First Health Part D Premier - Coventry Medicare

First Health Part D Premier Plus (PDP)
First Health Part D Premier (PDP)
Pharmacy Directory
This booklet provides a list of First Health Part D Premier Plus and First Health Part D Premier’s
network pharmacies. This directory is for Missouri. We also list pharmacies that are in our
network but are outside Missouri. Please contact First Health Part D Premier Plus and First
Health Part D Premier at 1-866-865-0662, 24 hours a day, 7 days a week, for additional
information. All network pharmacies may not be listed in this directory. Pharmacies may have
been added or removed from the list after this directory was printed. To get current information
about First Health Part D Premier Plus and First Health Part D Premier’s network pharmacies in
your area, please visit our Web site at www.PharmacyLocator.coventry-medicare.com or call our
Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. (TTY/TDD Users should
call 711 for Telecommunications Relay Services.)
Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits,
formulary, pharmacy network, premium and/or copayments/coinsurance may change on January
1, 2014.
A Medicare-approved Part D Sponsor.
This document is available in different formats and languages, including Spanish and Braille.
Please call 1-866-865-0662 (TTY/TDD users only: 711 Telecommunications Relay Services), 24
hours a day, 7 days a week if you need plan information in another format.
Este documento está disponible en diversos formatos e idiomas, incluyendo español y Braille.
Por favor número 1-866-865-0662 (Usuarios de TTY/TDD solamente: 711 telecomunicaciones
retransmiten servicio), 24 horas al día, 7 días a la semana si usted necesita la información del
plan en otro formato.
Y0022_PDP_2013_1080_1413_FINAL approved 7/2012
Last Update: 08/2012
PPlsPre-Rg18
DIR-13-PRE-PLS-R18

First Health Part D Premier Plus and First Health Part D Premier’s
Chain Pharmacies
Harvey's Pharmacy*
1-866-652-6090
TTY/TDD: 711
HEB Pharmacy *
1-800-432-3113
TTY/TDD: 711
Henry Ford Health
System Pharmacy*
1-800-436-7936
TTY/TDD: 711
Ingles Markets*
1-800-635-5066
TTY/TDD: 711
J H Harvey Co LLC*
1-866-652-6090
TTY/TDD: 711
K-VA-T Food Stores Inc*
1-800-826-8451
TTY/TDD: 711
Kash N' Karry Food
Stores*
1-800-210-9569
TTY/TDD: 711
Kerr Drug Inc*
1-800-494-3053
TTY/TDD: 711
Kinney Drugs, Inc*
1-800-552-8663
TTY/TDD: 711
Kmart*
1-866-562-7848
TTY/TDD: 711
Kroger Central*
1-800-576-4377
TTY/TDD: 711
Kroger East*
1-800-576-4377
TTY/TDD: 711
Kroger West*
1-800-576-4377
TTY/TDD: 711
Longs Drug Store*
1-800-865-6647
TTY/TDD: 711
Lucky Pharmacy*
1-800-692-5710
TTY/TDD: 711
Martin's Super Markets
Inc*
1-800-910-7079
TTY/TDD: 711
May's Drug Stores, Inc*
1-866-366-5827
TTY/TDD: 711
Med-X Drug*
1-866-366-5827
TTY/TDD: 711
Meijer Pharmacy
Receivables*
1-866-366-5827
TTY/TDD: 711
Pavillions Pharmacy*
1-877-723-3929
TTY/TDD: 711
Pick n Save*
1-866-279-6269
TTY/TDD: 711
Price Chopper
Pharmacy*
1-800-666-7667
TTY/TDD: 711
Publix Pharmacies*
1-800-242-1227
TTY/TDD: 711
QFC Pharmacy1*
1-800-576-4377
TTY/TDD: 711
QOL MEDS *
1-800-663-4829
TTY/TDD: 711
Quick Chek
Corporation*
1-800-242-1227
TTY/TDD: 711
Rainbow Pharmacy*
1-800-600-4983
TTY/TDD: 711
Raley's*
1-800-925-9989
TTY/TDD: 711
Ralphs*
1-888-437-3496
TTY/TDD: 711
Randalls Pharmacy *
1-877-723-3929
TTY/TDD: 711
Rite Aid Corporation*
1-800-748-3243
TTY/TDD: 711
Rite Aid/Brooks/Maxi
Drug*
1-800-748-3243
TTY/TDD: 711
Rite Aid/Eckerd*
1-800-748-3243
TTY/TDD: 711
Safeway, Inc*
1-877-723-3929
TTY/TDD: 711
Sams Pharmacy *
1-888-746-7726
TTY/TDD: 711
Save Mart *
1-800-692-5710
TTY/TDD: 711
SaVon Drugs*
1-877-932-7948
TTY/TDD: 711
Schnucks Markets Inc*
1-800- 692-5710
TTY/TDD: 711
Scott & White Health
Plan Pharmacy*
1-800-321-7947
TTY/TDD: 711
Sedell Inc*
1-508-747-1230
TTY/TDD: 711
Shop 'n Save*
1-877-932-7948
TTY/TDD: 711
Shop Rite *
1-800-746-7748
TTY/TDD: 711
Shopko Pharmacies*
1-800-653-5993
TTY/TDD: 711
Shoppers*
1-877-932-7948
TTY/TDD: 711
Smiths Pharmacy *
1-800-576-4377
TTY/TDD: 711
Southern Family
Markets LLC*
1-800-653-5993
TTY/TDD: 711
Stater Bros, Super RX
Pharmacy*
1-888-992-9977
TTY/TDD: 711
Stop & Shop Pharmacy*
1-888-469-4426
TTY/TDD: 711
Super D Drugs *
1-866-366-5827
TTY/TDD: 711
Super D Express Rx*
1-866-366-5827
TTY/TDD: 711
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
4

First Health Part D Premier Plus and First Health Part D Premier’s
Chain Pharmacies
Super Fresh Pharmacy*
1-866-443-7374
TTY/TDD: 711
Supervalu Pharmacies,
Inc*
1-888-469-4426
TTY/TDD: 711
Sweetbay
Supermarkets*
1-888-218-3890
TTY/TDD: 711
Target*
1-800-440-0680
TTY/TDD: 711
Thrifty White Stores*
1-800-642-3275
TTY/TDD: 711
Tom Thumb Pharmacy*
1-877-723-3929
TTY/TDD: 711
Top Food and Drug*
1-877-867-3850
TTY/TDD: 711
Tops Markets LLC*
1-800-713-0924
TTY/TDD: 711
University Of Utah
Pharmacies*
1-866-365-4695
TTY/TDD: 711
USA Drug*
1-866-366-5827
TTY/TDD: 711
USA Drug and Beauty
Market*
1-866-366-5827
TTY/TDD: 711
USA Drug Express*
1-866-366-5827
TTY/TDD: 711
VG's Pharmacy's*
1-800-343-4422
TTY/TDD: 711
Village Supermarkets
(Shop Rite)*
1-800-746-7748
TTY/TDD: 711
Von's Pharmacy *
1-877-723-3929
TTY/TDD: 711
Wal-Mart*
1-800-925-6278
TTY/TDD: 711
Waldbaums*
1-866-443-7374
TTY/TDD: 711
Walgreens*
1-800-925-4733
TTY/TDD: 711
Wegmans Food
Markets, Inc*
1-800-934-6267
TTY/TDD: 711
Weis Markets, Inc *
1-866-999-9347
TTY/TDD: 711
Winn-Dixie*
1-866-946-6349
TTY/TDD: 711
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
5

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
This section provides a list of First Health Part D Premier Plus and First Health Part D Premier’s Retail
Pharmacies.
All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from
the list after this directory was printed. Please contact Customer Service at the telephone numbers listed on
page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our
searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com.
Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach
a pharmacy by dialing 711.
MISSOURI
ADAIR COUNTY
KIRKSVILLE
ELLIOTT PHARMACY*
2120 N BALTIMORE ST
KIRKSVILLE, MO, 63501
(660) 665-9871
HY-VEE PHARMACY
(1335)*
500 N BALTIMORE ST
KIRKSVILLE, MO, 63501
(660) 665-7400
MED DEPOT
PHARMACY*
800 W JEFFERSON ST
KIRKSVILLE, MO, 63501
(660) 665-7239
RIDER DRUG INC*
1207 S BALTIMORE ST
KIRKSVILLE, MO, 63501
(660) 665-4666
ANDREW COUNTY
SAVANNAH
COUNTRYSIDE
PHARMACY*
402 E PRICE AVE
SAVANNAH, MO, 64485
(816) 324-5111
POIRIER PHARMACY*
102 S 5TH ST
SAVANNAH, MO, 64485
(816) 324-5955
SAVANNAH FAMILY
PHARMACY*
205 S 71 HWY
SAVANNAH, MO, 64485
(816) 324-4211
ATCHISON COUNTY
ROCK PORT
STONER DRUG*
315 S MAIN ST
ROCK PORT, MO, 64482
(660) 744-2433
TARKIO
PAMIDA PHARMACY
#870*
202 MAIN ST
TARKIO, MO, 64491
(660) 736-4351
ROGERS PHARMACY*
411 MAIN ST
TARKIO, MO, 64491
(660) 736-5512
AUDRAIN COUNTY
MEXICO
A & B PRESCRIPTION
SHOP*
201 E MONROE ST
MEXICO, MO, 65265
(573) 581-1350
THE MEDICINE SHOPPE
#1111*
200 E JACKSON ST
MEXICO, MO, 65265
(573) 581-7561
WEBBER PHARMACY
INC*
626 SUMMIT MEDICAL
PK
MEXICO, MO, 65265
(573) 581-6930
VANDALIA
VANDALIA DRUG*
112 N MAIN ST
VANDALIA, MO, 63382
(573) 594-2136
BARRY COUNTY
CASSVILLE
PRICE CUTTER
PHARMACY #16*
91 MAIN ST
CASSVILLE, MO, 65625
(417) 847-1077
SATER PHARMACY*
705 MAIN ST
CASSVILLE, MO, 65625
(417) 847-4381
WHITLEY PHARMACY*
101 W 8TH ST
CASSVILLE, MO, 65625
(417) 847-2717
MONETT
BRUNER PHARMACY*
321 E BROADWAY ST
MONETT, MO, 65708
(417) 235-3139
MONETT
PROFESSIONAL PHCY*
801 N LINCOLN AVE
MONETT, MO, 65708
(417) 354-1255
BARTON COUNTY
LAMAR
THE MED STATION*
54B SE 1ST LN
LAMAR, MO, 64759
(417) 681-0999
WILKINSON
PHARMACY LAMAR*
605A W 12TH ST
LAMAR, MO, 64759
(417) 682-5838
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
6

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
BATES COUNTY
BUTLER
BUTLER HEALTHMART
PHCY*
11 S ORANGE ST
BUTLER, MO, 64730
(660) 679-4175
BUTLER HOMETOWN
PHARMACY
11 S ORANGE ST
BUTLER, MO, 64730
(660) 679-4591
RICH HILL
WILKINSON
PHARMACY RICH HILL*
301 N 14TH ST
RICH HILL, MO, 64779
(417) 395-4700
BENTON COUNTY
COLE CAMP
COLE CAMP
PHARMACY*
106 S MAPLE ST
COLE CAMP, MO, 65325
(660) 668-4646
WARSAW
BORING REXALL DRUG
161 W MAIN ST
WARSAW, MO, 65355
(660) 438-5162
J & D PHARMACY*
1330 COMMERCIAL ST
WARSAW, MO, 65355
(660) 438-7331
BOLLINGER COUNTY
MARBLE HILL
TWIN CITY PHARMACY*
106 N 1ST ST
MARBLE HILL, MO,
63764
(573) 238-4177
BOONE COUNTY
CENTRALIA
KINKEAD
HEALTHMART PHCY*
105 S ALLEN ST
CENTRALIA, MO, 65240
(573) 682-2155
COLUMBIA
ACCURATE RX PHCY
CONSULTING LLC*
103 CORPORATE LAKE
DR STE B
COLUMBIA, MO, 65203
(573) 256-4279
BOONE PLAZA
PHARMACY*
1600 E BROADWAY
COLUMBIA, MO, 65201
(573) 815-6255
D & H DRUG #2*
1814 PARIS RD
COLUMBIA, MO, 65201
(573) 777-7307
D & H DRUG STORE*
1001 W BROADWAY
COLUMBIA, MO, 65203
(573) 777-7333
ELLIS FISCHEL
CANCER CENTER*
115 BUSINESS LOOP 70
W
COLUMBIA, MO, 65203
(573) 882-8890
FAIRVIEW PHARMACY*
101 S FAIRVIEW RD
COLUMBIA, MO, 65203
(573) 884-1100
FLOW'S PHARMACY
1506 E BROADWAY
COLUMBIA, MO, 65201
(573) 449-8015
GERBES PHARMACY
#111*
205 E NIFONG BLVD
COLUMBIA, MO, 65203
(573) 442-2951
GERBES PHARMACY
#124*
1729 W BROADWAY
COLUMBIA, MO, 65203
(573) 445-9451
GERBES PHARMACY
#125*
2900 PARIS RD
COLUMBIA, MO, 65202
(573) 474-9418
GREEN MEADOWS
PHARMACY*
3217 S PROVIDENCE
RD
COLUMBIA, MO, 65203
(573) 882-3151
HY-VEE PHARMACY #2
(1081)*
405 E NIFONG BLVD
COLUMBIA, MO, 65201
(573) 442-8616
HY-VEE PHARMACY #3
(1082)*
25 CONLEY RD
COLUMBIA, MO, 65201
(573) 442-7706
HY-VEE PHARMACY
(1076)*
3100 W BROADWAY
COLUMBIA, MO, 65203
(573) 447-2144
KEENE ST PHARMACY*
404 N KEENE ST
COLUMBIA, MO, 65201
(573) 499-6022
KILGORE'S MEDICAL
PHCY
1608 CHAPEL HILL RD
COLUMBIA, MO, 65203
(573) 447-4444
KILGORES MEDICAL
PHARMACY
700 N PROVIDENCE RD
COLUMBIA, MO, 65203
(573) 442-0194
MISSOURI CANCER
CARE PHCY*
1705 E BROADWAY STE
100
COLUMBIA, MO, 65201
(573) 817-8527
MISSOURI
ORTHOPEDIC
INSTITUTE PHARMACY*
1100 VIRGINA AVE
RM1093
COLUMBIA, MO, 65212
(573) 884-3020
SMILEY LANE
PHARMACY*
2325 SMILEY LN
COLUMBIA, MO, 65202
(573) 817-3555
UNIV PHYSICIANS MED
BLDG PHARMACY*
1101 HOSPITAL DR
COLUMBIA, MO, 65212
(573) 882-8300
UNIVERSITY
PHARMACY*
1 HOSPITAL DR RM
1E54
COLUMBIA, MO, 65201
(573) 882-8600
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
7

