CBM Oakland Plan B

Pharmacy Network

Ncpdp #
2353681
2350495
2357540
2337207
2353213
2367666
2330986
2345280
2367969
2338463
2355267
2338247
2338336
2338449
2368389
2308890
2338297
2364191
2361121
2348008
2336508
2356574
2329705
2358364
2366171
2364141
2352615
2337613
2340254
2327814
2364583
2349505
2348604
2336469
2308965
2336572
2352110
2352641
2350801
2366652
2349404
2303939
2330974
2337928
2371540
2337245
2353845
2304068

Pharmacy Name
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
TARGET
RITE AID
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
TARGET
RITE AID
RITE AID
SAMS PHARMACY
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
TARGET
RITE AID
RITE AID
RITE AID

Address 1
1200 SOUTH
1601 EAST US
402 POINTE
560 JENNER
15411
3100 FAIRLANE
1341 WRIGHT
7945 ALGER
860 NORTH
2140 STATE
1180 M 32
2603 JACKSON
2980 PACKARD
2781
2000 WATERS
2480 LAPEER
3251 SOUTH
4350 JOSLYN
650 BROWN
901 NORTH
1434 WEST
600 NORTH
BATTLE CREEK
890 EAST
12737 COTTON
5700 BECKLEY
6020 B DRIVE
901 WEST
500 LAFAYETTE
3880 WILDER
4135 WILDER
3921 WILDER
352 NORTH
100 COVERED
51341 W.
1701 SOUTH M
1400 MALL
2990 WEST 12
612 SAINT
842 SOUTH
21400 PERRY
597 SOUTH
42931
3669 WEST
2400 S
6155 DIXIE
3681 SHAWNEE
8701 WEST

Address 2
SUITE A

2781

30 EAST

3669 WEST

8701 WEST

City
ADRIAN
ADRIAN
ALGONAC
ALLEGAN
ALLEN PARK
ALLEN PARK
ALMA
ALMA
ALMONT
ALPENA
ALPENA
ANN ARBOR
ANN ARBOR
ANN ARBOR
ANN ARBOR
AUBURN HILLS
AUBURN HILLS
AUBURN HILLS
AUBURN HILLS
BAD AXE
BATTLE CREEK
BATTLE CREEK
BATTLE CREEK
BATTLE CREEK
BATTLE CREEK
BATTLE CREEK
BATTLE CREEK
BAY CITY
BAY CITY
BAY CITY
BAY CITY
BAY CITY
BEAVERTON
BELDING
BELLEVILLE
BENTON
BENTON
BERKLEY
BERRIEN
BIG RAPIDS
BIG RAPIDS
BIRMINGHAM
BLOOMFIELD
BLOOMFIELD
BLOOMFIELD
BRIDGEPORT
BRIDGMAN
BRIGHTON

State
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2366309
2353833
2352134
2322458
2322612
2356827
2357463
2354532
2353871
2313029
2345747
2337182
2367438
2360129
2358578
2369432
2364204
2358629
2370687
2364216
2339516
2349872
2337144
2350661
2337120
2357920
2340381
2348010
2353112
2328828
2367642
2363430
2349632
2368961
2346674
2362933
2304169
2305159
2338362
2306872
2368579
2348123
2347804
2353857
2359013
2327662
2365244
2351372
2348983

TARGET
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
TARGET
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
TARGET
WAL-MART
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
WAL-MART
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
TARGET
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
SAMS PHARMACY
WAL-MART
RITE AID

8043 CHALLIS
715 EAST
4001 DAVISON
G4033 FENTON
G3009 S DORT
6026 LAPEER
G 4007 SOUTH
5323 EAST
2241 84TH
720 SOUTH
8917 EAST 34
9377 CHERRY
1925 MARKET
2249 NORTH
180 LILLEY
4151 SOUTH
39800 FORD
43670 FORD
47330
39500 FORD
625 NORTH
1121 EAST
M 57 AND
305 EAST STATE
4166 17 MILE
25425 VAN
195 M 66
1680 PACKARD
1150 SOUTH
50290 GRATIOT
51400 GRATIOT
45400
5789
5751
1301 WEST 14
33860 GRATIOT
37165
35250 SOUTH
36485
100 EAST
11493 NORTH
450 EAST
800 EAST
6535 PAW PAW
3301 PONTIAC
3050 UNION
3901 ALPINE
3999 ALPINE
1151 WEST

