911 SOUTHWEST HARBOR CARROLL STORE 3 VILLAGE GREEN WAY SOUTHWEST HARBOR, ME 04679 (207)244-5588 SPRINGVALE 464 MAIN ST SPRINGVALE, ME 04083 (207)324-1222 STANDISH 71 COLONIAL DR STANDISH, ME 04084 (207)642-5544 December 2011

STONINGTON YORK STONINGTON V AND S 3 BURNT COVE RD STONINGTON, ME 04681 (207)367-5107 TOPSHAM 49 TOPSHAM FAIR MALL RD TOPSHAM, ME 04086 (207)729-3800 77 MALLETT DR TOPSHAM, ME 04086 (207)729-0806 TARGET 125 TOPSHAM FAIR MALL RD TOPSHAM, ME 04086 (207)504-5051 WALTZ LTC 605 LEWISTON RD TOPSHAM, ME 04086 (207)373-9077 UNITY UNITY 33 PLAZA DR UNITY, ME 04988 (207)948-3950 VAN BUREN HERBERT REXALL 74 MAIN ST VAN BUREN, ME 04785 (207)868-2242 21 MAIN ST VAN BUREN, ME 04785 (207)868-2626 WALDOBORO WALTZ 5 FRIENDSHIP ST WALDOBORO, ME 04572 (207)832-5511 WATERVILLE 1 KENNEDY MEMORIAL DR WATERVILLE, ME 04901 (207)873-7161 140 ELM PLZ WATERVILLE, ME 04901 (207)877-7552 190 JFK PLZ KENNEDY DR WATERVILLE, ME 04901 (207)872-2182 211 MAIN ST WATERVILLE, ME 04901 (207)877-9004 SHAWS/OSCO 251 KENNEDY MEMORIAL DR WATERVILLE, ME 04901 (207)680-3001 80 WATERVILLE COMMONS DR WATERVILLE, ME 04901 (207)877-9161 WELLS 11 STEEPLE WAY WELLS, ME 04090 (207)641-0860 107 WELLS PLZ WELLS, ME 04090 (207)646-2622 1036 POST RD WELLS, ME 04090 (207)646-6894 WESTBROOK 870 MAIN ST WESTBROOK, ME 04092 (207)854-8443 7 HANNAFORD DR WESTBROOK, ME 04092 (207)854-1294 OMNICARE OF ME WESTBROOK 39 EISENHOWER DR WESTBROOK, ME 04092 (207)854-6463 465 MAIN ST WESTBROOK, ME 04092 (207)854-9103 SHAWS 47 MAIN ST WESTBROOK, ME 04092 (207)857-9298 WINDHAM 770 ROOSEVELT TRL WINDHAM, ME 04062 (207)892-2541 797 ROOSEVELT TRL WINDHAM, ME 04062 (207)892-8571 30 LANDING RD WINDHAM, ME 04062 (207)893-0654 WINSLOW 2 CHINA RD WINSLOW, ME 04901 (207)872-2727 WINSLOW 20 GARLAND RD WINSLOW, ME 04901 (207)872-7979 WINTHROP 399 MAIN ST WINTHROP, ME 04364 (207)377-3162 16 PECK FARM RD WINTHROP, ME 04364 (207)377-2279 YARMOUTH 756 ROUTE 1 YARMOUTH, ME 04096 (207)846-5251 478 ROUTE 1 YARMOUTH, ME 04096 (207)846-1222 YORK 440 US ROUTE 1 YORK, ME 03909 (207)363-5928 400 US ROUTE 1 YORK, ME 03909 (207)363-4312 YORK HOSPITAL APOTHECARY 15 HOSPITAL DR YORK, ME 03909 (207)351-2150 December 2011

BARRE LUDLOW VERMONT BARRE 456 S BARRE RD BARRE, VT 05641 (802)479-0432 HARRY'S DISCOUNT 921 US ROUTE 302 STE 1 BARRE, VT 05641 (802)479-2521 KINNEY S 800 US ROUTE 302 BARRE, VT 05641 (802)476-6659 MEDICINE SHOPPE 20 S MAIN ST BARRE, VT 05641 (802)479-3381 355 N MAIN ST BARRE, VT 05641 (802)476-4311 BARTON KINNEY S 16 CHURCH ST BARTON, VT 05822 (802)525-4098 BELLOWS FALLS GREATER FALLS 78 ATKINSON