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
BUCHANAN COUNTY
GOWER
STEVEN D
BRUSHWOOD DO*
313 S US HIGHWAY 169
GOWER, MO, 64454
(816) 424-6427
SAINT JOSEPH
BENDER
PRESCRIPTION SHOP*
3829 FREDERICK AVE
SAINT JOSEPH, MO,
64506
(816) 279-1668
HY-VEE PHARMACY
(1552)*
201 N BELT HWY
SAINT JOSEPH, MO,
64506
(816) 232-9011
MEDICINE CENTER
PHARMACY*
3601 FARAON ST
SAINT JOSEPH, MO,
64506
(816) 233-9963
RANDY SCOTT
BUCKLES DO*
220 S WOODBINE RD
SAINT JOSEPH, MO,
64506
(816) 676-1300
ROGERS PHARMACY*
2524 FREDERICK AVE
SAINT JOSEPH, MO,
64506
(816) 232-3348
STEVENSON FAMILY
PHCY*
6201 KING HILL AVE
SAINT JOSEPH, MO,
64504
(816) 238-2424
THE APOTHECARY*
1517 SAINT JOSEPH
AVE
SAINT JOSEPH, MO,
64505
(816) 279-2590
WRINKLES PHARMACY
INC*
5409 LAKE AVE
SAINT JOSEPH, MO,
64504
(816) 238-4522
BUTLER COUNTY
POPLAR BLUFF
ADVANCED
HEALTHCARE
PHARMACY
2002 KANELL BLVD STE
102
POPLAR BLUFF, MO,
63901
(573) 778-1608
DILLES DISC PRESC
SHOPPE
909 W PINE ST
POPLAR BLUFF, MO,
63901
(573) 785-0984
EAST SIDE DISCOUNT
PHCY
400 E PINE ST
POPLAR BLUFF, MO,
63901
(573) 686-7238
KEY DRUGS*
910 N WESTWOOD
BLVD
POPLAR BLUFF, MO,
63901
(573) 785-8218
KNEIBERT CLINIC
PHARMACY
686 LESTER ST
POPLAR BLUFF, MO,
63901
(573) 778-7190
LETASSY PHARMACY*
1014 W PINE ST
POPLAR BLUFF, MO,
63901
(573) 785-8421
NORTHTOWN DRUG*
1875 N WESTWOOD
BLVD
POPLAR BLUFF, MO,
63901
(901) 368-9160
NORTHWEST
PHARMACY*
2210 BARRON RD
POPLAR BLUFF, MO,
63901
(573) 686-6211
PHYSICIAN PARK
PHARMACY LLC*
225 PHYSICIANS PARK
STE 100
POPLAR BLUFF, MO,
63901
(573) 778-9238
SUPER SAVER
DISCOUNT PHCY*
449 S STATE ROUTE 53
POPLAR BLUFF, MO,
63901
(573) 686-1919
THE MEDICINE SHOPPE
#0468*
200 N 10TH ST
POPLAR BLUFF, MO,
63901
(573) 686-7216
CALDWELL COUNTY
HAMILTON
NORTHWEST
PHARMACY SVC'S*
103 CROSS ST
HAMILTON, MO, 64644
(816) 583-2881
CALLAWAY COUNTY
FULTON
RED CROSS
PHARMACY
600 COURT ST
FULTON, MO, 65251
(573) 642-6892
SAULTS DRUG STORE
INC
505 COURT ST
FULTON, MO, 65251
(573) 642-4186
HOLTS SUMMIT
ST MARY'S HOLT
SUMMIT PHARMACY*
140 NORTHSTAR DR
HOLTS SUMMIT, MO,
65043
(573) 896-4579
CAMDEN COUNTY
CAMDENTON
GERBES PHARMACY
#119*
1159 E US HIGHWAY 54
CAMDENTON, MO,
65020
(573) 346-4155
LAKE REGIONAL
PHARMACY-CMC*
1930C N BUSINESS
ROUTE 5
CAMDENTON, MO,
65020
(573) 346-2300
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
8

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
LAKER DRUG*
72 S BUSINESS ROUTE
5
CAMDENTON, MO,
65020
(573) 873-2626
WILKINSON
PHARMACY #10*
932 N STATE HIGHWAY
5
CAMDENTON, MO,
65020
(573) 346-3396
OSAGE BEACH
HY-VEE CLINIC
PHARMACY (1475)*
PO BOX 556
OSAGE BEACH, MO,
65065
(573) 348-2721
LAKE REGIONAL
PHARMACY-OBMP*
1057B MEDICAL PARK
DR
OSAGE BEACH, MO,
65065
(573) 302-2700
CAPE GIRARDEAU
COUNTY
CAPE GIRARDEAU
BROADWAY
PRESCRIPTION SHOP*
710 BROADWAY ST
CAPE GIRARDEAU, MO,
63701
(573) 335-8207
HEALING ARTS
PHARMACY
3250 GORDONVILLE RD
STE 101
CAPE GIRARDEAU, MO,
63703
(573) 339-0999
IMMEDIATE
HEALTHCARE*
1702 N KINGSHIGHWAY
ST
CAPE GIRARDEAU, MO,
63701
(573) 339-2000
JOHNS PHARMACY
INC*
2001 INDEPENDENCE
ST
CAPE GIRARDEAU, MO,
63703
(573) 334-1300
MEDICAP PHARMACY
#8082*
1020 N KINGSHIGHWAY
ST STE A
CAPE GIRARDEAU, MO,
63701
(573) 335-1002
PARK PHARMACY*
37 DOCTORS PARK STE
2
CAPE GIRARDEAU, MO,
63703
(573) 334-4432
PHARMACY PLUS
150 S MOUNT AUBURN
RD STE 107
CAPE GIRARDEAU, MO,
63703
(573) 331-5555
SOUTHEAST
PHARMACY*
1723 BROADWAY ST
STE 110
CAPE GIRARDEAU, MO,
63701
(573) 331-7900
SOUTHEAST
PHARMACY*
817 S MOUNT AUBURN
RD STE 130
CAPE GIRARDEAU, MO,
63703
(573) 519-4550
THE MEDICINE SHOPPE
#0312*
864 N KINGSHIGHWAY
ST
CAPE GIRARDEAU, MO,
63701
(573) 334-4761
JACKSON
HORST PHARMACY LC*
2705 E JACKSON BLVD
JACKSON, MO, 63755
(573) 243-8173
JONES DRUG STORE*
125 COURT ST
JACKSON, MO, 63755
(573) 243-3525
MEDICENTER
PHARMACY*
200 W WASHINGTON ST
JACKSON, MO, 63755
(573) 243-1303
SOUTHEAST
PHARMACY*
2685 E MAIN ST STE B
JACKSON, MO, 63755
(573) 204-8151
CARROLL COUNTY
CARROLLTON
HOMETOWN
PHARMACY*
1409 N JEFFERSON ST
CARROLLTON, MO,
64633
(660) 542-2020
REMEDIES FAMILY
PHARMACY*
1003 N US HIGHWAY 65
CARROLLTON, MO,
64633
(660) 542-1111
CASS COUNTY
BELTON
HY-VEE PHARMACY
(1034)*
1307 E NORTH AVE
BELTON, MO, 64012
(816) 318-0404
PRICE CHOPPER
PHARMACY #359*
109 N CEDAR DR
BELTON, MO, 64012
(816) 265-6006
DREXEL
DREXEL PHARMACY*
203 E MAIN ST
DREXEL, MO, 64742
(816) 657-2448
HARRISONVILLE
GILLEN PHARMACY
INC
2820 E ROCK HAVEN
RD STE 110
HARRISONVILLE, MO,
64701
(816) 884-5115
PECULIAR
PECULIAR PHARMACY*
219 MAIN ST
PECULIAR, MO, 64078
(816) 779-6100
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
9

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
PLEASANT HILL
PLEASANT HILL DRUG
STORE, INC.*
1905 N 7 HWY
PLEASANT HILL, MO,
64080
(816) 540-4000
PRICE CHOPPER
PHARMACY #250*
2101 N 7 HWY
PLEASANT HILL, MO,
64080
(816) 540-3581
RAYMORE
PRICE CHOPPER
PHARMACY #285*
900 W FOXWOOD DR
RAYMORE, MO, 64083
(816) 265-6134
CEDAR COUNTY
EL DORADO SPRINGS
EVANS DRUGS*
209 E US HIGHWAY 54
EL DORADO SPRINGS,
MO, 64744
(417) 876-3313
WILKINSON
PHARMACY #5*
200 E US HIGHWAY 54
EL DORADO SPRINGS,
MO, 64744
(417) 876-3511
STOCKTON
WOODS PHARMACY
#473*
1109 SOUTH ST
STOCKTON, MO, 65785
(417) 276-3670
ZUMWALT PHARMACY*
19 PUBLIC SQ
STOCKTON, MO, 65785
(417) 276-3128
CHARITON COUNTY
SALISBURY
RED CROSS
PHARMACY
227 S BROADWAY
SALISBURY, MO, 65281
(660) 388-5221
CHRISTIAN COUNTY
BILLINGS
CLEVER PHARMACY*
7450 D STATE HWY
BILLINGS, MO, 65610
(417) 743-5200
NIXA
PRICE CUTTER
PHARMACY #55*
400 MASSEY BLVD
NIXA, MO, 65714
(417) 725-6606
ST JOHN'S PHARMACY-
NIXA*
940 W MOUNT VERNON
ST STE 130
NIXA, MO, 65714
(417) 724-5350
OZARK
HIXSON DRUG INC*
604A E SOUTH ST
OZARK, MO, 65721
(417) 581-7777
PRICE CUTTER PLUS
PHCY #4*
5504 N 17TH ST
OZARK, MO, 65721
(417) 581-9288
CLARK COUNTY
KAHOKA
CLARK COUNTY
PHARMACY INC
250 S JOHNSON ST
KAHOKA, MO, 63445
(660) 727-2214
CLAY COUNTY
EXCELSIOR SPRINGS
BROWN
PRESCRIPTION
DRUGS*
149 CROWN HILL RD
EXCELSIOR SPRINGS,
MO, 64024
(816) 637-3188
JACK W MONROE
PHARMACY INC*
1236 N JESSE JAMES
RD
EXCELSIOR SPRINGS,
MO, 64024
(816) 637-6118
RED CROSS
PHARMACY
1018 N JESSE JAMES
RD
EXCELSIOR SPRINGS,
MO, 64024
(816) 637-5555
GLADSTONE
HY-VEE PHARMACY
(1219)*
7117 N PROSPECT AVE
GLADSTONE, MO,
64119
(816) 452-7711
KANSAS CITY
CENTER PHARMACY
4357 NE CHOUTEAU
TRAFFICW
KANSAS CITY, MO,
64117
(816) 453-0200
HY-VEE PHARMACY #2
(1321)*
207 NE ENGLEWOOD
RD
KANSAS CITY, MO,
64118
(816) 454-4763
NORTHLAND
PHARMACY*
9411 N OAK TRFY STE
120
KANSAS CITY, MO,
64155
(816) 436-2400
SUN FRESH
PHARMACY #107*
2415 NE VIVION RD
KANSAS CITY, MO,
64118
(816) 454-7895
SUN FRESH
PHARMACY #156*
10225 N OAK TRFY
KANSAS CITY, MO,
64155
(816) 734-3600
KEARNEY
RED CROSS
PHARMACY
101 W 92 HWY
KEARNEY, MO, 64060
(816) 635-4485
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
10

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
LIBERTY
A & R PHARMACY II INC
445 E MILL ST STE A
LIBERTY, MO, 64068
(815) 415-9995
HY-VEE PHARMACY
(1384)*
1332 W KANSAS ST
LIBERTY, MO, 64068
(816) 792-4632
LIBERTY MEDICAL
CENTER*
1504 NE 96TH ST
LIBERTY, MO, 64068
(816) 415-2233
N KANSAS CITY
DICKSON PHARMACY
2700 CLAY EDWARDS
DR
N KANSAS CITY, MO,
64116
(816) 221-5800
SMITHVILLE
MEDICINE SHOPPE
PHCY #1747*
1103 S 169 HWY
SMITHVILLE, MO, 64089
(816) 532-0977
CLINTON COUNTY
CAMERON
THE DRUG STORE*
610 N WALNUT ST
CAMERON, MO, 64429
(816) 632-7211
PLATTSBURG
PLATTSBURG CLINIC
PHCY*
400 W CLAY AVE
PLATTSBURG, MO,
64477
(816) 539-2121
COLE COUNTY
JEFFERSON CITY
GERBES PHARMACY
#118*
2101 SCHOTTHILL
WOODS DR
JEFFERSON CITY, MO,
65101
(573) 659-3700
GERBES PHARMACY
#122*
2805 W TRUMAN BLVD
JEFFERSON CITY, MO,
65109
(573) 893-2226
HY-VEE PHARMACY
(1303)*
3721 W TRUMAN BLVD
JEFFERSON CITY, MO,
65109
(573) 634-2628
JCMG PHARMACY
1241 W STADIUM BLVD
JEFFERSON CITY, MO,
65109
(573) 556-7780
JEFFERSON CITY
APOTHECARY LLC
1739 ELM CT STE 108
JEFFERSON CITY, MO,
65101
(573) 634-8300
PYRAMID PHARMACY*
3501 W TRUMAN BLVD
APT H
JEFFERSON CITY, MO,
65109
(573) 556-5551
WHALEY'S WESTSIDE
PHARMACY*
3526 AMAZONAS DR
JEFFERSON CITY, MO,
65109
(573) 659-0650
JEFFERSON CTY
ST MARYS MEDICAL
PLZ PHCY*
200 SAINT MARYS
MEDICAL PLZ
JEFFERSON CTY, MO,
65101
(573) 761-2111
TOLSON DRUG*
226 E HIGH ST
JEFFERSON CTY, MO,
65101
(573) 636-4022
WHALEYS EAST END
DRUG*
630 E HIGH ST
JEFFERSON CTY, MO,
65101
(573) 636-3733
WHALEYS MEDICAL
CENTER*
1431 SOUTHWEST
BLVD
JEFFERSON CTY, MO,
65109
(573) 634-3606
COOPER COUNTY
BOONVILLE
MEDICAL ARTS
PHARMACY*
800 MAIN ST
BOONVILLE, MO, 65233
(660) 882-5208
CRAWFORD COUNTY
BOURBON
BOURBON DRUG
386 N PINE ST
BOURBON, MO, 65441
(573) 732-4921
CUBA
TOWNE PHARMACY*
200 N FRANKLIN ST
CUBA, MO, 65453
(573) 885-7212
STEELVILLE
COUNTRY MART PHCY
#2425
43 E HIGHWAY 8
STEELVILLE, MO, 65565
(573) 775-4666
STEELVILLE DRUG LLC
503 W MAIN ST
STEELVILLE, MO, 65565
(573) 775-2900
SULLIVAN
MEDICINE CABINET
105 PROGRESS PKWY
SULLIVAN, MO, 63080
(573) 860-3600
DADE COUNTY
GREENFIELD
GREENFIELD
PHARMACY INC*
105 N GRAND STE 1
GREENFIELD, MO,
65661
(417) 637-2909
LOCKWOOD
LOCKWOOD
PHARMACY*
725 MAIN ST
LOCKWOOD, MO, 65682
(417) 232-4721
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
11