BRIGHTON
BUCHANAN
SUITE A
BURTON
BURTON
BURTON
BURTON
BURTON
BURTON
2241 84TH
BYRON CENTER
CADILLAC
CADILLAC
CALEDONIA
CALEDONIA
CANTON
CANTON
CANTON
CANTON
CANTON
CANTON
CANTON
CARO
CARO
10767 CARSON CARSON CITY
CASSOPOLIS
CEDAR SPRINGS
CENTER LINE
CHARLEVOIX
CHARLOTTE
CHEBOYGAN
CHESTERFIELD
CHESTERFIELD
CHESTERFIELD
CLARKSTON
CLARKSTON
CLAWSON
CLINTON
PARKWAY
CLINTON TWP
CLINTON TWP
CLINTON TWP
CLIO
CLIO
COLDWATER
COLDWATER
COLOMA
COMMERCE
COMMERCE
COMSTOCK
COMSTOCK
RANDALL
COOPERSVILLE

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2337714
2363391
2338348
2346648
2362503
2370156
2368048
2357184
2351310
2353465
2342397
2347183
2338261
2338401
2349341
2359126
2356396
2357615
2367729
2336596
2353655
2349961
2350394
2336584
2338095
2370447
2344187
2357057
2356120
2337586
2330962
2353009
2346698
2365573
2358009
2350344
2352956
2351435
2368391
2363202
2355926
2328830
2337877
2353732
2341256
2337702
2337740
2350572
2348250

RITE AID
RITE AID
RITE AID
RITE AID
TARGET
WAL-MART
TARGET
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
RITE AID
RITE AID
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID

841 S STATE
521 NORTH
5650 SCHAFFER
22521
15901 FORD
5851 MERCURY
26650 FORD RD
7843 WEST
17170 HARPER
19160
3456 EAST
13939
18430 FENKELL
1900 EAST 8
22315 MOROSS
4612
19150
10950 GRATIOT
14820 MACK
13157 12
102 STATE
8531 LANSING
250 SOUTH
SUITE A
1399 EAST
1399 EAST
249 EAST
111 EAST
22600 GRATIOT
715 SOUTH
601 NORTH
1490 WEST
33330 WEST 12
35584 GRAND
25922
32625
30020 GRAND
146 NORTH
1001 NORTH
MCLAREN
2420 OWEN
3255 OWEN RD
3700 OWEN
22346
28659
4519 RICHFIELD
13635 23 MILE
5018 CLIO
3717 FENTON
4515 CORUNNA
2838 EAST
3521 CORUNNA

DAVISON
DAVISON
DEARBORN
DEARBORN
DEARBORN
DEARBORN
DEARBORN
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DETROIT
DEWITT
DOWAGIAC
DURAND
EAST JORDAN
EAST LANSING
EAST LANSING
EAST LANSING
EASTPOINTE
EATON RAPIDS
ESCANABA
ESSEXVILLE
FARMINGTON
FARMINGTON
FARMINGTON
FARMINGTON
FARMINGTON
FARWELL
FENTON
FENTON
FENTON
FENTON
FERNDALE
FLAT ROCK
FLINT
FLINT
FLINT
FLINT
FLINT
FLINT
FLINT

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2357223
2365080
2362832
2350902
2340088
2337752
2364595
2348464
2370815
2335392
2337106
2349860
2340735
2339441
2346559
2343298
2305375
2337738
2341270
2357677
2363365
2367820
2367832
2369848
2337168
2336421
2337043
2337067
2337081
2349000
2358617
2356207
2357641
2337118
2349238
2337132
2367109
2329426
2340355
2370221
2351031
2356411
2353869
2372922
2355712
2359025
2303965
2331003
2334631

RITE AID
SAMS PHARMACY
TARGET
WAL-MART
RITE AID
RITE AID
TARGET
WAL-MART
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
WAL-MART
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
TARGET
WAL-MART
WAL-MART
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
TARGET
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID

1124 NORTH
4373 CORUNNA
3701 LAPEER
4313 CORUNNA
218 WEST MAIN
1565 EAST
4300 24TH
4845 24TH
970 GEHRINGER
309 NORTH
924 WEST MAIN
7083 WEST
29447 FORD
419 WEST MAIN
950 EDELWEISS
120 E. CEDAR
8360 SOUTH
11609 SOUTH
1020 EAST HILL
5370 EAST HILL
2506 EAST HILL
6160 SOUTH
6170 SOUTH
14700 US 31
715 SOUTH
1029 4 MILE
1838 BRETON
2036 LAKE
2130 WEALTHY
2027 EASTERN
5120 28TH ST
5859 28TH
4542 KENOWA
53 SOUTH
312 SOUTH
507 N
10772 WEST
107 KERCHEVAL
9215 JOSEPH
18000 VERNIER
161 BEECH
28350 SOUTH
302 WEST MAIN
10400
1589 HASLETT
1618 WEST M
2880 E
300 WEST
973 SOUTH

8360 SOUTH

2036 LAKE

9215 JOSEPH

SHOPTOWN

300 WEST

FLINT
FLINT
FLINT
FLINT
FLUSHING
FLUSHING
FORT GRATIOT
FORT GRATIOT
FOWLERVILLE
FRANKENMUTH
FREMONT
FREMONT
GARDEN CITY
GAYLORD
GAYLORD
GLADWIN
GRAND BLANC
GRAND BLANC
GRAND BLANC
GRAND BLANC
GRAND BLANC
GRAND BLANC
GRAND BLANC
GRAND HAVEN
GRAND LEDGE
GRAND RAPIDS
GRAND RAPIDS
GRAND RAPIDS
GRAND RAPIDS
GRAND RAPIDS
GRAND RAPIDS
GRAND RAPIDS
GRANDVILLE
GRANT
GRAYLING
GREENVILLE
GREENVILLE
GROSSE POINTE
HAMTRAMCK
HARPER
HARRISON
HARRISON
HARTFORD
HARTLAND
HASLETT
HASTINGS
HIGHLAND
HILLSDALE
HOLLAND

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2364610
2350914
2351827
2338108
2352627
2352893
2351726
2355495
2368050
2349151
2326595
2306151
2350685
2367236
2355279
2370827
2342412
2355801
2326583
2336899
2339340
2364874
2364153
2366020
2336483
2359873
2350255
2336546
2369355
2364672
2365559
2354873
2341307
2353883
2335075
2362882
2363353
2336623
2343921
2356372
2353782
2341535
2356928
2366119
2364228
2362527
2361525
2366133
2361917

TARGET
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
WAL-MART
WAL-MART
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
WAL-MART
RITE AID
TARGET
WAL-MART
RITE AID
TARGET
WAL-MART
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
SAMS PHARMACY
TARGET
TARGET
WAL-MART
WAL-MART

3456 W SHORE
2629 NORTH
15242 NORTH
2263 CEDAR
995
4562 WEST
2129 W
1002 EAST
10025 E
3850 E GRAND
26020
557 NORTH
431 WEST
3062 SOUTH
1920 S
10305
1010 EAST
2255 SOUTH
3100 EAST
1089 NORTH
1733 SPRING
1733 SPRING
3600 ONEILL
1076 JACKSON
1700 WEST
2775 PORT
334 CHICAGO
701 OLDS ST
1032 EAST
5350 WEST
6065 GULL
501 SOUTH 9TH
902 NORTH
3000 ORCHARD
5995
4410 SOUTH
4326 28TH
7358 SECOR
1705 WEST MT
1004 E
1019 WEST
3106 EAST
3700 WEST
2701 SOUTH
2925 TOWNE
340 EAST
500 EAST
5609 WEST
3225 TOWNE
409 N

HOLLAND
HOLLAND
HOLLY
HOLT
HOUGHTON
HOUGHTON
HOUGHTON
HOWELL
HOWELL
HOWELL
HUNTINGTON
IMLAY CITY
IONIA
IONIA
IRON
IRONWOOD
ITHACA
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JACKSON
JENISON
JENISON
JONESVILLE
KALAMAZOO
KALAMAZOO
KALAMAZOO
KALAMAZOO
KALKASKA
KEEGO HARBOR
KENTWOOD
KENTWOOD
KENTWOOD
LAMBERTVILLE
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING
LANSING

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2354607
2303991
2351790
2358958
2328866
2350837
2305476
2356865
2357312
2338350
2338374
2357778
2362844
2359316
2358984
2337156
2346941
2352538
2361804
2355914
2371538
2367248
2364127
2352778
2350673
2362541
2352603
2353794
2346864
2305921
2356790
2350205
2337598
2331027
2359001
2330645
2339996
2306593
2350243
2337790
2363377
2353679
2321583
2369420
2345292
2358352
2361587
2370245
2353124

RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
TARGET
TARGET
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
TARGET
SAMS PHARMACY
TARGET
RITE AID
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
WAL-MART
RITE AID
SAMS PHARMACY
TARGET
WAL-MART

1254 NORTH
1022 WEST
555 EAST
2855 SOUTH
1970
602 WEST
37399 6 MILE
27401 WEST SIX
37355 8 MILE
37980 ANN
33251
31245 8 MILE
20100
29451
29555
1401 WEST
936 EAST
4854 WEST US
46977 ROMEO
15250 24 MILE
20877 HALL RD
31020 JOHN R
32001 JOHN R
1243 U.S. 31
2985 MAIN
3250 US HWY
3225 US 41
15893 WEST
1750 GRATIOT
610 NORTH
4016
3939 SOUTH
2006 NORTH
2910 ASHMAN
910 JOE MANN
640 NORTH
101 SOUTH
507 SOUTH
2155 N
4515 EAST
11801 NORTH
5 SOUTH
117 NORTH
4850 ENCORE
4730 ENCORE
2635 HENRY
1707 E
5057 HARVEY
1879 EAST

1254 NORTH

33251

1243 US 31

SUITE A

2006 N

LAPEER
LAPEER
LAPEER
LEWISTON
LINCOLN PARK
LINDEN
LIVONIA
LIVONIA
LIVONIA
LIVONIA
LIVONIA
LIVONIA
LIVONIA
LIVONIA
LIVONIA
LOWELL
LUDINGTON
LUDINGTON
MACOMB
MACOMB
MACOMB
MADISON
MADISON
MANISTEE
MARLETTE
MARQUETTE
MARQUETTE
MARSHALL
MARYSVILLE
MASON
MELVINDALE
METAMORA
MIDLAND
MIDLAND
MIDLAND
MILFORD
MIO
MONROE
MONROE
MOUNT
MOUNT
MT CLEMENS
MT PLEASANT
MT PLEASANT
MT. PLEASANT
MUSKEGON
MUSKEGON
MUSKEGON
MUSKEGON

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2357665
2371742
2365054
2353821
2351500
2353667
2340153
2338487
2369189
2368404
2364139
2338083
2360256
2364925
2356423
2347222
2351358
2305933
2349492
2367870
2350647
2356651
2339883
2352071
2356625
2369672
2351803
2364355
2303915
2303927
2356447
2353706
2347018
2362870
2341131
2367844
2362539
2366587
2356308
2350320
2356081
2308511
2304070
2338425
2368036
2355659
2336445
2305832
2347234

RITE AID
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
RITE AID
SAMS PHARMACY
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID

35350 23 MILE
59010 GRATIOT
30729 LYON
11 SOUTH 11TH
2107 SOUTH
2580 LAKE
730 SEMINOLE
41820 TEN MILE
42481 WEST 13
27300 WIXOM
27100 WIXOM
1664 WEST
4890 MARSH
5110 TIMES
10 SOUTH
5280 NORTH
337 NORTH
1002 EAST
1621 EAST M 21
999 SOUTH
319 EAST
681 NORTH
1133 NORTH US
630 WEST
1600
75 SOUTH
412 CROSS
800 WEST ANN
360 N ML KING
1186 BALDWIN
3 SOUTH
1607 24TH
2910 PINE
1237 32ND
1950 WEST
7021 SO
6839 SOUTH
8350 SHAVER
1339 EAST
222 SOUTH
66711 GRATIOT
19016 FORT
1378 WALTON
6970 NORTH
2887 S
2500 S ADAMS
511 10 MILE
32905 FORT
110 SOUTH

NEW
NEW HAVEN
NEW HUDSON
NILES
NILES
NORTH
NORTON
41820 TEN MILE NOVI
NOVI
NOVI
NOVI
OKEMOS
OKEMOS
OKEMOS
ORTONVILLE
OSCODA
OTISVILLE
OWOSSO
OWOSSO
OXFORD
PAW PAW
PERRY
THE GIANT
PETOSKEY
PETOSKEY
PETOSKEY
PINCKNEY
PLAINWELL
PLYMOUTH
PONTIAC
PONTIAC
PONTIAC
PORT HURON
PORT HURON
PORT HURON
PORTAGE
PORTAGE
PORTAGE
PORTAGE
PORTLAND
REED CITY
RICHMOND
RIVERVIEW
RIVERVIEW
ROCHESTER
ROCHESTER
ROCHESTER
ROCHESTER
RUM CREEK
ROCKFORD
ROCKWOOD
ROGERS CITY