ST BELLOWS FALLS, VT 05101 (802)460-2634 112 ROCKINGHAM ST BELLOWS FALLS, VT 05101 (802)463-9910 BENNINGTON 8 KOCHER DR BENNINGTON, VT 05201 (802)442-8369 EXTENDED CARE 207 NORTH ST BENNINGTON, VT 05201 (802)442-4600 141 HANNAFORD SQ BENNINGTON, VT 05201 (802)442-3642 PRICE CHOPPER 214 NORTHSIDE DR BENNINGTON, VT 05201 (802)447-9951 194 NORTH ST BENNINGTON, VT 05201 (802)442-2240 THE 205 NORTH ST BENNINGTON, VT 05201 (802)442-5602 210 NORTHSIDE DR BENNINGTON, VT 05201 (802)442-6822 BERLIN OSCO 160 PAINE TPKE N BERLIN, VT 05602 (802)223-8599 282 BERLIN MALL RD STE 1 BERLIN, VT 05602 (802)229-8049 BETHEL 1823 VERMONT ROUTE 107 BETHEL, VT 05032 (802)234-5289 BOMOSEEN CASTLETON HEALTH CENTER PHCY 275 ROUTE 30 N BOMOSEEN, VT 05732 (802)468-5800 KINNEY S ROUTE 30 BOMOSEEN, VT 05732 (802)468-5777 BRADFORD KINNEY S 901 LOWER PLN BRADFORD, VT 05033 (802)222-9292 BRANDON BRANDON COMMUNITY 420 GROVE ST BRANDON, VT 05733 (802)465-0011 1 CARVER ST BRANDON, VT 05733 (802)247-8050 BRATTLEBORO BRATTLEBORO 413 CANAL ST BRATTLEBORO, VT 05301 (802)254-7777 896 PUTNEY RD UNIT 6 BRATTLEBORO, VT 05301 (802)257-5592 499 CANAL ST BRATTLEBORO, VT 05301 (802)257-4204 THE HOTEL 20 ELLIOT ST STE 1 BRATTLEBORO, VT 05301 (802)254-2303 BRISTOL 1 PRINCE LN BRISTOL, VT 05443 (802)453-2367 BURLINGTON FLETCHER ALLEN OP 111 COLCHESTER AVE BURLINGTON, VT 05401 (802)847-2821 FLETCHER ALLEN OP 1 S PROSPECT ST BURLINGTON, VT 05401 (802)847-3784 1127 NORTH AVE STE 11 BURLINGTON, VT 05408 (802)862-7752 KINNEY S 789 PINE ST BURLINGTON, VT 05401 (802)864-8154 LAKESIDE 242 PEARL ST BURLINGTON, VT 05401 (802)862-1491 PRICE CHOPPER 595 SHELBURNE RD BURLINGTON, VT 05401 (802)651-9835 1177 NORTH AVE STE 33 BURLINGTON, VT 05401 (802)658-0435 1024 NORTH AVE BURLINGTON, VT 05401 (802)865-7822 158 CHERRY ST BURLINGTON, VT 05401 (802)862-1562 VERMONT FAMILY 1219 NORTH AVE BURLINGTON, VT 05408 (802)658-9664 CAMBRIDGE KINNEY S 155 S MAIN ST CAMBRIDGE, VT 05444 (802)644-8811 COLCHESTER COMMUNITY HEALTH 158 BRENTWOOD DR COLCHESTER, VT 05446 (802)893-1120 COSTCO 50 MOUNTAIN VIEW DR COLCHESTER, VT 05446 (802)655-3156 FLETCHER ALLEN OP 792 COLLEGE PKWY COLCHESTER, VT 05446 (802)847-7461 1184 PRIM RD STE 2 COLCHESTER, VT 05446 (802)863-2048 SHAWS 66 MOUNTAIN VIEW DR COLCHESTER, VT 05446 (802)655-2536 DERBY 4408 US RTE 5 DERBY, VT 05829 (802)334-2313 DERBY LINE BROWNS STORE 40 MAIN ST DERBY LINE, VT 05830 (802)873-3122 ENOSBURG FALLS ENOSBURG HM 366 MAIN ST SOUTH ENOSBURG FALLS, VT 05450 (802)933-9200 MAIN ST ENOSBURG FALLS, VT 05450 (802)933-7756 ESSEX JUNCTION 7 ESSEX WAY ESSEX JUNCTION, VT 