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
DALLAS COUNTY
BUFFALO
NYBERG PHARMACY*
315 S ASH 65 & 32 JCT
BUFFALO, MO, 65622
(417) 345-2321
THE CORNER DRUG
STORE*
308 WEST DALLAS ST
BUFFALO, MO, 65622
(417) 345-6500
DAVIESS COUNTY
GALLATIN
PAMIDA PHARMACY
#856*
212 N MAIN ST
GALLATIN, MO, 64640
(660) 663-9241
DEKALB COUNTY
MAYSVILLE
RANDOLPH
DRUGSTORE*
301 S POLK ST
MAYSVILLE, MO, 64469
(816) 449-2700
DENT COUNTY
SALEM
COUNTRY MART
PHARMACY #2442
1204 E HIGHWAY 32
SALEM, MO, 65560
(573) 729-4091
MOSER PHARMACY*
900 S MAIN ST
SALEM, MO, 65560
(573) 729-3300
VANDIVORT DRUG
117 W 4TH ST
SALEM, MO, 65560
(573) 729-4114
DUNKLIN COUNTY
CAMPBELL
SCOTT FAMILY
PHARMACY LLC*
414 W GRAND AVE
CAMPBELL, MO, 63933
(573) 246-2459
KENNETT
HARRIS PHARMACY*
1224 1ST ST
KENNETT, MO, 63857
(573) 888-6006
MITCHELL PHARMACY*
123 1ST ST
KENNETT, MO, 63857
(573) 888-9094
SEMO DRUGS OF
KENNETT INC*
1312 1ST ST
KENNETT, MO, 63857
(573) 888-8880
TEKO PHARMACY
501 TEACO RD
KENNETT, MO, 63857
(573) 888-6673
MALDEN
OVERTURF PHMY-
MALDEN*
212 W MAIN ST
MALDEN, MO, 63863
(573) 276-2218
SENATH
SEMO DRUGS*
102 W COMMERCIAL ST
SENATH, MO, 63876
(573) 738-2097
FRANKLIN COUNTY
GERALD
MEDLEY PHARMACY*
733 W SPRINGFIELD
AVE
GERALD, MO, 63037
(573) 764-5980
NEW HAVEN
PRATT'S PHARMACY*
100 DWAYNE VON
BERHEN DR
NEW HAVEN, MO, 63068
(573) 237-3321
PACIFIC
BIRDSONG
PHARMACY*
101 E SAINT LOUIS ST
PACIFIC, MO, 63069
(636) 257-2050
PHARMAX PHARMACY
#1108*
305 HOVEN DR
PACIFIC, MO, 63069
(636) 257-4660
SAINT CLAIR
ST CLAIR HEALTH
MART PHARMACY*
855 N COMMERCIAL
AVE
SAINT CLAIR, MO,
63077
(636) 629-0710
ST CLAIR
THE MEDICINE SHOPPE
#0961*
920 M ST CLAIR PLAZA
DR
ST CLAIR, MO, 63077
(636) 629-2022
SULLIVAN
STRAUSER DRUGS*
6 E SPRINGFIELD RD
SULLIVAN, MO, 63080
(918) 592-4619
UNION
HEARTLAND
DISCOUNT
PHARMACY*
707 US HIGHWAY 50 W
UNION, MO, 63084
(636) 583-2646
MEDICAL ARTS
PHARMACY*
1935 PRAIRIE DELL RD
UNION, MO, 63084
(636) 583-3117
WASHINGTON
HALL'S PHARMACY
INC*
3021 HIGHWAY A STE
203
WASHINGTON, MO,
63090
(636) 390-2828
SANJAY GHOSH PH.D
MD*
1080 CAROLINE DR STE
200
WASHINGTON, MO,
63090
(636) 390-2288
SCHROEDER*
201 ELM ST
WASHINGTON, MO,
63090
(636) 239-4707
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
12

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
SCHROEDERS
PHARMACY*
901 PATIENTS FIRST
DR
WASHINGTON, MO,
63090
(314) 239-7656
ST JOHNS MERCY
PHARMACY
WASHINGTON*
851 E 5TH ST
WASHINGTON, MO,
63090
(636) 390-7333
GASCONADE COUNTY
HERMANN
BERLENER
PHARMACY*
219 E 1ST ST
HERMANN, MO, 65041
(573) 486-2612
HERMANN PHARMACY*
2060 VILLAGE LN
HERMANN, MO, 65041
(573) 486-8999
OWENSVILLE
MEDLEY PHARMACY*
601 STATE ROUTE 28 E
OWENSVILLE, MO,
65066
(573) 437-3440
GENTRY COUNTY
ALBANY
PAMIDA PHARMACY
#851*
102 S POLK
ALBANY, MO, 64402
(660) 726-3154
STANBERRY
FAMILY HEALTH MART
PHARMACY*
102 W 1ST ST
STANBERRY, MO, 64489
(660) 783-0700
GREENE COUNTY
ASH GROVE
ASH GROVE
PHARMACY*
490 N MEDICAL DR
ASH GROVE, MO, 65604
(417) 751-2111
REPUBLIC
HINES STREET
PHARMACY LLC*
1173 E HINES ST
REPUBLIC, MO, 65738
(417) 735-0055
PRICE CUTTER
PHARMACY #17*
1013 US HIGHWAY 60 E
REPUBLIC, MO, 65738
(417) 732-4212
SPRINGFIELD
ALPS PHARMACY*
2650 W KEARNEY ST
STE 116
SPRINGFIELD, MO,
65803
(417) 865-1547
BURRELL PHARMACY*
1300 E BRADFORD
PKWY
SPRINGFIELD, MO,
65804
(417) 875-7401
CONVENIENT CARE #1*
1443 N ROBBERSON
AVE
SPRINGFIELD, MO,
65802
(417) 269-8880
CONVENIENT CARE #2*
1000 E PRIMROSE ST
SPRINGFIELD, MO,
65807
(417) 269-5584
CONVENIENT CARE #3*
3800 S NATIONAL AVE
STE 110
SPRINGFIELD, MO,
65807
(417) 269-5988
DAN'S DISCOUNT
DRUG MART*
2625 N KANSAS EXPY
SPRINGFIELD, MO,
65803
(417) 869-9003
DILLON PHARMACY
#102*
1707 W BATTLEFIELD
ST
SPRINGFIELD, MO,
65807
(417) 227-1122
DILLON PHARMACY
#103*
1831 W KEARNEY ST
SPRINGFIELD, MO,
65803
(417) 895-3144
DILLON PHARMACY
#107*
1260 E SAINT LOUIS ST
SPRINGFIELD, MO,
65802
(417) 895-3110
DILLON PHARMACY
#112*
2843 E SUNSHINE ST
SPRINGFIELD, MO,
65804
(417) 227-1000
GEORGES PHARMACY*
3650 E SUNSHINE ST
SPRINGFIELD, MO,
65809
(417) 889-7898
GROVE PHARMACY*
1001 E PRIMROSE ST
SPRINGFIELD, MO,
65807
(417) 883-6800
GROVE PHARMACY
INC*
1522 E SUNSHINE ST
SPRINGFIELD, MO,
65804
(417) 881-2910
GROVE PHARMACY
MONTCLAIR*
3050 S NATIONAL AVE
STE 109
SPRINGFIELD, MO,
65804
(417) 881-8822
HY-VEE PHARMACY
#1641*
1720 W BATTLEFIELD
ST
SPRINGFIELD, MO,
65807
(417) 884-1217
INTEGRITY
PHARMACY*
509 S UNION AVE
SPRINGFIELD, MO,
65802
(417) 865-2900
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
13

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
JORDAN VALLEY
PHARMACY*
440 E TAMPA ST
SPRINGFIELD, MO,
65806
(417) 831-0150
LAWRENCE DRUG INC*
1454 E REPUBLIC RD
SPRINGFIELD, MO,
65804
(417) 886-6880
MEDICINE STORE*
1302 E SUNSHINE ST
SPRINGFIELD, MO,
65804
(417) 881-8841
ONCOLOGY
HEMATOLOGY ASSOC
OF SPRINGFIELD*
3850 S NATIONAL AVE
STE 600
SPRINGFIELD, MO,
65807
(417) 882-4880
ORCHARD HILLS PHCY
INC*
3816A W CHESTNUT
EXPY
SPRINGFIELD, MO,
65802
(417) 868-8288
PRICE CUTTER
PHARMACY #11*
1730 S CAMPBELL AVE
SPRINGFIELD, MO,
65807
(417) 862-6900
PRICE CUTTER
PHARMACY #18*
1901 E DIVISION ST
SPRINGFIELD, MO,
65803
(417) 866-7702
PRICE CUTTER
PHARMACY #3*
1720 W GRAND ST
SPRINGFIELD, MO,
65802
(417) 874-7428
PRICE CUTTER
PHARMACY #30*
2900 E SUNSHINE ST
SPRINGFIELD, MO,
65804
(417) 887-5052
PRICE CUTTER
PHARMACY #50*
3260 E BATTLEFIELD ST
SPRINGFIELD, MO,
65804
(417) 887-5516
PRICE CUTTER
PHARMACY #51*
4228 S NATIONAL AVE
SPRINGFIELD, MO,
65810
(417) 889-6828
PRICE CUTTER
PHARMACY #52*
2021 W REPUBLIC RD
SPRINGFIELD, MO,
65807
(417) 823-4875
PRICE CUTTER PLUS
PHCY #20*
2525 W COLLEGE RD
SPRINGFIELD, MO,
65802
(417) 886-3724
SOUTH OAKS
PHARMACY*
3305 S CAMPBELL AVE
STE D
SPRINGFIELD, MO,
65807
(417) 895-9900
SPRINGFIELD FAMILY
MED WALK IN*
4049 S CAMPBELL AVE
SPRINGFIELD, MO,
65807
(417) 890-5550
ST JOHN'S
OUTPATIENT
PHARMACY*
1235 E CHEROKEE ST
SPRINGFIELD, MO,
65804
(417) 820-2752
ST JOHN'S PHARMACY-
FREMONT*
1965 S FREMONT AVE
STE 140
SPRINGFIELD, MO,
65804
(417) 820-3577
ST JOHN'S PHARMACY-
SGC*
3231 S NATIONAL AVE
SPRINGFIELD, MO,
65807
(417) 841-0116
SUNSHINE HEALTH
MART PHARMACY*
1536 W SUNSHINE ST
SPRINGFIELD, MO,
65807
(417) 863-0002
TAYLOR HEALTH &
WELLNESS
PHARMACY*
715 SOUTH FLORENCE
SPRINGFIELD, MO,
65897
(417) 836-4050
THE MEDICINE SHOPPE
#1260*
811 E DIVISION ST
SPRINGFIELD, MO,
65803
(417) 866-3054
THE MEDICINE SHOPPE
#1633*
1474 N BOONVILLE AVE
SPRINGFIELD, MO,
65802
(417) 869-1866
WILLARD
PILL BOX PHARMACY*
304 E JACKSON ST
WILLARD, MO, 65781
(417) 742-3508
GRUNDY COUNTY
TRENTON
HOMETOWN
PHARMACY -
TRENTON*
1903 E 9TH ST
TRENTON, MO, 64683
(660) 359-5700
HY-VEE PHARMACY
(1667)*
1617 E 9TH ST
TRENTON, MO, 64683
(660) 359-4955
PAMIDA #358*
2001 E 9TH ST
TRENTON, MO, 64683
(660) 359-2970
HARRISON COUNTY
BETHANY
HY-VEE PHARMACY
(1036)*
1104 S 25TH ST # 47
BETHANY, MO, 64424
(660) 425-8171
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
14