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2368416
2350762
2337295
2365028
2362630
2341410
2336635
2337257
2337601
2352487
2352475
2338223
2346915
2365092
2359304
2358972
2365179
2330950
2353744
2367440
2347068
2350370
2305553
2367402
2363923
2364230
2347385
2353768
2327193
2366284
2370233
2368745
2361614
2352564
2348781
2352069
2351067
2347044
2345735
2346624
2309828
2328385
2351891
2356497
2359330
2369343
2358996
2358679
2353807

WAL-MART
RITE AID
RITE AID
SAMS PHARMACY
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
WAL-MART
WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
WAL-MART
RITE AID
TARGET
TARGET
WAL-MART
WAL-MART
RITE AID
RITE AID
SAMS PHARMACY
TARGET
TARGET
SAMS PHARMACY
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
TARGET
TARGET
WAL-MART
WAL-MART
RITE AID

3285 HENRY
425 NORTH
25996 GRATIOT
31720 GRATIOT
28804 GRATIOT
1026 NORTH
3050 BAY ROAD
5050 GRATIOT
1470
806 GRATIOT
3403 EAST
4598 STATE
531 WEST
5656 BAY ROAD
2772
5825
5650 BAY ROAD
23201 MARTER
39 KRISTIAN
655 WEST
1025 ASHMUN
3763 I 75
51037 VAN
13221 HALL RD
8200 26 MILE
51450 SHELBY
201 73RD
25610 PONTIAC
24850
24850
22500 EIGHT
21500
30333
15700
425 NORTH
603 EAST
25100 HARPER
2010 NORTH
109 NORTH
1165 SUPERIOR
301 SOUTH
11743 15 MILE
13500 19 MILE
43034
39000 VAN
35700 VAN
2310
44575 MOUND
33201 VAN
102 NORTH

ROOSEVELT
ROSCOMMON
ROSEVILLE
ROSEVILLE
ROSEVILLE
ROYAL OAK
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAGINAW
SAINT CLAIR
SANDUSKY
SANDUSKY
SAULT ST
SAULT ST.
SHELBY
SHELBY
SHELBY
SHELBY
SOUTH HAVEN
SOUTH LYON
SOUTHFIELD
SOUTHFIELD
SOUTHFIELD
SOUTHFIELD
SOUTHGATE
SPARTA
SPRING LAKE
ST CLAIR
ST HELEN
ST JOHNS
ST JOHNS
STANDISH
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STERLING
STURGIS

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2349769
2337726
2315314
2367111
2353629
2328878
2362515
2361880
2353819
2369836
2358299
2356093
2345709
2353148
2363935
2364608
2356637
2308509
2361929
2356079
2303953
2362197
2361892
2367628
2361905
2341458
2359328
2365903
2360458
2331053
2331623
2352057
2356485
2372821
2372554
2304171
2357449
2303941
2305969
2341294
2361602
2327838
2350584
2320808
2365561
2358376
2368707
2359912
2345139

WAL-MART
RITE AID
RITE AID
WAL-MART
RITE AID
RITE AID
TARGET
WAL-MART
RITE AID
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
TARGET
WAL-MART
RITE AID
RITE AID
RITE AID
RITE AID
TARGET
WAL-MART
SAMS PHARMACY
WAL-MART
RITE AID
TARGET
TARGET
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
TARGET
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
RITE AID
SAMS PHARMACY
RITE AID
RITE AID
RITE AID
WAL-MART
RITE AID
TARGET
WAL-MART
RITE AID

1500 SOUTH
9090 MILLER
211 WEST LAKE
621 EAST LAKE
5811
9155
14099 PARDEE
7555
1113 WEST
101 SOUTH
13916 SW BAY
939 US 31
1201A SOUTH
511 SOUTH
2401 US 31
3100 S AIRPORT
2640 CROSSING
25050 ALLEN
1981 SOUTH
3986 JOHN R
2971 WEST
1301 COOLIDGE
2001 WEST
45600 UTICA
10562
512 GOODRICH SHOP RITE
3248 ALPINE
495 HAGGERTY
32983 RYAN
2003 EAST 12
12 HOOVER
11585 EAST 12
4110 EAST 9
26696 RYAN
28800
63033 VAN
66998 VAN
7887 26 MILE
3273 WEST
5983 HIGHLAND
4350 DIXIE
495 SUMMIT
35101
5520 DRAKE
501 EAST
2750 COOK
35363 FORD
35401 WARREN
9190 HIGHLAND
3263 EAST
3263 E COLBY