05452 (802)879-7438 21A ESSEX WAY ESSEX JUNCTION, VT 05452 (802)878-0119 KINNEY S 82 PEARL ST ESSEX JUNCTION, VT 05452 (802)878-5351 PRICE CHOPPER 90 CENTER RD ESSEX JUNCTION, VT 05452 (802)879-4155 9 SUSIE WILSON RD ESSEX JUNCTION, VT 05452 (802)872-1800 75 PEARL ST ESSEX JUNCTION, VT 05452 (802)878-3369 FAIR HAVEN 62 WASHINGTON ST FAIR HAVEN, VT 05743 (802)265-3760 HARDWICK 82 ROUTE 15 WEST HARDWICK, VT 05843 (802)472-6961 HINESBURG KINNEY S 10212 ROUTE 116 HINESBURG, VT 05461 (802)482-4886 LONDONDERRY GREEN MOUNTAIN 5700 RTE 100 UNIT C-10 LONDONDERRY, VT 05148 (802)824-3344 LUDLOW LUDLOW 57 POND ST STE 3 LUDLOW, VT 05149 (802)228-2500 213 MAIN ST LUDLOW, VT 05149 (802)228-8477 December 2011

LYNDONVILLE WHITE RIVER JCT LYNDONVILLE KINNEY S RTE 5 MEMORIAL DR LYNDONVILLE, VT 05851 (802)626-3779 412 BROAD ST LYNDONVILLE, VT 05851 (802)626-4365 MANCHESTER EQUINOX COMPOUNDING 34 WAYS LN MANCHESTER, VT 05255 (802)367-1096 MANCHESTER CENTER MANCHESTER 1009 DEPOT ST MANCHESTER CENTER, VT 05255 (802)366-1414 4993 MAIN ST STE A MANCHESTER CENTER, VT 05255 (802)362-2230 MIDDLEBURY 260 COURT ST UNIT 6 MIDDLEBURY, VT 05753 (802)388-6349 KINNEY S 40 COURT ST MIDDLEBURY, VT 05753 (802)388-0973 MARBLE WORKS 99 MAPLE ST STE 19 MIDDLEBURY, VT 05753 (802)388-3784 263 COURT ST MIDDLEBURY, VT 05753 (802)388-9573 MILTON KINNEY S 3 CENTRE DR MILTON, VT 05468 (802)893-7459 201 ROUTE 7 S MILTON, VT 05468 (802)893-2717 MONTPELIER MONTPELIER 69 MAIN ST MONTPELIER, VT 05602 (802)223-4633 29 MAIN ST MONTPELIER, VT 05602 (802)223-4787 MORRISVILLE 80 FAIRGROUNDS PLZ MORRISVILLE, VT 05661 (802)888-9894 KINNEY S 97 MORRISVILLE PLZ MORRISVILLE, VT 05661 (802)888-5244 48 CONGRESS ST MORRISVILLE, VT 05661 (802)888-2226 NEWPORT KINNEY S 55 SHATTUCK HILL RD NEWPORT, VT 05855 (802)334-1600 59 WATERFRONT PLZ STE 2 NEWPORT, VT 05855 (802)334-6785 NORTHFIELD NORTHFIELD 14 DEPOT SQ NORTHFIELD, VT 05653 (802)485-4771 RANDOLPH KINNEY S 151 VERMONT ROUTE 12 S RANDOLPH, VT 05060 (802)728-6284 12 N MAIN ST RANDOLPH, VT 05060 (802)728-3722 RICHFORD NOTCH 44 MAIN ST STE 201 RICHFORD, VT 05476 (802)255-5530 RUTLAND BEAUCHAMP AND O'ROURKE PHCY 62 WOODSTOCK AVE RUTLAND, VT 05701 (802)775-4321 31 MAIN ST RUTLAND, VT 05701 (802)775-6736 318 S MAIN ST RUTLAND, VT 05701 (802)775-5858 PRICE CHOPPER 38 RUTLAND SHOPPING PLZ RUTLAND, VT 05701 (802)747-7887 7 WEST ST RUTLAND, VT 05701 (802)775-0131 RUTLAND 75 ALLEN ST RUTLAND, VT 05701 (802)775-2545 1 RUTLAND PLZ RUTLAND, VT 05701 (802)773-1600 WILCOX HOME INFUSION 250 STRATTON RD RUTLAND, VT 05701 (802)775-2808 WILCOX 252 STRATTON RD RUTLAND, VT 