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
HENRY COUNTY
CLINTON
KREISLER #0003*
1810 E OHIO ST
CLINTON, MO, 64735
(660) 885-2227
KREISLER CLINIC
PHARMACY*
1602 N 2ND ST
CLINTON, MO, 64735
(660) 885-4646
KREISLER DRUG CO
INC*
117 W FRANKLIN ST
CLINTON, MO, 64735
(660) 885-5551
WINDSOR
MERRYFIELD
PHARMACY
200 W BENTON ST
WINDSOR, MO, 65360
(660) 647-2134
HICKORY COUNTY
HERMITAGE
HERMITAGE PROF
PHARMACY*
HIGHWAY 254 AND
DALLAS S
HERMITAGE, MO, 65668
(417) 745-2136
HOLT COUNTY
MOUND CITY
ROGERS PHARMACY*
607 STATE ST
MOUND CITY, MO,
64470
(660) 442-3355
HOWARD COUNTY
FAYETTE
SAM'S HEALTH MART
PHARMACY #3*
300 N CHURCH ST
FAYETTE, MO, 65248
(660) 248-2275
GLASGOW
HENDERSONS DRUG
STORE, LLC
523 1ST ST
GLASGOW, MO, 65254
(660) 338-2125
HOWELL COUNTY
MOUNTAIN VIEW
BOLERJACK
DISCOUNT DRUG*
124 W 2ND ST
MOUNTAIN VIEW, MO,
65548
(417) 924-2023
THAYER
COOPER DRUG
STORE*
HIGHWAY 63 N
THAYER, MO, 65791
(417) 264-7115
WEST PLAINS
BRADFORD
PHARMACY*
307 N KENTUCKY AVE
WEST PLAINS, MO,
65775
(417) 256-7532
BURTON CREEK
PHARMACY*
805 N KENTUCKY AVE
STE 2
WEST PLAINS, MO,
65775
(417) 256-2274
PRICE CUTTER
PHARMACY #9*
1211 PARKWAY
SHOPPING CTR
WEST PLAINS, MO,
65775
(417) 256-4620
WEST PLAINS HEALTH
MART*
1453 GIBSON ST
WEST PLAINS, MO,
65775
(417) 256-7706
WILLOW SPRINGS
FERGUSON DRUG*
101 E MAIN ST
WILLOW SPRINGS, MO,
65793
(417) 469-3005
IRON COUNTY
IRONTON
ARCADIA VALLEY
DRUG #7634*
605 N MAIN ST
IRONTON, MO, 63650
(573) 546-7915
JACKSON COUNTY
BLUE SPRINGS
HY-VEE PHARMACY
(1033)*
601 W. 40 HIGHWAY
BLUE SPRINGS, MO,
64015
(816) 224-4277
MARRS PHARMACY*
205 NW R D MIZE RD
BLUE SPRINGS, MO,
64014
(816) 229-7755
PRICE CHOPPER
PHARMACY #104*
1100 SW STATE ROUTE
7
BLUE SPRINGS, MO,
64014
(816) 229-3252
GRAIN VALLEY
RED CROSS
PHARMACY
301 SW EAGLES PKWY
GRAIN VALLEY, MO,
64029
(816) 847-2990
GRANDVIEW
ALBERS MEDICAL
PHARMACY*
7201 E 147TH ST STE
140
GRANDVIEW, MO,
64030
(816) 318-9999
THE MEDICINE SHOPPE
#1104*
900 MAIN ST
GRANDVIEW, MO,
64030
(816) 761-5566
INDEPENDENCE
50 PLUS
PRESCRIPTION SHOP*
211 W LEXINGTON AVE
INDEPENDENCE, MO,
64050
(816) 461-6546
AUBURN PHARMACY*
4201 S NOLAND RD
INDEPENDENCE, MO,
64055
(816) 478-3088
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
15

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
AUBURN PHARMACY*
16611 E 23RD ST S
INDEPENDENCE, MO,
64055
(816) 833-8629
HY-VEE PHARMACY #1
(1260)*
1525 E 23RD ST S
INDEPENDENCE, MO,
64055
(816) 836-9918
HY-VEE PHARMACY #2
(1261)*
4545 S NOLAND RD
INDEPENDENCE, MO,
64055
(816) 478-1968
LOWE DRUG AT
CENTERPOINT*
19550 E 39TH ST S STE
120
INDEPENDENCE, MO,
64057
(816) 795-0086
PASSANTINO'S
SUNFRESH
2301 S STERLING AVE
INDEPENDENCE, MO,
64052
(816) 461-1287
STADIUM PHARMACY*
4811 S ARROWHEAD
DR
INDEPENDENCE, MO,
64055
(816) 356-4600
WATT DRUG
COMPANY*
11724 E 23RD ST S
INDEPENDENCE, MO,
64050
(816) 461-8844
KANSAS CITY
ALBERS MEDICAL
PHARMACY*
4400 BROADWAY ST
STE 106
KANSAS CITY, MO,
64111
(816) 931-0100
BIOSCRIP PHARMACY
#4002*
4620 J C NICHOLS
PKWY STE 417
KANSAS CITY, MO,
64112
(816) 561-1933
CANCER CENTER
PHARMACY SOUTH*
1000 E 101ST TER
KANSAS CITY, MO,
64131
(816) 823-6635
CARONDELET
PHARMACY
1000 CARONDELET DR
KANSAS CITY, MO,
64114
(816) 943-4879
DCI PHARMACY -
KANSAS CITY*
650 CARONDELET DR
KANSAS CITY, MO,
64114
(816) 941-2162
MARSH'S SUN FRESH
PHCY*
4001 MILL ST
KANSAS CITY, MO,
64111
(816) 931-1505
PRICE CHOPPER
PHARMACY #102*
1030 W 103RD ST
KANSAS CITY, MO,
64114
(816) 777-0553
SAMUEL U RODGERS
HEALTH CENTER*
825 EUCLID AVE
KANSAS CITY, MO,
64124
(816) 889-4652
SPALITTOS
PHARMACY*
3801 INDEPENDENCE
AVE
KANSAS CITY, MO,
64124
(816) 231-4717
STARK PHARMACY*
6420 PROSPECT AVE
STE T103
KANSAS CITY, MO,
64132
(816) 363-3232
STARK
PROFESSIONAL*
6675 HOLMES RD STE
201
KANSAS CITY, MO,
64131
(816) 333-6611
SWOPE HEALTH
SERVICES*
3801 BLUE PKWY
KANSAS CITY, MO,
64130
(816) 922-7645
THE CHILDREN'S
MERCY HOSPITAL*
2401 GILLHAM RD
KANSAS CITY, MO,
64108
(816) 234-3055
TMC INC BEHAVIORAL
HEALTH PHARMACY
300 W 19TH TER
KANSAS CITY, MO,
64108
(816) 404-6004
TRANSMED
PHARMACY*
4620 J C NICHOLS
PKWY STE 502
KANSAS CITY, MO,
64112
(816) 960-0353
TRUMAN MEDICAL
CENTER LAKEWOOD
7900 LEES SUMMIT RD
KANSAS CITY, MO,
64139
(816) 404-9033
LEES SUMMIT
CANCER CENTER
PHARMACY EAST*
4881 NE GOODVIEW
CIR
LEES SUMMIT, MO,
64064
(816) 350-5844
HY-VEE PHARMACY #1
(1380)*
301 NE RICE RD
LEES SUMMIT, MO,
64086
(816) 524-6377
HY-VEE PHARMACY #2
(1381)*
310 SW WARD RD
LEES SUMMIT, MO,
64081
(816) 554-2211
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
16

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
PRICE CHOPPER
PHARMACY #157*
937 NE WOODS
CHAPEL RD
LEES SUMMIT, MO,
64064
(816) 246-7300
PRICE CHOPPER
PHARMACY #171*
251 SW GREENWICH
DR
LEES SUMMIT, MO,
64082
(816) 744-2104
THE MEDICINE SHOPPE
#0626*
1405 NE DOUGLAS ST
LEES SUMMIT, MO,
64086
(816) 524-8444
OAK GROVE
RED CROSS
PHARMACY
707 S BROADWAY
OAK GROVE, MO, 64075
(816) 690-8600
RAYTOWN
FOX'S DRUG STORE*
10004 E 63RD ST
RAYTOWN, MO, 64133
(816) 353-1600
HY-VEE PHARMACY
(1542)*
9400 E 350
RAYTOWN, MO, 64133
(816) 358-5988
SAMS PRESCRIPTION
SHOP*
7506 RAYTOWN RD
RAYTOWN, MO, 64138
(816) 356-0300
SUGAR CREEK
MATT'S MEDICINE
STORE*
11200 1/2 E US
HIGHWAY 24
SUGAR CREEK, MO,
64054
(816) 833-3636
JASPER COUNTY
CARL JUNCTION
BRUNER DRUG*
102 S MAIN ST
CARL JUNCTION, MO,
64834
(417) 649-7021
CARTHAGE
PRICE CUTTER
PHARMACY #21*
1223 W CENTRAL AVE
CARTHAGE, MO, 64836
(417) 237-7400
VISTA PHARMACY*
1601 MISSOURI AVE
CARTHAGE, MO, 64836
(417) 358-3140
WILKINSON
PHARMACY*
2017 S GARRISON AVE
CARTHAGE, MO, 64836
(417) 461-7777
JOPLIN
DILLON PHARMACY
#105*
1402 E 20TH ST
JOPLIN, MO, 64804
(417) 782-4802
PRICE CUTTER
PHARMACY #57*
1850 S MAIDEN LN
JOPLIN, MO, 64801
(417) 626-0851
PRONTO PHARMACY*
2602 MC CLELLAND
BLVD
JOPLIN, MO, 64804
(417) 781-8383
THE MEDICINE SHOPPE
#0620*
2131 E 32ND ST
JOPLIN, MO, 64804
(417) 781-2332
WILKINSON
PHARMACY #9*
1227 E 32ND ST STE 5
JOPLIN, MO, 64804
(417) 623-7907
SARCOXIE
SARCOXIE
PHARMACY*
1408 HIGH ST
SARCOXIE, MO, 64862
(417) 548-7184
WEBB CITY
BRUNER PHARMACY*
101 W DAUGHERTY ST
WEBB CITY, MO, 64870
(417) 673-4663
PRICE CUTTER
PHARMACY #23*
1503 W MACARTHUR
DR
WEBB CITY, MO, 64870
(417) 673-6302
STONES CORNER
PHARMACY*
6059 N MAIN STREET
RD
WEBB CITY, MO, 64870
(417) 624-6590
THE MEDICINE SHOPPE
#1486*
1107 S MADISON ST
STE A
WEBB CITY, MO, 64870
(417) 673-4909
JEFFERSON COUNTY
ARNOLD
ARNOLD COMMONS*
860 ARNOLD
COMMONS DR
ARNOLD, MO, 63010
(636) 282-4817
KEVIN LICKERBROCK*
3619 RICHARDSON
SQUARE DR
ARNOLD, MO, 63010
(952) 653-2568
CEDAR HILL
CEDAR HILL DRUG*
7032 STATE RD RT BB
CEDAR HILL, MO, 63016
(636) 274-3111
CRYSTAL CITY
TWIN CITY PHARMACY*
1447 US HWY 61 STE A
CRYSTAL CITY, MO,
63019
(636) 937-8228
DE SOTO
THE MEDICINE SHOPPE
#1376*
100 N MAIN ST
DE SOTO, MO, 63020
(636) 586-5533
WESTLAND
PHARMACY*
2060 ROCK RD
DE SOTO, MO, 63020
(636) 586-1766
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
17

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
FESTUS
APOTHECARY
SERVICES INC
1400 HIGHWAY 61 STE
G38
FESTUS, MO, 63028
(636) 933-1600
DOM RICHARDS*
660 S TRUMAN BLVD
FESTUS, MO, 63028
(952) 653-2568
PRESCRIPTIONS PLUS*
1113 W GANNON DR
FESTUS, MO, 63028
(636) 933-2224
THE MEDICINE SHOPPE
#0812*
116 WALNUT ST
FESTUS, MO, 63028
(636) 931-6444
HILLSBORO
HILLSBORO DRUG*
10666 HIGHWAY 21
HILLSBORO, MO, 63050
(636) 797-3468
JOHNSON COUNTY
HOLDEN
WILKINSON
PHARMACY #8*
113 W 2ND ST
HOLDEN, MO, 64040
(816) 732-5514
WARRENSBURG
BI-LO PHARMACY*
410 E YOUNG AVE
WARRENSBURG, MO,
64093
(660) 429-6650
CENTRAL FAMILY
MEDICINE INC*
407 E RUSSELL AVE
BLDG C
WARRENSBURG, MO,
64093
(660) 747-5114
PARKERS PHARMACY*
1047 S MAGUIRE ST
WARRENSBURG, MO,
64093
(660) 747-7449
RED CROSS
PHARMACY
509 BURKARTH RD
WARRENSBURG, MO,
64093
(660) 747-9171
WESTERN MISSOURI
MEDICAL*
403 BURKARTH RD
WARRENSBURG, MO,
64093
(660) 429-6434
LACLEDE COUNTY
LEBANON
GINGER'S HOMETOWN
PHARMACY
550 N JEFFERSON AVE
LEBANON, MO, 65536
(417) 532-9110
JOES PHARMACY*
489 S JEFFERSON AVE
LEBANON, MO, 65536
(417) 532-7128
SMITTY'S #10*
601 S JEFFERSON AVE
LEBANON, MO, 65536
(417) 588-3313
ST JOHN'S PHARMACY-
LEBANON*
200 HOSPITAL DR
LEBANON, MO, 65536
(417) 533-6770
WILKINSON
PHARMACY #7*
143 W ELM ST
LEBANON, MO, 65536
(417) 532-4431
LAFAYETTE COUNTY
CONCORDIA
BRITT'S CENTRAL
DRUG*
728 S MAIN ST
CONCORDIA, MO, 64020
(660) 463-2519
HIGGINSVILLE
MEDICINE SHOPPE
PHARMACY #1573*
810 W 35TH ST STE 101
HIGGINSVILLE, MO,
64037
(660) 584-2700
LEXINGTON
RED CROSS
PHARMACY
HWY 13 & 20TH ST
LEXINGTON, MO, 64067
(660) 259-2258
THE MEDICINE SHOPPE
#1380*
1120 FRANKLIN AVE
LEXINGTON, MO, 64067
(660) 259-2591
ODESSA
ODESSA FAMILY
PHARMACY*
316 E US HIGHWAY 40
ODESSA, MO, 64076
(816) 633-8480
RED CROSS
PHARMACY
101 S 2ND ST
ODESSA, MO, 64076
(816) 633-5518
THE DRUG STORE*
408 N 4TH ST STE A
ODESSA, MO, 64076
(816) 633-8000
LAWRENCE COUNTY
AURORA
AURORA
PROFESSIONAL PHCY*
124 S MADISON AVE
AURORA, MO, 65605
(417) 678-4136
PRICE CUTTER PHCY
#15*
708 S ELLIOTT AVE
AURORA, MO, 65605
(417) 678-0493
MARIONVILLE
MARIONVILLE
PHARMACY*
201 S HIGHWAY 60
MARIONVILLE, MO,
65705
(417) 258-2526
MONETT
OLD TOWN
PHARMACY*
100 CHAPEL DR STE A
MONETT, MO, 65708
(417) 635-1100
RAMEY'S PHARMACY
#5*
2150 E CLEVELAND ST
MONETT, MO, 65708
(417) 236-2820
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
18