STURGIS
SWARTZ CREEK
TAWAS CITY
TAWAS CITY
TAYLOR
TAYLOR
TAYLOR
TAYLOR
THREE RIVERS
THREE RIVERS
TRAVERSE CITY
TRAVERSE CITY
TRAVERSE CITY
TRAVERSE CITY
TRAVERSE CITY
TRAVERSE CITY
TRAVERSE CITY
TRENTON
TROY
TROY
TROY
TROY
TROY
UTICA
VAN BUREN
VASSAR
WALKER
WALLED LAKE
WARREN
WARREN
WARREN
WARREN
WARREN
WARREN
WASHINGTON
WASHINGTON
WASHINGTON
WATERFORD
WATERFORD
WATERFORD
WATERFORD
WAYNE
WEST
WEST BRANCH
WEST BRANCH
WESTLAND
WESTLAND
WHITE LAKE
WHITEHALL

MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

2356726
2367414
2367630
2346662
2360650
2328842
2366121
2361513
2350003

10

RITE AID
TARGET
WAL-MART
RITE AID
TARGET
RITE AID
SAMS PHARMACY
TARGET
WAL-MART

47300 PONTIAC
23555 ALLEN
23800 ALLEN
1998 BIDDLE
5455 CLYDE
1015 EMERICK
5450
3749
2515

WIXOM
WOODHAVEN
WOODHAVEN
WYANDOTTE
WYOMING
YPSILANTI
YPSILANTI
YPSILANTI
YPSILANTI

MI
MI
MI
MI
MI
MI
MI
MI
MI

5/28/2013

CBM Oakland Plan B

Pharmacy Network

Zip
49221
49221
48001
49010
48101
48101
48801
48801
48003
49707
49707
48103
48104
48105
48103
48326
48326
48326
48326
48413
49017
49017
49015
49014
49014
49015
49014
48706
48708
48706
48706
48706
48612
48809
48111
49022
49022
48072
49103
49307
49307
48009
48304
48301
48302
48722
49106
48116

11

Zip +4
4366
0000
1805
1517
2681
0000
1134
0000
5802
4542
0000
3820
0000
2427
0000
1921
3635
0000
0000
0000
1942
3249
3704
4941
0000
0000
0000
4288
7854
2146
0000
0000
8165
1683
2571
6101
0000
1414
1603
2200
0000
6756
5035
3376
0255
0100
9713
2904

Phone
5172630603
5172659686
8107944985
2696732181
3133868604
3137680065
9894636111
9894633220
8107988501
9893544630
9893540731
7346631362
7349711013
7347616404
7349965547
2483737700
2488525977
2483916697
2483938114
9892699746
2699655178
2699631524
2699653237
2696609509
2699797671
2699790778
2699794727
9896849370
9898925300
9896865800
9896865143
9896841887
9894357727
6167942200
7344840482
2699273101
2699276514
2485410158
2694715020
2317968659
2317963691
2486474470
2483387191
2486474900
2484091952
9897773550
2694656777
8102205840

NPI
1285743740
1003833211
1013026590
1033228572
1558470013
1003838772
1962511493
1558388868
1194834689
1023127578
1871511204
1861408163
1851307151
1679589972
1588605521
1881703304
1619990082
1548287766
1528080298
1811914120
1255353363
1407966310
1144339672
1336159441
1811914286
1841212511
1093732208
1679682116
1588670889
1780793208
1669494332
1740207950
1447369905
1043329576
1528078094
1780693812
1376560581
1396768867
1679682132
1568571057
1457378762
1023031747
1053420588
1043226343
1528216975
1942319488
1013026582
1508975889

5/28/2013

CBM Oakland Plan B

Pharmacy Network

48116
49107
48509
48529
48529
48509
48529
48509
49315
49601
49601
49316
49316
48187
48188
48188
48187
48187
48188
48187
48723
48723
48811
49031
49319
48015
49720
48813
49721
48051
48051
48051
48346
48348
48017
48035
48036
48035
48035
48420
48420
49036
49036
49038
48382
48382
49321
49321
49404