05701 (802)775-3351 WILCOX LTC 252 STRATTON RD RUTLAND, VT 05701 (802)747-1994 SAINT ALBANS 277 SWANTON RD SAINT ALBANS, VT 05478 (802)524-2217 JACK RIXON 40 N MAIN ST SAINT ALBANS, VT 05478 (802)524-2020 KINNEY S 164 SWANTON RD SAINT ALBANS, VT 05478 (802)524-6543 PRICE CHOPPER 170 SWANTON RD SAINT ALBANS, VT 05478 (802)524-2918 153 N MAIN ST SAINT ALBANS, VT 05478 (802)524-2141 SAINT JOHNSBURY KINNEY S 957 MEMORIAL DR SAINT JOHNSBURY, VT 05819 (802)748-2778 502 RAILROAD ST SAINT JOHNSBURY, VT 05819 (802)748-5210 SHELBURNE 30 SHELBURNE SHOPPING PARK SHELBURNE, VT 05482 (802)985-2610 SOUTH BURLINGTON 217 DORSET ST SOUTH BURLINGTON, VT 05403 (802)863-1378 218 HANNAFORD DR SOUTH BURLINGTON, VT 05403 (802)863-1842 KINNEY S 1653 WILLISTON RD SOUTH BURLINGTON, VT 05403 (802)860-0714 39 HINESBURG RD SOUTH BURLINGTON, VT 05403 (802)862-5722 SHAWS 570 SHELBURNE RD SOUTH BURLINGTON, VT 05407 (802)860-3311 SOUTH HERO MCGREGORS SOUTH HERO 334 ROUTE 2 SOUTH HERO, VT 05486 (802)372-5377 SPRINGFIELD PETE'S 242 RIVER ST STE 9 SPRINGFIELD, VT 05156 (802)885-4222 2 CHESTER RD STE 2 SPRINGFIELD, VT 05156 (802)885-5311 SPRINGFIELD 264 RIVER ST SPRINGFIELD, VT 05156 (802)885-6400 SWANTON SWANTON REXALL S 44 MERCHANTS ROW SWANTON, VT 05488 (802)868-3338 TOWNSHEND MESSENGER VALLEY 170 GRAFTON RD TOWNSHEND, VT 05353 (802)365-4117 VERGENNES KINNEY S 115B MONKTON RD VERGENNES, VT 05491 (802)877-3148 MARBLE WORKS 187 MAIN ST VERGENNES, VT 05491 (802)877-1190 WAITSFIELD THE STORE 7 VILLAGE SQ WAITSFIELD, VT 05673 (802)496-2345 WATERBURY KINNEY S 80 S MAIN ST WATERBURY, VT 05676 (802)244-8458 SHAWS/OSCO 820 WATERBURY STOWE RD WATERBURY, VT 05676 (802)241-4115 WELLS RIVER WELLS RIVER 41 MAIN ST N WELLS RIVER, VT 05081 (802)757-2244 WEST RUTLAND 294 MAIN ST WEST RUTLAND, VT 05777 (802)438-6186 WHITE RIVER JCT CORNER STORE 213 MAPLE ST WHITE RIVER JCT, VT 05001 (802)295-2501 December 2011

WILLISTON WOODSTOCK WILLISTON 78 MARSHALL AVE WILLISTON, VT 05495 (802)878-0388 KINNEY S 600 BLAIR PARK RD STE 195 WILLISTON, VT 05495 (802)878-9116 108 CORNERSTONE DR WILLISTON, VT 05495 (802)878-1118 SHAWS 71 BOXWOOD ST WILLISTON, VT 05495 (802)878-9056 863 HARVEST LN WILLISTON, VT 05495 (802)878-5533 WILMINGTON 1 E MAIN ST WILMINGTON, VT 05363 (802)464-7575 WINDSOR 52 MAIN ST WINDSOR, VT 05089 (802)674-2334 WINOOSKI MCGREGORS MEDICINE ON TIME 321 MAIN ST STE B WINOOSKI, VT 05404 (802)655-3544 321 MAIN ST WINOOSKI, VT 05404 (802)655-2444 WOODSTOCK SHIRE APOTHECARY 13 ELM ST WOODSTOCK, VT 05091 (802)457-2707 WOODSTOCK 19 CENTRAL ST WOODSTOCK, VT 05091 (802)457-1306 December 2011