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
MOUNT VERNON
LANDRUM DRUG INC*
1319 S LANDRUM ST
STE E
MOUNT VERNON, MO,
65712
(417) 461-1100
MT VERNON
HOMETOWN
PHARMACY #4*
606 E MOUNT VERNON
BLVD
MOUNT VERNON, MO,
65712
(417) 466-2000
PIERCE CITY
THOMPSON FAMILY
DRUG*
119 E MAIN ST
PIERCE CITY, MO,
65723
(417) 476-2828
LEWIS COUNTY
CANTON
COUNTY MARKET
PHARMACY 409*
1805 ELM ST
CANTON, MO, 63435
(573) 288-0355
LEWISTOWN
DENMAN COUNTRY
DRUG
HIGHWAY 6 W
LEWISTOWN, MO,
63452
(573) 497-2727
LINCOLN COUNTY
ELSBERRY
ELSBERRY
PHARMACY*
106 BROADWAY ST STE
A
ELSBERRY, MO, 63343
(573) 898-2550
TROY
BECKWITH
PHARMACY*
107 N LINCOLN DR
TROY, MO, 63379
(636) 528-8462
THE MEDICINE SHOPPE
PHCY #1424*
10 CENTERLINE DR
TROY, MO, 63379
(636) 462-7005
LINN COUNTY
BROOKFIELD
GREEN HILLS
PHARMACY*
206 N MAIN ST
BROOKFIELD, MO,
64628
(660) 258-2122
LIVINGSTON COUNTY
CHILLICOTHE
HOMETOWN
PHARMACY*
601 LOCUST ST
CHILLICOTHE, MO,
64601
(660) 646-7455
HY-VEE PHARMACY
(1077)*
1210 WASHINGTON ST
CHILLICOTHE, MO,
64601
(660) 646-1280
MACON COUNTY
LA PLATA
LAPLATA PHARMACY*
29936 JULY RD
LA PLATA, MO, 63549
(660) 332-4456
MACON
MILLER REXALL DRUG*
115 VINE ST
MACON, MO, 63552
(660) 385-2167
RED CROSS
PHARMACY
402 E BRIGGS DR
MACON, MO, 63552
(660) 385-2147
MADISON COUNTY
FREDERICKTOWN
DICUS DRUG*
210 E MURTA ST
FREDERICKTOWN, MO,
63645
(573) 783-2788
MEDICATE
PHARMACY*
111 E MAIN ST
FREDERICKTOWN, MO,
63645
(573) 783-5508
MARIES COUNTY
VIENNA
SINKS PHARMACY*
606 HIGHWAY 63 S
VIENNA, MO, 65582
(573) 422-6400
MARION COUNTY
HANNIBAL
COUNTY MARKET
PHARMACY 184*
5 DIAMOND BLVD
HANNIBAL, MO, 63401
(573) 221-3000
GOSNEY PHARMACY*
2900A SAINT MARYS
AVE
HANNIBAL, MO, 63401
(573) 248-8322
GRAND PHARMACY*
733 GRAND AVE
HANNIBAL, MO, 63401
(573) 221-2792
HANNIBAL CLINIC
OPERATIONS LLC*
100 MEDICAL DR
HANNIBAL, MO, 63401
(573) 221-5250
PALMYRA
COUNTRY MARKET
PHARMACY 375*
1208 S MAIN ST
PALMYRA, MO, 63461
(573) 769-0343
PAMIDA PHARMACY
#866*
502 E ROSS ST
PALMYRA, MO, 63461
(573) 769-1115
MCDONALD COUNTY
ANDERSON
MUSTANG DRUG INC
704C S HIGHWAY 59
ANDERSON, MO, 64831
(417) 845-7799
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
19

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
NOEL
NOEL PHARMACY*
222 MAIN ST
NOEL, MO, 64854
(417) 475-3292
MERCER COUNTY
PRINCETON
HY-VEE CLINIC
PHARMACY (1036)*
710 W MAIN ST
PRINCETON, MO, 64673
(660) 748-7730
MILLER COUNTY
ELDON
ELDON DRUG*
101 S MAPLE ST
ELDON, MO, 65026
(573) 392-4588
GERBES PHARMACY
#116*
410 E NORTH ST
ELDON, MO, 65026
(573) 392-7336
LAKE OZARK
LAKE REGIONAL
PHARMACY-LO*
1870 BAGNELL DAM
BLVD
LAKE OZARK, MO,
65049
(573) 964-6200
LIME IN THE COCONUT
SPECIALTY CO*
111 CROSSINGS W STE
6
LAKE OZARK, MO,
65049
(573) 964-6786
OSAGE BEACH
HY-VEE PHARMACY
(1475)*
929 HIGHWAY D
OSAGE BEACH, MO,
65065
(573) 302-8383
MISSISSIPPI COUNTY
CHARLESTON
L & S DISCOUNT
PHARMACY*
406 S MAIN ST
CHARLESTON, MO,
63834
(573) 683-3307
SIMMONS & GRAHAM
PHARMACY
101 N MAIN ST
CHARLESTON, MO,
63834
(573) 683-3366
EAST PRAIRIE
BEAUTON DRUG
SHOP*
124 N WASHINGTON ST
EAST PRAIRIE, MO,
63845
(573) 649-3923
MAIN STREET
PHARMACY*
117 E MAIN ST
EAST PRAIRIE, MO,
63845
(573) 649-9229
MONITEAU COUNTY
CALIFORNIA
BOND PHARMACY INC*
703 W BUCHANAN ST
CALIFORNIA, MO, 65018
(573) 796-3145
HOMETOWN
PHARMACY
408 W BUCHANAN ST
STE A
CALIFORNIA, MO, 65018
(573) 796-2225
PAMIDA PHARMACY
#853*
1021 W BUCHANAN ST
CALIFORNIA, MO, 65018
(573) 796-8002
TIPTON
SAINT MARY'S TIPTON
PHCY*
875 HWY 5 SOUTH
TIPTON, MO, 65081
(660) 433-5404
MONROE COUNTY
MONROE CITY
GATEWAY PHARMACY
1110 HIGHWAY 24/36 E
STE 28
MONROE CITY, MO,
63456
(573) 735-4880
PARIS
PARIS PHARMACY
223 N MAIN ST
PARIS, MO, 65275
(660) 327-4514
MONTGOMERY
COUNTY
MONTGOMERY CITY
MEDICINE SHOPPE
PHARMACY #1696*
635 S STURGEON ST
MONTGOMERY CITY,
MO, 63361
(573) 564-1111
MONTGOMERY CY
FAMILY PHARMACY*
806 N STURGEON ST
MONTGOMERY CY, MO,
63361
(573) 564-2273
MORGAN COUNTY
LAURIE
LAURIE HEALTHMART
PHARMACY*
156 MISSOURI BLVD
LAURIE, MO, 65038
(573) 374-7522
VERSAILLES
CLINIC PHARMACY*
901 KIDWELL DR
VERSAILLES, MO, 65084
(573) 378-4661
NEW MADRID COUNTY
NEW MADRID
DAVIS PHARMACY*
415 MOTT ST
NEW MADRID, MO,
63869
(573) 748-5205
PORTAGEVILLE
BUTLERS DRUG
STORE*
222 E MAIN ST
PORTAGEVILLE, MO,
63873
(573) 379-5469
NEWTON COUNTY
JOPLIN
OZARK CENTER
PHARMACY*
530 E 34TH ST STE 200
JOPLIN, MO, 64804
(417) 347-7490
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
20

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
QUICK MEDS
PHARMACY*
1102 W 32ND ST
JOPLIN, MO, 64804
(417) 347-3792
QUICKMEDS
PHARMACY*
3201 MCCLELLAND
BLVD
JOPLIN, MO, 64804
(417) 347-6337
NEOSHO
COUNTRY CARE
PHARMACY
1504 N BUSINESS 71
NEOSHO, MO, 64850
(417) 451-9301
FAMILY PHARMACY OF
NEOSHO
1000 S NEOSHO BLVD
NEOSHO, MO, 64850
(417) 451-9501
JON'S PHARMACY*
219 S WASHINGTON ST
NEOSHO, MO, 64850
(417) 451-3775
QUICKMEDS
PHARMACY - NEOSHO*
336 S JEFFERSON ST
NEOSHO, MO, 64850
(417) 455-4378
SENECA
PRATERS DISCOUNT
PHARMACY*
1711 CHEROKEE AVE
SENECA, MO, 64865
(417) 776-8701
NODAWAY COUNTY
MARYVILLE
HY-VEE PHARMACY
(1406)*
1217 S MAIN ST
MARYVILLE, MO, 64468
(660) 582-2199
OREGON COUNTY
ALTON
MYERS PHARMACY*
HIGHWAY 160 N
ALTON, MO, 65606
(417) 778-7727
THAYER
THAYER DRUG STORE*
623 S 6TH ST
THAYER, MO, 65791
(417) 264-3784
OSAGE COUNTY
BELLE
SINKS PHARMACY
#100*
206D N ALVARADO ST
BELLE, MO, 65013
(573) 859-3100
LINN
LINN DRUGS*
304 E MAIN ST
LINN, MO, 65051
(573) 897-4140
WESTPHALIA
ST MARY'S
WESTPHALIA PHCY*
1875 HIGHWAY 63
WESTPHALIA, MO,
65085
(573) 455-2284
OZARK COUNTY
GAINESVILLE
COURT SQUARE
PHARMACY*
101 E 3RD ST
GAINESVILLE, MO,
65655
(417) 679-2650
PEMISCOT COUNTY
CARUTHERSVILLE
HAYDEN PHARMACY*
1200 WARD AVE
CARUTHERSVILLE, MO,
63830
(573) 333-4606
CARUTHERSVLLE
PRESCRIPTION DRUG
STORE LLC*
410 WARD AVE
CARUTHERSVLLE, MO,
63830
(573) 333-4890
HAYTI
THE PRESCRIPTION
DRUG #2*
308 E MAIN ST
HAYTI, MO, 63851
(573) 359-0008
STEELE
GREENE PHARMACY*
128 W MAIN ST
STEELE, MO, 63877
(573) 695-4533
PERRY COUNTY
PERRYVILLE
HEALTHCARE
HEALTHMART*
628 OLD SAINT MARYS
RD
PERRYVILLE, MO,
63775
(573) 547-6505
PRESCRIPTION PLUS*
212 HOSPITAL LN STE
102
PERRYVILLE, MO,
63775
(573) 547-4960
PETTIS COUNTY
SEDALIA
BINGS REXALL #0001*
1400 S LIMIT AVE
SEDALIA, MO, 65301
(660) 826-2133
CASH SAVER
PHARMACY*
1701 E BROADWAY
BLVD
SEDALIA, MO, 65301
(660) 826-2000
MEDICAL CENTER
PHARMACY*
1700 S INGRAM AVE
SEDALIA, MO, 65301
(660) 826-2626
PLAZA PHARMACY*
700 S LIMIT AVE
SEDALIA, MO, 65301
(660) 826-2431
PLAZA WEST
PHARMACY*
3330 W 10TH ST
SEDALIA, MO, 65301
(660) 827-0000
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
21

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
SWORDS FAMILY
PHARMACY*
300 S OHIO AVE
SEDALIA, MO, 65301
(660) 826-0462
WOODS PHARMACY
#2470*
701 E BROADWAY BLVD
SEDALIA, MO, 65301
(660) 827-2643
PHELPS COUNTY
ROLLA
HILLCREST DRUG
1100B S BISHOP AVE
ROLLA, MO, 65401
(573) 364-3258
PHELPS COUNTY
REGIONAL*
1050 W 10TH ST
ROLLA, MO, 65401
(573) 458-3010
SINKS PHARMACY*
1113 HAUCK DR
ROLLA, MO, 65401
(573) 364-9616
SINKS PHARMACY
SOUTH*
1008 S BISHOP AVE
ROLLA, MO, 65401
(573) 308-4899
ST JOHN'S CLINIC
PHARMACY ROLLA*
1605 MARTIN SPRINGS
DR STE 220
ROLLA, MO, 65401
(573) 458-6433
SAINT JAMES
FOREST CITY MEDICAL
CTR
1000B N JEFFERSON
ST
SAINT JAMES, MO,
65559
(573) 265-2525
FOREST CITY
PHARMACY
125 N JEFFERSON ST
SAINT JAMES, MO,
65559
(573) 265-5400
ST JOHN'S PHARMACY
ST JAMES*
105 W ELDON ST
SAINT JAMES, MO,
65559
(573) 265-8901
PIKE COUNTY
BOWLING GREEN
BEST BUY PHARMACY
1106 S BUSINESS
HIGHWAY 61
BOWLING GREEN, MO,
63334
(573) 324-3383
BOWLING GREEN
PHCY*
8 N COURT ST
BOWLING GREEN, MO,
63334
(573) 324-2112
LOUISIANA
FAMILY DRUG*
301 GEORGIA ST
LOUISIANA, MO, 63353
(573) 754-4551
PLATTE COUNTY
KANSAS CITY
CANCER CENTER
PHARMACY NORTH*
8700 N GREEN HILLS
RD
KANSAS CITY, MO,
64154
(816) 584-4837
HEN HOUSE
PHARMACY #29*
6238 N CHATHAM AVE
KANSAS CITY, MO,
64151
(816) 746-1475
HY-VEE PHARMACY #1
(1320)*
8301 N SAINT CLAIR
AVE
KANSAS CITY, MO,
64151
(816) 505-1010
HY-VEE PHARMACY #3
(1322)*
5330 NW 64TH ST
KANSAS CITY, MO,
64151
(816) 505-1768
SAINT LUKE'S NORTH
OUTPATIENT
PHARMACY*
5844 NW BARRY RD
STE 20
KANSAS CITY, MO,
64154
(816) 880-3850
PARKVILLE
AUBURN PHARMACY*
9107 NW 45 HWY
PARKVILLE, MO, 64152
(816) 587-2211
PLATTE CITY
MILLER
PROFESSIONAL PHCY
INC
2703 RUNNING HORSE
RD STE 1A
PLATTE CITY, MO,
64079
(816) 858-2400
THE PHARMACY AT
PRICE CHOPPER*
2600 ENSIGN HILL DR #
2
PLATTE CITY, MO,
64079
(816) 431-2751
RIVERSIDE
ALBERS SPECIALTY
PHARMACY*
616 NW PLATTE
VALLEY DR
RIVERSIDE, MO, 64150
(816) 778-8050
WESTON
WESTON PHARMACY*
18215A HWY 45 N
WESTON, MO, 64098
(816) 386-5541
POLK COUNTY
BOLIVAR
DR LEO SHUNYAKOV*
1501 N OAKLAND AVE
BOLIVAR, MO, 65613
(417) 326-7200
STEPHENS
PHARMACY*
1100 S SPRINGFIELD
AVE
BOLIVAR, MO, 65613
(417) 326-2416
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
22