12

0000
1458
1401
1502
1017
2215
1617
0000
9352
2512
0000
9506
0000
2906
0000
2489
0000
0000
0000
0000
1543
0000
9560
1328
9451
1825
9338
0000
0000
0000
0000
0000
2959
4707
2803
0000
2315
2843
1132
1421
0000
2003
0000
9519
0000
4838
0000
0000
1315

8102294264
2696952000
8107420217
8102394614
8107428409
8107423010
8107427002
8107442984
6168781707
2317753423
2317759699
6168911256
6166981186
7348443598
7348440296
7343940027
7349815104
7344542507
7347142013
7349830548
9896736852
9896737922
9895843077
2694455369
6166969040
5867576179
2315474001
5175430700
2316274337
5869496110
5865984770
5864211265
2486255271
2486251015
2484352410
5869130294
5864681428
5867911550
5867910738
8106870800
8105644278
5172787342
5172785897
2694683858
2486680282
2483634392
6166479302
6167841619
6168376219

1740202415
1295844769
1922117480
1871509174
1174530018
1639289556
1104935683
1639196843
1659480127
1508975020
1285651596
1124137666
1477575140
1578579876
1861416075
1851417836
1366469587
1629090394
1508042524
1275550493
1578672028
1477570687
1306955844
1942319405
1770692212
1831208313
1740399294
1720005036
1811914021
1063435634
1194747865
1720005945
1891804357
1205906013
1811006364
1205858974
1417066796
1326157603
1396854840
1962511246
1851302376
1629187182
1902823214
1205859923
1669490520
1871602391
1578581435
1821015033
1770593410

5/28/2013

CBM Oakland Plan B

Pharmacy Network

48423
48423
48126
48124
48126
48126
48127
48209
48224
48235
48207
48238
48223
48234
48236
48201
48221
48213
48215
48820
49047
48429
49727
48823
48823
48823
48021
48827
49829
48732
48334
48335
48336
48334
48336
48622
48430
48430
48430
48430
48220
48134
48506
48506
48504
48507
48532
48506
48503

13

1751
1311
2253
2122
0000
0000
0000
1517
1998
2001
4200
2519
2301
1008
2117
1826
0000
1330
2526
9016
1747
1038
9376
4913
2207
2737
2313
1427
0000
2112
3309
3123
1447
0000
0000
9737
2755
1769
0000
0000
1817
1010
2101
3780
1809
1554
4320
4015
3267

8106537485
8106580527
3135813280
3132781515
3137680293
3134412841
3135651287
3135544491
3138813653
3138622603
3132596520
3139340150
3138372340
3138924600
3138851401
3138323247
3133419700
3135211850
3133311038
5176692585
2697822962
9892883101
2315360901
5173371385
5173320888
5173330825
5867726699
5176638430
9067861232
9898921565
2485534050
2484741717
2484774740
2485390458
2484771467
9895882599
8107501923
8107501497
8107142406
8107503735
2485421925
7347832572
8102500165
8102326423
8107872232
8102325118
8107327011
8107673059
8102356363

1134135437
1740399237
1760498067
1093824542
1073535746
1851590335
1821010596
1578672051
1023127586
1467561928
1083637458
1992814453
1083624324
1912917261
1447274113
1477662955
1083638662
1972527281
1477662963
1225147762
1760405229
1700995263
1427068246
1316056856
1336251453
1184803702
1649389198
1669581146
1457378663
1760591200
1780607226
1932115235
1639288186
1467479832
1356363014
1346359809
1730298290
1841309309
1386686574
1811914039
1467561944
1669495230
1194834093
1962412494
1477662922
1225044522
1205945748
1255440715
1538278098

5/28/2013

CBM Oakland Plan B

Pharmacy Network

48504
48532
48503
48532
48433
48433
48059
48059
48836
48734
49412
49412
48135
49735
49735
48624
48439
48439
48439
48439
48439
48439
48439
49417
48837
49544
49506
49504
49506
49507
49512
49546
49418
49327
49738
48838
48838
48236
48212
48225
48625
48045
49057
48353
48840
49058
48356
49242
49423

14

7516
0000
0000
0000
2032
1816
0000
0000
0000
1113
1419
0000
2319
1859
0000
1244
1831
1354
4803
8622
5066
0000
0000
0000
1118
0000
4869
4743
3083
3234
0000
0000
0000
0125
1818
1166
0000
3618
3730
0000
0376
3011
1008
0000
8424
0000
2730
1048
5228