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
THE MEDICINE SHOPPE
#1130*
2000 S SPRINGFIELD
AVE
BOLIVAR, MO, 65613
(417) 326-7455
WOODS PHARMACY
#2471*
703 E COLLEGE ST
BOLIVAR, MO, 65613
(417) 326-5208
PULASKI COUNTY
DIXON
COUNTRY MART
PHARMACY #2416
508 E 5TH ST
DIXON, MO, 65459
(573) 759-3073
HOMETOWN
PHARMACY*
206 W 2ND ST
DIXON, MO, 65459
(573) 759-2230
RICHLAND
STOCKSTILLS
PHARMACY*
104 W MCCLURG AVE
RICHLAND, MO, 65556
(573) 765-3321
ST ROBERT
ST JOHN'S PHARMACY
ST ROBERT*
586 OLD ROUTE 66
ST ROBERT, MO, 65584
(573) 336-2180
WAYNESVILLE
PRICE CUTTER
PHARMACY #56*
300 ICHORD AVE
WAYNESVILLE, MO,
65583
(573) 774-8469
PUTNAM COUNTY
UNIONVILLE
WARNER DRUG*
108 S 17TH ST
UNIONVILLE, MO, 63565
(660) 947-2484
RANDOLPH COUNTY
MOBERLY
BUNTIN PHARMACY*
1513 UNION AVE
MOBERLY, MO, 65270
(660) 263-6611
KRIBBS FAMILY
PHARMACY*
319 W REED ST
MOBERLY, MO, 65270
(660) 263-8020
SAM'S HEALTH MART
PHARMACY #2*
530 E 24 HIGHWAY
MOBERLY, MO, 65270
(660) 263-0909
SAM'S HEALTH MART
PHARMACY#1*
300 N MORLEY ST
MOBERLY, MO, 65270
(660) 263-0909
RAY COUNTY
LAWSON
MONROE PHARMACY
412 N PENNSYLVANIA
AVE
LAWSON, MO, 64062
(816) 580-3415
RICHMOND
C & C DISCOUNT
DRUG*
401 WOLLARD BLVD
RICHMOND, MO, 64085
(816) 776-6926
MEDICINE SHOPPE
#1976*
706 WOLLARD BLVD
RICHMOND, MO, 64085
(816) 776-3315
REYNOLDS COUNTY
ELLINGTON
BROWN'S PHARMACY*
375 TRIMMER LN
ELLINGTON, MO, 63638
(573) 663-7707
RIPLEY COUNTY
DONIPHAN
E & S PHARMACY INC*
115 W JEFFERSON ST
DONIPHAN, MO, 63935
(573) 996-7157
HOMETOWN
PHARMACY*
110 LEROUX ST
DONIPHAN, MO, 63935
(573) 996-4000
MEDICAL CENTER
PHARMACY*
513 N GRAND AVE
DONIPHAN, MO, 63935
(573) 996-3784
PAMINDA PHARMACY
#663*
115 LEROUX ST
DONIPHAN, MO, 63935
(573) 996-2311
SAINT CHARLES
COUNTY
O FALLON
DEER CREEK*
2979 HIGHWAY K
O FALLON, MO, 63368
(636) 379-8910
ST JOHNS MERCY
URGENT CARE*
300 WINDING WOODS
DR
O FALLON, MO, 63366
(952) 653-2568
ST LUKE'S PHARMACY-
WINGHAVEN*
5551 WINGHAVEN BLVD
STE 120
O FALLON, MO, 63368
(636) 695-2555
WHARF PHARMACY*
2175 W TERRA LN
O FALLON, MO, 63366
(636) 887-4008
SAINT CHARLES
SSM ST CHARLES
CLINIC MED GRP
PHARMACY*
1551 WALL ST STE 320
SAINT CHARLES, MO,
63303
(636) 669-2223
ST CHARLES HEALTH
MART PHARMACY*
305 HAWTHORN AVE
SAINT CHARLES, MO,
63301
(636) 946-7452
STANDARD #0005*
3110 W CLAY ST
SAINT CHARLES, MO,
63301
(636) 946-3866
THE MEDICINE SHOPPE
#0564*
488 S 5TH ST
SAINT CHARLES, MO,
63301
(636) 949-5593
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
23

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
SAINT PETERS
94 CROSSING*
6211 MID RIVERS MALL
DR
SAINT PETERS, MO,
63304
(636) 936-3020
BARNES JEWISH ST
PETER*
6 JUNGERMANN CIR
SAINT PETERS, MO,
63376
(636) 916-9790
MICHAEL J ADAMS DO*
408 JUNGERMANN RD
SAINT PETERS, MO,
63376
(636) 449-5757
ST JOHN'S MERCY
URGENT CARE*
107 PIPER HILL DR STE
100
SAINT PETERS, MO,
63376
(952) 653-2568
STANDARD #0007*
2 CHARLESTOWNE PLZ
SAINT PETERS, MO,
63303
(636) 441-1055
THE MEDICINE SHOPPE
#1356*
505 SALT LICK RD
SAINT PETERS, MO,
63376
(636) 278-6561
ST PETERS
79 CROSSING*
217 SALT LICK RD
ST PETERS, MO, 63376
(636) 970-3510
MIDWEST ENT
CENTRE*
4790 EXECUTIVE
CENTRE PKWY
ST PETERS, MO, 63376
(636) 441-3100
WOMENS CARE
SPECIALISTS LLC*
209 FIRST EXECUTIVE
AVE
ST PETERS, MO, 63376
(639) 936-8777
ST. CHARLES
BOGEY HILLS*
2021 ZUMBEL ROAD
ST. CHARLES, MO,
63301
(636) 947-0929
WENTZVILLE
MISSOURI CANCER
CARE PHARMACY
153 HAMILTON
INDUSTRIAL CT
WENTZVILLE, MO,
63385
(636) 327-0319
WENTZVILLE*
1820 WENTZVILLE
PKWY
WENTZVILLE, MO,
63385
(636) 887-3317
SAINT CLAIR COUNTY
APPLETON CITY
KREISLER COUNTRY
PHARMACY*
121 W 4TH ST
APPLETON CITY, MO,
64724
(660) 476-2142
OSCEOLA
SAC-OSAGE HOSP TRI
COUNTY CLINIC
855 ARDUSER DR
OSCEOLA, MO, 64776
(417) 646-8153
WAYNE L MORTON MD*
101 GIESLER DR
OSCEOLA, MO, 64776
(417) 646-8123
SAINT FRANCOIS
COUNTY
BONNE TERRE
ALLEN STREET
APOTHECARY
36 N ALLEN ST
BONNE TERRE, MO,
63628
(573) 358-3311
COUNTRY MART
PHARMACY*
50 BERRY RD
BONNE TERRE, MO,
63628
(573) 358-0099
PHARMAX PHARMACY
#1365*
60 NESBIT DR STE A
BONNE TERRE, MO,
63628
(573) 358-3301
DESLOGE
PARKLAND HEALTH
MART PHARMACY*
617 N COWLING ST STE
G
DESLOGE, MO, 63601
(573) 431-6677
USA DRUG #7638*
1142 N DESLOGE DR
DESLOGE, MO, 63601
(573) 431-2242
FARMINGTON
DICUS PRESCRIPTION
DRUGS*
125 W KARSCH BLVD
FARMINGTON, MO,
63640
(573) 756-5425
MEDICAP PHARMACY
#152*
800 VALLEY CREEK DR
FARMINGTON, MO,
63640
(573) 760-0200
USA CLINIC AT
MINERAL AREA
HOSPITAL*
1101 WEBER RD
FARMINGTON, MO,
63640
(573) 756-6617
USA DRUG #7636*
120 E KARSCH BLVD
FARMINGTON, MO,
63640
(573) 756-6421
USA DRUG #7637*
1107 W LIBERY ROOM
1002
FARMINGTON, MO,
63640
(573) 756-2799
LEADINGTON
PHARMAX PHARMACY
#1343*
113 SAINT FRANCOIS
PLZ
LEADINGTON, MO,
63601
(573) 431-5040
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
24

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
PARK HILLS
COUNTRY MART
PHARMACY*
301 T J STEWART DR
PARK HILLS, MO, 63601
(573) 431-8537
SAINT LOUIS COUNTY
BALLWIN
DIERBERGS
LAFAYETTE
PHARMACY*
421 LAFAYETTE CTR
BALLWIN, MO, 63011
(636) 591-0600
FITZPATRICK
PHARMACY*
15394 MANCHESTER
RD
BALLWIN, MO, 63011
(636) 394-6622
MERCY CLINIC*
2200 BARRETT
STATION RD
BALLWIN, MO, 63021
(952) 653-2568
MERCY PHARMACY
CLAYTON CLARKSON*
15945 CLAYTON RD
STE 140
BALLWIN, MO, 63011
(636) 256-5111
BRIDGETON
GENESIS*
12266 DE PAUL DR
BRIDGETON, MO, 63044
(314) 291-2975
SSM RX EXPRESS*
12266 DEPAUL DRIVE
SUITE 105
BRIDGETON, MO, 63044
(314) 344-7567
CHESTERFIELD
CENTRIC HEALTH
RESOURCES INC
17877 CHESTERFIELD
AIRPORT RD
CHESTERFIELD, MO,
63005
(866) 849-4481
INTERNACARE LLC*
226 S WOODS MILL RD
STE 56W
CHESTERFIELD, MO,
63017
(314) 373-2501
MARKET PLACE*
1730 CLARKSON RD
CHESTERFIELD, MO,
63017
(636) 537-9408
MEDICINE SHOPPE*
106 B FOUR SEASONS
SHOPPING C
CHESTERFIELD, MO,
63017
(314) 469-7171
PEPOSE VUSION
INSTITUTE INC*
1815 CLARKSON RD
CHESTERFIELD, MO,
63017
(636) 534-5111
ST LUKE'S PHARMACY*
224 S WOODS MILL RD
STE 350S
CHESTERFIELD, MO,
63017
(314) 205-6023
CLAYTON
MEDICAL ARTS
PHARMACY
211 N MERAMEC AVE
CLAYTON, MO, 63105
(314) 862-0333
CREVE COEUR
CARE PHARMACY LLC*
777 CRAIG RD
CREVE COEUR, MO,
63141
(314) 997-3740
GLOBAL PHARMA LIFE
LLC*
10479 OLD OLIVE
STREET RD
CREVE COEUR, MO,
63141
(314) 997-7722
HERITAGE PLACE*
12595 OLIVE STREET
ROAD
CREVE COEUR, MO,
63141
(314) 542-2194
THE CORNER
PHARMACY
727 N NEW BALLAS RD
CREVE COEUR, MO,
63141
(314) 567-1201
UNION PLAZA
PHARMACY*
680 CRAIG RD STE 103
CREVE COEUR, MO,
63141
(314) 652-2121
WEST OAK*
11481 OLIVE STREET
ROAD
CREVE COEUR, MO,
63141
(314) 432-5708
DELLWOOD
REHOBOTH
PHARMACY*
9944 W FLORISSANT
AVE
DELLWOOD, MO, 63136
(314) 868-3333
EARTH CITY
APOTHECARY SHOP
OF ST LOUIS*
4008 WEDGEWAY CT
EARTH CITY, MO, 63045
(314) 227-2560
FOUNDATION CARE*
4010 WEDGEWAY CT
EARTH CITY, MO, 63045
(877) 291-1122
ELLISVILLE
MEDICINE AND MORE*
15870 CLAYTON RD
ELLISVILLE, MO, 63011
(636) 227-5525
EUREKA
THE MEDICINE SHOPPE
#1390*
215 THRESHER DR
EUREKA, MO, 63025
(636) 938-4600
FENTON
DIERBERGS FENTON
CROSSING*
450 OLD SMIZER MILL
RD
FENTON, MO, 63026
(636) 349-2666
ST ANTHONY'S
URGENT CARE*
714 GRAVOIS RD
FENTON, MO, 63026
(952) 653-2568
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
25

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
FLORISSANT
FAMILY CARE PHCY AT
GRAHAM MED
CENTER*
1224 GRAHAM RD
FLORISSANT, MO,
63031
(314) 953-6740
FLORISSANT*
222 N US HIGHWAY 67
FLORISSANT, MO,
63031
(314) 831-0990
HAZELWOOD
GIFTS SCRIPTS &
MORE INC*
7025 HOWDERSHELL
RD STE K
HAZELWOOD, MO,
63042
(314) 895-3300
MARYLAND HEIGHTS
PHARMACY SERVICES
INC*
212 MILLWELL DR STE
A
MARYLAND HEIGHTS,
MO, 63043
(314) 727-8787
NORMANDY
HLS INC*
3645 OAKMOUNT AVE
NORMANDY, MO, 63121
(314) 382-8899
OVERLAND
THE MEDICINE SHOPPE
#1717*
2514 WOODSON RD
OVERLAND, MO, 63114
(314) 427-1818
SAINT LOUIS
BEVERLY HILLS
PHARMACY*
7150 NATURAL BRIDGE
RD
SAINT LOUIS, MO,
63121
(314) 381-8600
BRENTWOOD POINTE*
8450 EAGER RD
SAINT LOUIS, MO,
63144
(314) 962-9036
CLAYTON HEALTH
SERVICES*
1035 BELLEVUE AVE
SAINT LOUIS, MO,
63117
(314) 768-8870
DES PERES
HEALTHMART
PHARMACY*
2345 DOUGHERTY
FERRY RD
SAINT LOUIS, MO,
63122
(314) 965-7800
EBERHART
PHARMACY*
4221 BAYLESS AVE
SAINT LOUIS, MO,
63123
(314) 638-1000
EXPRESS SCRIPTS
SPECIALTY
DISTRIBUTION
8931 SPRINGDALE AVE
STE A
SAINT LOUIS, MO,
63134
(314) 587-4050
FAMILY CARE
PHARMACY*
3023 N BALLAS RD STE
100
SAINT LOUIS, MO,
63131
(314) 996-7501
GOLDSMITH
PHARMACY*
777 S NEW BALLAS RD
SAINT LOUIS, MO,
63141
(314) 432-5020
HOME CARE
PHARMACY I*
11125 DUNN RD
SAINT LOUIS, MO,
63136
(314) 653-5200
JACQUELYN B
GARRETT MD*
11125 DUNN RD STE
204
SAINT LOUIS, MO,
63136
(314) 355-7111
JFK CLINIC
PHARMACY*
615 S NEW BALLAS RD
SAINT LOUIS, MO,
63141
(314) 251-6044
KEVIN LICKERBROCK*
2900 LEMAY FERRY RD
SAINT LOUIS, MO,
63125
(952) 653-2568
KEVIN LICKERBROCK*
10296 BIG BEND RD
SAINT LOUIS, MO,
63122
(952) 653-2568
KRUMMENACHER
PHARMACY*
11020 OLIVE BLVD
SAINT LOUIS, MO,
63141
(314) 432-2727
LADUE PHARMACY
LLC*
9832 CLAYTON RD
SAINT LOUIS, MO,
63124
(314) 993-4031
LEMAY PLAZA*
2516 LEMAY FERRY RD
SAINT LOUIS, MO,
63125
(314) 894-7755
MACKENZIE POINTE*
7233 WATSON RD
SAINT LOUIS, MO,
63119
(314) 752-7881
MEDICAL ONCOLOGY
HEMATOLOGY CONS*
12700 SOUTHFORK RD
STE 125
SAINT LOUIS, MO,
63128
(314) 842-6472
MERCY CANCER CARE
607 S NEW BALLAS RD
STE 3300
SAINT LOUIS, MO,
63141
(314) 251-4400
MERCY PHARMACY
TOWER A/B*
621 S NEW BALLAS RD
STE 20A
SAINT LOUIS, MO,
63141
(314) 251-7444
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
26

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
MERCY PHARMACY-
TESSON AT IZ70*
12348 OLD TESSON RD
STE 100
SAINT LOUIS, MO,
63128
(314) 467-3888
NEELS PHARMACY
8 CRESTWOOD
EXECUTIVE CTR
SAINT LOUIS, MO,
63126
(314) 849-3123
ORTHOPEDIC
ASSOCIATES LLC*
1050 OLD DES PERES
RD STE 100
SAINT LOUIS, MO,
63131
(314) 569-0612
QUADRANGLE
PHARMACY LLC*
6643 SHEPLEY DR
SAINT LOUIS, MO,
63105
(314) 935-6649
RX JENNIFERS
PHARMACY*
30 N CENTRAL AVE
SAINT LOUIS, MO,
63105
(314) 862-7400
SOUTHROADS*
12420 TESSON FERRY
RD
SAINT LOUIS, MO,
63128
(314) 849-3880
ST ANTHONY'S
MEDICAL CENTER
PHCY*
10010 KENNERLY RD
SAINT LOUIS, MO,
63128
(314) 525-1633
ST ANTHONY'S
PROFESSIONAL
PHARMACY*
10004 KENNERLY RD
STE 130
SAINT LOUIS, MO,
63128
(314) 525-4777
ST JOHN'S MERCY
PHARMACY WEST
12680 OLIVE BLVD STE
150
SAINT LOUIS, MO,
63141
(314) 251-8989
ST LOUIS CANCER
CARE LLP*
3844 S LINDBRGH BLVD
STE 216
SAINT LOUIS, MO,
63127
(314) 842-7301
ST LOUIS
GYNECOLOGY &
ONCOLOGY*
11652 STUDT AVE
SAINT LOUIS, MO,
63141
(314) 991-5445
ST MARY'S HEALTH
CTR*
6420 CLAYTON RD
SAINT LOUIS, MO,
63117
(952) 653-2568
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
27
TELEGRAPH PLAZA*
5640 TELEGRAPH RD
SAINT LOUIS, MO,
63129
(314) 846-5778
THE MEDICINE SHOPPE
#0128*
7922 MACKENZIE RD
SAINT LOUIS, MO,
63123
(314) 638-3535
THE MEDICINE SHOPPE
#0832*
11330 GRAVOIS RD
SUITE 202
SAINT LOUIS, MO,
63126
(314) 842-0910
THE MEDICINE SHOPPE
#1216*
4441 BROWN RD
SAINT LOUIS, MO,
63134
(314) 428-7676
THE MEDICINE SHOPPE
PHCY #1776*
4441 BROWN RD
SAINT LOUIS, MO,
63134
(314) 921-7700
TRILOGY HEALTH
CARE LLC*
1876 CRAIGSHIRE RD
SAINT LOUIS, MO,
63146
(314) 542-0022
WA UNIVERSITY
CANCER CTR
PHARMAC*
10 BARNES WEST DR
STE 100
SAINT LOUIS, MO,
63141
(314) 996-3354
WARSON WOODS*
9901 MANCHESTER RD
SAINT LOUIS, MO,
63122
(314) 919-0611
WINKELMANN SONS
DRUG*
2900 LEMAY FERRY RD
STE 121
SAINT LOUIS, MO,
63125
(314) 894-4666
ST LOUIS
EXPRESS SCRIPTS
DISTRIBUTION SVC
8931 SPRINGDALE AVE
STE A
ST LOUIS, MO, 63134
(314) 587-4050
UNIVERSITY CITY
MD PHARMACY INC*
8500 DELMAR BLVD
UNIVERSITY CITY, MO,
63124
(314) 991-1111
VALLEY PARK
THE MEDICINE SHOPPE
#1492*
16 STONEGATE CTR
VALLEY PARK, MO,
63088
(636) 225-5123
WEBSTER GROVES
COLONIAL VILLAGE
PHARMACY*
7945 BIG BEND BLVD
WEBSTER GROVES,
MO, 63119
(314) 962-1065

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
WILDWOOD
TOWN CENTER*
2460 TAYLOR RD
WILDWOOD, MO, 63040
(636) 458-7450
SAINT LOUIS CIT
COUNTY
SAINT LOUIS
BARNES JEWISH
HOSPITAL PHARMACY*
216 S KINGSHIGHWAY
BLVD
SAINT LOUIS, MO,
63110
(314) 454-7666
BIOSCRIP PHARMACY
#4011*
115A N EUCLID AVE
SAINT LOUIS, MO,
63108
(314) 454-6676
BJC BEHAVIORAL
HEALTH PHARMACY*
1430 OLIVE STE STE
500
SAINT LOUIS, MO,
63103
(314) 206-3738
CARD GLENNON
CHILDRENS HOSPITAL
1465 S GRAND BLVD
SAINT LOUIS, MO,
63104
(314) 577-5677
CARE PLUS
CVS/PHARMACY
#01438*
32 N EUCLID AVE
SAINT LOUIS, MO,
63108
(314) 454-1214
FAMILY CARE HLTH
CENTERS*
401 HOLLY HILLS AVE
SAINT LOUIS, MO,
63111
(314) 353-5190
FLORENCE HILL
PHARMACY
5541 RIVERVIEW BLVD
SAINT LOUIS, MO,
63120
(314) 389-4566
FOREST PARK
PHARMACY*
3535 S JEFFERSON
AVE STE S1
SAINT LOUIS, MO,
63118
(314) 645-9990
GATEWAY
APOTHECARY*
4473 FOREST PARK
AVE
SAINT LOUIS, MO,
63108
(314) 381-1818
HOMER G PHILLIPS
HEALTH CENTER
PHARMACY
2425 WHITTIER ST
SAINT LOUIS, MO,
63113
(314) 371-3100
IMRAN PHARMACY*
3737 N KINGSHIGHWAY
BLVD
SAINT LOUIS, MO,
63115
(314) 381-9394
KELLER APOTHECARY
5201 CHIPPEWA ST
SAINT LOUIS, MO,
63109
(314) 352-5201
LINDENWOOD DRUG
6903 LANSDOWNE AVE
SAINT LOUIS, MO,
63109
(314) 781-2445
MEDICINE SHOPPE
PHARMACY #1706*
3137 S GRAND BLVD
SAINT LOUIS, MO,
63118
(314) 865-1528
MYRTLE HILLIARD
DAVIS
COMPREHENSIVE
5471 DR MARTIN
LUTHER KING DR
SAINT LOUIS, MO,
63112
(314) 367-5820
PEOPLE'S HEALTH
CENTER
5701 DELMAR BLVD
SAINT LOUIS, MO,
63112
(314) 367-7848
ST LOUIS CHILDREN'S
HOSP
1 CHILDRENS PL
SAINT LOUIS, MO,
63110
(314) 454-6123
ST LOUIS
CONNECTCARE PHCY*
5535 DELMAR BLVD
SAINT LOUIS, MO,
63112
(314) 879-6208
ST LOUIS HILLS
PHARMACY*
6027 HAMPTON AVE
SAINT LOUIS, MO,
63109
(314) 832-2480
THE MEDICINE SHOPPE
#1134*
625 N EUCLID AVE STE
150
SAINT LOUIS, MO,
63108
(314) 367-3009
WA UNIVERSITY
CANCER CENTER
PHCY*
4921 PARKVIEW PL FL 7
SAINT LOUIS, MO,
63110
(314) 747-8646
WASHINGTON
UNIVERSITY
ONCOLOGY*
4921 PARKVIEW PL FL 7
SAINT LOUIS, MO,
63110
(314) 747-8646
WEST PINE
PHARMACY*
4401 W PINE BLVD
SAINT LOUIS, MO,
63108
(314) 533-1081
WINKELMANN SONS
DRUG CO*
3300 MERAMEC ST
SAINT LOUIS, MO,
63118
(314) 353-3300
SAINTE GENEVIEV
COUNTY
SAINTE GENEVIEVE
KLEIN'S PHARMACY*
601 CENTER DR
SAINTE GENEVIEVE,
MO, 63670
(573) 883-5788
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
28

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
STE GENEVIEVE
COUNTRY MART
PHARMACY #2151
190 PLAZA DR
STE GENEVIEVE, MO,
63670
(573) 883-3524
SALINE COUNTY
MARSHALL
CRAIG E MCCOY DO*
268 S JEFFERSON AVE
MARSHALL, MO, 65340
(660) 886-2842
MISSOURI VALLEY
PHARMACY*
2303 S HIGHWAY 65
STE B
MARSHALL, MO, 65340
(660) 831-1687
RED CROSS
PHARMACY
52 E ARROW ST
MARSHALL, MO, 65340
(660) 886-5533
RED CROSS
PHARMACY
941 CHEROKEE DR STE
1
MARSHALL, MO, 65340
(660) 886-5558
SLATER
CITY PHARMACY INC*
227 MAIN ST
SLATER, MO, 65349
(660) 529-2255
SWEET SPRINGS
SWEET SPRINGS
PHARMACY*
401 S LOCUST ST
SWEET SPRINGS, MO,
65351
(660) 335-6300
SCOTLAND COUNTY
MEMPHIS
SCOTLAND COUNTY
PHARMACY
445 E GRAND AVE
MEMPHIS, MO, 63555
(660) 465-2400
SCOTT COUNTY
CHAFFEE
MEDICAP PHARMACY
#8081*
211 W YOAKUM AVE
CHAFFEE, MO, 63740
(573) 887-3622
SCOTT CITY
MEDICAP PHARMACY
INC*
2220 MAIN ST
SCOTT CITY, MO, 63780
(573) 264-2450
SIKESTON
MEDICAL ARTS
PHARMACY*
808 E WAKEFIELD AVE
SIKESTON, MO, 63801
(573) 471-5454
MEDICAP PHARMACY*
507 N MAIN ST
SIKESTON, MO, 63801
(573) 471-4401
RANDY'S RX
PHARMACY
1012 N MAIN ST
SIKESTON, MO, 63801
(573) 471-0285
STERLING PHARMACY*
808 HUNTER AVE STE
1A
SIKESTON, MO, 63801
(573) 475-1900
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
29
THE MEDICINE SHOPPE
#0382*
613 S MAIN ST
SIKESTON, MO, 63801
(573) 472-2622
SHANNON COUNTY
WINONA
MIKA'S MEDICINE*
211 N ASH ST
WINONA, MO, 65588
(573) 325-4241
SHELBY COUNTY
CLARENCE
JOHNSTON DRUG*
214 N GRAND ST
CLARENCE, MO, 63437
(660) 699-2432
SHELBINA
SHELBINA PHARMACY*
201 N CENTER ST
SHELBINA, MO, 63468
(573) 588-2143
STODDARD COUNTY
ADVANCE
ADVANCE PHARMACY*
110 S OAK ST
ADVANCE, MO, 63730
(573) 722-3562
BERNIE
OVERTURF PHMY-
BERNIE*
116 S WALNUT ST
BERNIE, MO, 63822
(573) 293-5531
BLOOMFIELD
TOWN PHARMACY*
302 S PRARIE COURT
HOUSE
BLOOMFIELD, MO,
63825
(573) 568-2643
DEXTER
D & S DRUG*
1226 W BUS HIGHWAY
60
DEXTER, MO, 63841
(573) 614-4243
OVERTURF PHARMACY
#8425*
903 W BUSINESS 60
DEXTER, MO, 63841
(573) 624-7452
TOWN & COUNTRY
PHARMACY*
707 SPECIALITY DR
DEXTER, MO, 63841
(573) 624-3733
PUXICO
PUXICO DRUGS*
190 E RICHARDSON
AVE
PUXICO, MO, 63960
(573) 222-6206
STONE COUNTY
BRANSON WEST
LAKELAND PHARMACY
#1*
18565 BUSINESS 13
BRANSON WEST, MO,
65737
(417) 272-8064
CRANE
LAKELAND PHARMACY
#3*
104 CORTNEY LN
CRANE, MO, 65633
(417) 723-5241

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
KIMBERLING CITY
KIMBERLING CITY
PHARMACY*
HIGHWAY 13
KIMBERLING CITY, MO,
65686
(417) 739-2273
SHELL KNOB
PLAZA PHARMACY*
24875 STATE HIGHWAY
39
SHELL KNOB, MO,
65747
(417) 858-2200
SULLIVAN COUNTY
MILAN
OWL PHARMACY LLC*
111 E 2ND ST
MILAN, MO, 63556
(660) 265-3779
TANEY COUNTY
AVA
AVA DRUG*
124 W.WASHINGTON
AVE
AVA, MO, 65608
(417) 683-4127
MOCH PHARMACY*
504 NW 10TH AVE
AVA, MO, 65608
(417) 683-5739
BRANSON
LAKELAND
PHARMACY*
1232 BRANSON HILLS
PKWY #205
BRANSON, MO, 65616
(417) 336-4701
LAKELAND PHARMACY
#4*
545 BRANSON LANDING
BLVD
BRANSON, MO, 65616
(417) 334-6920
SKAGGS COMMUNITY
HOSPITAL*
251 SKAGGS RD
BRANSON, MO, 65616
(952) 653-2568
ST JOHNS BRANSON
URGENT CARE*
1940 HIGHWAY 165
BRANSON, MO, 65616
(417) 337-5000
FORSYTH
COUNTRY MART PHCY
#73*
15720 US HIGHWAY 160
FORSYTH, MO, 65653
(417) 546-2501
FORSYTH PHARMACY
16269 US HIGHWAY 160
FORSYTH, MO, 65653
(417) 546-5151
THEODOSIA
THEODOSIA
PHARMACY*
#2 WEST HIGHWAY 160
THEODOSIA, MO, 65761
(417) 273-4555
TEXAS COUNTY
CABOOL
CABOOL PHARMACY
518 MAIN ST
CABOOL, MO, 65689
(417) 962-3133
HOUSTON
FORBES PHARMACY*
100 N GRAND AVE
HOUSTON, MO, 65483
(901) 368-9160
HUTCHESON
PHARMACY
1330 HIGHWAY 63 S
HOUSTON, MO, 65483
(417) 967-4139
LICKING
MERCY PHARMACY
LICKING*
101 N MAIN ST
LICKING, MO, 65542
(573) 674-2922
VERNON COUNTY
NEVADA
COMMUNITY
PHARMACY*
900 S ADAMS ST
NEVADA, MO, 64772
(417) 667-6044
WILKINSON
PHARMACY*
105 S OAK ST
NEVADA, MO, 64772
(417) 667-7802
WOODS PHARMACY
472*
1407 W AUSTIN BLVD
NEVADA, MO, 64772
(417) 667-7423
WARREN COUNTY
WARRENTON
STEWARTS DRUG CO
227 E MAIN ST
WARRENTON, MO,
63383
(636) 456-3419
THE MEDICINE SHOPPE
#1507*
616 N STATE HIGHWAY
47
WARRENTON, MO,
63383
(636) 456-5570
WASHINGTON COUNTY
POTOSI
AUSTIN PLAZA
PHARMACY*
410 E HIGH ST
POTOSI, MO, 63664
(573) 438-2349
PHARMAX PHARMACY
#1302*
610 E HIGH ST
POTOSI, MO, 63664
(573) 438-2189
WAYNE COUNTY
PIEDMONT
MEDICAL CENTER
PHARMACY
RR 4 BOX 4515
PIEDMONT, MO, 63957
(573) 223-4235
PIEDMONT FAMILY
PHARMACY*
1 HALS PLZ
PIEDMONT, MO, 63957
(573) 223-4823
VAN BUREN
VAN BUREN DRUG
406 MAIN ST
VAN BUREN, MO, 63956
(573) 323-8159
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
30