8102336765
8107330741
8107436380
8107333355
8106599112
8106592940
8103855930
8103857747
5172231106
9896522613
2319243790
2319246900
7345253246
9897325220
9897328998
9894261170
8106942500
8106944983
8102324111
8106944775
8106061004
8106039702
8106039765
6168444184
5176272800
6167844400
6169495710
6164532473
6164510711
6162470440
6162224890
6169499892
6166679713
2318345744
9893481350
6167543625
6167545203
3138865655
3138735200
3133719751
9895394380
5864638661
2696213654
8106329017
5173395832
2699480481
2488874121
5174373373
6163925161

1487763967
1356368575
1154343820
1912924127
1013026566
1114036654
1578585246
1639196942
1265618607
1225147754
1952410490
1568489771
1659480101
1669581112
1770501199
1396751699
1235248519
1396854832
1386753838
1043220106
1487764213
1710904180
1629095096
1134328610
1215046750
1174545289
1407966393
1134238678
1811910722
1265541726
1235152513
1366469579
1992722102
1861501306
1174632632
1689783128
1548287915
1235248766
1831208388
1962696971
1396854857
1457460933
1831208305
1699902510
1811907082
1386661502
1053327353
1780793216
1316056849

5/28/2013

CBM Oakland Plan B

Pharmacy Network

49424
49424
48442
48842
49931
48629
48629
48843
48843
48843
48070
48444
48846
48846
49801
49938
48847
49201
49202
49202
49203
49202
49202
49202
49428
49428
49250
49001
49009
49048
49009
49646
48320
49508
49548
49512
48144
48910
48912
48915
48912
48917
48910
48912
48911
48911
48917
48912
48917

15

0000
0000
1141
1202
0000
9005
0000
1718
0000
0000
1415
1165
1103
0000
0000
0000
0063
8344
0000
3143
2701
0000
0000
0000
0000
0000
0000
4823
0000
0000
0000
9459
1244
7019
3307
0000
9737
2660
1809
1966
4712
2209
3028
0000
0000
0000
0000
0000
0000

6168200094
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5176221451

1295757961
1053339481
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1285651653
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1346262011
1902823370
1467479683

5/28/2013

CBM Oakland Plan B

Pharmacy Network

48446
48446
48446
49756
48146
48451
48152
48152
48152
48150
48150
48152
48152
48150
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49331
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48437
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48043
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49441
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16

1370
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2317395519

1194834663
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1982738977
1467479774
1659480135
1003833229
1417141482
1720005937

5/28/2013

CBM Oakland Plan B

Pharmacy Network

48047
48048
48165
49120
49120
49445
49441
48375
48377
48374
48374
48864
48864
48864
48462
48750
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49024
49002
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49024
48875
49677
48062
48193
48309
48306
48307
48309
49341
48173
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17

4436
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9897347392

1922117407
1184875825
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1326061987
1114036662
1912929688
1548287758
1134238660
1659394211
1710096276

5/28/2013

CBM Oakland Plan B

Pharmacy Network

49441
48653
48066
48066
48066
48067
48603
48603
48604
48602
48601
48603
48602
48604
48604
48638
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48080
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49090
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49345
49456
48081
48656
48879
48879
48658
48312
48313
48314
48313
48312
48310
48314
48312
49091

18

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0732
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2696517818

1477570968
1760591226
1851301170
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1417066945
1912920455
1710096292
1265454938
1619027950
1568489789
1801813019
1023127594

5/28/2013

CBM Oakland Plan B

Pharmacy Network

49091
48473
48763
48763
48180
48180
48180
48180
49093
49093
49684
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49684
49684
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48315
48111
48768
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48092
48095
48095
48094
48328
48327
48329
48328
48184
48322
48661
48661
48185
48185
48386
49461

19

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7347286031
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2318930310

1659398865
1588773022
1417066937
1457378820
1831109123
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1699884122
1124137682
1326157843
1558388926
1568571040
1336221704
1194742312
1558470005

5/28/2013

CBM Oakland Plan B

Pharmacy Network

48393
48183
48183
48192
49509
48198
48197
48197
48197

20

2541
0000
0000
3907
0000
6304
0000
0000
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2489600352
7346720005
7346754815
7342854100
6165305525
7344827430
7344342587
7349754675
7344347950

1841206141
1568484236
1801813274
1902915457
1700808474
1326157850
1093732463
1437171105
1235157660

5/28/2013