First Health Part D Premier Plus and First Health Part D Premier’s
Retail Pharmacies
WEBSTER COUNTY
MARSHFIELD
MARSHFIELD CLINIC
PHCY LLC*
483 POMME DE TERRE
MARSHFIELD, MO,
65706
(417) 468-4442
STANLEYS
PHARMACY*
1365 SPUR DR
MARSHFIELD, MO,
65706
(417) 468-2530
ROGERSVILLE
ROGERSVILLE
PHARMACY*
319 S MAIN ST STE N
ROGERSVILLE, MO,
65742
(417) 753-7774
SEYMOUR
SEYMOUR PHARMACY*
214 S MAIN ST
SEYMOUR, MO, 65746
(417) 935-4900
WORTH COUNTY
GRANT CITY
SHERRI'S PHARMACY
SERVICES
108 S MAIN ST
GRANT CITY, MO, 64456
(660) 564-3784
WRIGHT COUNTY
HARTVILLE
STAR PHARMACY*
118 E ROLLA ST
HARTVILLE, MO, 65667
(417) 741-6266
MANSFIELD
MANSFIELD DRUG*
101 N BUSINESS 60
MANSFIELD, MO, 65704
(417) 924-8877
MOUNTAIN GROVE
FAMILY PHARMACY*
1600 N MAIN ST
MOUNTAIN GROVE,
MO, 65711
(417) 926-9655
MOUNTAIN GROVE
PHARMACY*
106 N UNION ST
MOUNTAIN GROVE,
MO, 65711
(417) 926-4156
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
* Provides an extended day (90-day) supply
31

First Health Part D Premier Plus and First Health Part D Premier’s
Mail Order Pharmacies
If you take prescription medication on an ongoing basis, our mail-order service is a convenient and costeffective
way to purchase and receive your medications. We encourage you to use our mail order services for
those medications where the drug and dosage are not going to change. If you have a newly prescribed drug, it
would be best for you to obtain a 30-day supply at your local pharmacy and use the mail order pharmacy after
your doctor has told you that your medication is producing the desired therapeutic results and will not change.
All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from
the list after this directory was printed. Please contact Customer Service at the telephone numbers listed on
page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our
searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com.
Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach
a pharmacy by dialing 711.
INDIANA
WHITESTOWN
MEDCO HEALTH OF
INDIANA
4750 E 450 S
WHITESTOWN, IN,
46075
(317) 768-7000
NEW JERSEY
WILLINGBORO
MEDCO HEALTH
WILLINGBORO
1 MILLENIUM DR
WILLINGBORO, NJ,
08046
(609) 880-2000
NEVADA
LAS VEGAS
LIBERTY MAIL
SERVICE NV
6225 ANNIE OAKLEY DR
# 100
LAS VEGAS, NV, 89120
(800) 391-4276
MEDCO HEALTH LAS
VEGAS
6225 ANNIE OAKLEY DR
LAS VEGAS, NV, 89120
(702) 436-8800
OHIO
COLUMBUS
LIBERTY MEDICAL
SUPPLY OF OH
255 PHILLIPI RD # 100
COLUMBUS, OH, 43228
(614) 308-3146
MEDCO HEALTH
COLUMBUS N
255 PHILLIPI RD
COLUMBUS, OH, 43228
(614) 272-1985
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
32

First Health Part D Premier Plus and First Health Part D Premier’s
Home Infusion Pharmacies
First Health Part D Premier Plus and First Health Part D Premier will cover home infusion therapy if:
• Your prescription drug is on our formulary or you have a formulary exception;
• We have approved your prescription drug for home infusion therapy; and
• Your prescription is written by an authorized prescriber
For more information on home infusion pharmacy services, please call Customer Service at 1-866-865-0662,
24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit
www.PharmacyLocator.coventry-medicare.com.
ARKANSAS
CRAIGHEAD COUNTY
JONESBORO
LINCARE INC. DBA
UNITED MEDICAL
2605 SOUTHWEST CIR
JONESBORO, AR, 72401
(870) 972-8839
WASHINGTON COUNTY
FAYETTEVILLE
LINCARE INC. DBA
UNITED MEDICAL
2901 E ZION RD STE 11
FAYETTEVILLE, AR,
72703
(479) 973-4889
ARIZONA
MARICOPA COUNTY
PHOENIX
WALGREENS HOME
CARE
5064 S 40TH ST # A
PHOENIX, AZ, 85040
(602) 426-1490
CALIFORNIA
BUTTE COUNTY
CHICO
OPTION CARE
ENTERPRISES INC
132 MISSION RANCH
BLVD
CHICO, CA, 95926
(530) 893-1337
IOWA
POLK COUNTY
URBANDALE
IOWA CARE SYSTEMS
11130 AURORA AVE
URBANDALE, IA, 50322
(515) 276-1660
SCOTT COUNTY
DAVENPORT
CORAM SPECIALTY
INFUSION SERVICE
3513 VINE CT
DAVENPORT, IA, 52806
(563) 386-3220
ILLINOIS
COOK COUNTY
MOUNT PROSPECT
CORAM SPECIALTY
INFUSION SERVICE
1471 E BUSINESS
CENTER DR STE 500
MOUNT PROSPECT, IL,
60056
(847) 294-6185
DU PAGE COUNTY
LOMBARD
WALGREENS
SPECIALTY INFUSION
2050 S FINLEY RD STE
20
LOMBARD, IL, 60148
(630) 495-2777
KANSAS
JOHNSON COUNTY
LENEXA
BIOPARTNERS IN
CARE INC
11411 STRANG LINE RD
LENEXA, KS, 66215
(913) 451-2919
CRITICAL CARE
SYSTEMS INC
8053 BOND ST
LENEXA, KS, 66214
(913) 894-0090
OVERLAND PARK
ACCREDO
THERAPEUTICS INC
12900 FOSTER ST STE
120
OVERLAND PARK, KS,
66213
(913) 339-7100
WALGREENS
OPTIONCARE
8940 NIEMAN RD
OVERLAND PARK, KS,
66214
(913) 599-3745
KENTUCKY
MCCRACKEN COUNTY
PADUCAH
WALGREENS INFUSION
PHARMACY
3487 PARK AVE
PADUCAH, KY, 42001
(270) 415-9430
MINNESOTA
DAKOTA COUNTY
MENDOTA HEIGHTS
CORAM SPECIALTY
INFUSION SERVICE
2345 WATERS DR
MENDOTA HEIGHTS,
MN, 55120
(651) 452-5600
MISSOURI
BENTON COUNTY
WARSAW
J & D PHARMACY
1330 COMMERCIAL ST
WARSAW, MO, 65355
(660) 438-7331
BOONE COUNTY
COLUMBIA
CORAM SPECIALTY
INFUSION SERVICE
2900 FALLING LEAF LN
STE 101
COLUMBIA, MO, 65201
(573) 256-4713
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
33

First Health Part D Premier Plus and First Health Part D Premier’s
Home Infusion Pharmacies
OPTION CARE
ENTERPRISES INC
1410 HERIFORD RD
COLUMBIA, MO, 65202
(573) 814-7100
CAPE GIRARDEAU
COUNTY
CAPE GIRARDEAU
HOME PARENTERAL
SERVICES OF SEMO
113 S SILVER SPRINGS
RD STE 10
CAPE GIRARDEAU, MO,
63703
(573) 332-1955
SPECIAL DESIGN
HEALTH CARE
61 DOCTORS PARK
CAPE GIRARDEAU, MO,
63703
(573) 339-1999
CLAY COUNTY
GLADSTONE
GREAT OAK
PHARMACY
7275 N OAK TRFY
GLADSTONE, MO,
64118
(816) 453-9450
JACKSON COUNTY
KANSAS CITY
WALGREENS
PHARMACY #15310
4620 J C NICHOLS
PKWY STE 417
KANSAS CITY, MO,
64112
(816) 561-1933
SAINT LOUIS COUNTY
CHESTERFIELD
ACCREDO
THERAPEUTICS INC
749 GODDARD AVE
CHESTERFIELD, MO,
63005
(636) 530-1514
HOMECHOICE
PARTNERS INC
528 TRADE CENTER
BLVD
CHESTERFIELD, MO,
63005
(636) 812-0444
EARTH CITY
ST JOHN'S MERCY
INFUSION THERAPY
13185 LAKEFRONT DR
EARTH CITY, MO, 63045
(314) 506-6050
SAINT LOUIS
CORAM SPECIALTY
INFUSION SERVICE
8248 LACKLAND RD
STE 101
SAINT LOUIS, MO,
63114
(314) 522-2800
CRITICAL CARE
SYSTEM INC
1850 LACKLAND HILL
PKWY
SAINT LOUIS, MO,
63146
(314) 991-2400
OPTION CARE
ENTERPRISES INC
5000 CEDAR PLAZA
PKWY STE 120
SAINT LOUIS, MO,
63128
(314) 843-1140
SSM INFUSION
SERVICES LLC
11483 PAGE DR
SAINT LOUIS, MO,
63146
(314) 428-0365
VITAL CARE OF ST
LOUIS
1A DOCUMENT DR
SAINT LOUIS, MO,
63114
(314) 961-4405
SAINT LOUIS CIT
COUNTY
WALGREENS
PHARMACY #15311
115A N EUCLID AVE
SAINT LOUIS, MO,
63108
(314) 454-6676
NEBRASKA
DOUGLAS COUNTY
OMAHA
ACCREDO
THERAPEUTICS INC
11329 P ST STE
118&119
OMAHA, NE, 68137
(402) 597-2330
CORAM SPECIALTY
INFUSION SERVICE
2324-36 S 156TH
CIRCLE
OMAHA, NE, 68130
(402) 330-5482
OPTION CARE
ENTERPRISES INC
10924 JOHN GALT BLVD
OMAHA, NE, 68137
(402) 331-0980
NEW JERSEY
MORRIS COUNTY
MORRIS PLAINS
BIOSCRIP INFUSION
SERVICES LLC
102 THE AMERICAN RD
MORRIS PLAINS, NJ,
07950
(800) 552-3462
PENNSYLVANIA
ALLEGHENY COUNTY
WARRENDALE
ACCREDO HEALTH
GROUP INC
3000 ERICSSON DR
STE 100
WARRENDALE, PA,
15086
(724) 772-6000
TEXAS
HARRIS COUNTY
HOUSTON
INFINITY INFUSION
CARE LTD
3600 S GESSNER RD
STE 100
HOUSTON, TX, 77063
(888) 329-5379
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
34

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
Residents of a long-term care facility may access their prescription drugs covered under First Health Part D
Premier Plus and First Health Part D Premier through the facility’s long-term care pharmacy or another network
long-term care pharmacy.
For more information on long-term care pharmacies, please call Customer Service at 1-866-865-0662, 24
hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit
www.PharmacyLocator.coventry-medicare.com.
MISSOURI
ADAIR COUNTY
KIRKSVILLE
ELLIOTT PHARMACY
2120 N BALTIMORE ST
KIRKSVILLE, MO, 63501
(660) 665-9871
ELLIOTT PHARMACY
LTC
2120A N BALTIMORE ST
KIRKSVILLE, MO, 63501
(660) 665-9871
HY-VEE PHARMACY
(1335)
500 N BALTIMORE ST
KIRKSVILLE, MO, 63501
(660) 665-7400
MED DEPOT
PHARMACY
800 W JEFFERSON ST
KIRKSVILLE, MO, 63501
(660) 665-7239
ANDREW COUNTY
SAVANNAH
COUNTRYSIDE
PHARMACY
402 E PRICE AVE
SAVANNAH, MO, 64485
(816) 324-5111
POIRIER PHARMACY
102 S 5TH ST
SAVANNAH, MO, 64485
(816) 324-5955
SAVANNAH FAMILY
PHARMACY
205 S 71 HWY
SAVANNAH, MO, 64485
(816) 324-4211
ATCHISON COUNTY
TARKIO
ROGERS PHARMACY
411 MAIN ST
TARKIO, MO, 64491
(660) 736-5512
AUDRAIN COUNTY
MEXICO
A & B PRESCRIPTION
SHOP
201 E MONROE ST
MEXICO, MO, 65265
(573) 581-1350
WEBBER PHARMACY
INC
626 SUMMIT MEDICAL
PK
MEXICO, MO, 65265
(573) 581-6930
BATES COUNTY
BUTLER
BUTLER HEALTHMART
PHCY
11 S ORANGE ST
BUTLER, MO, 64730
(660) 679-4175
BENTON COUNTY
COLE CAMP
COLE CAMP
PHARMACY
106 S MAPLE ST
COLE CAMP, MO, 65325
(660) 668-4646
WARSAW
J & D PHARMACY
1330 COMMERCIAL ST
WARSAW, MO, 65355
(660) 438-7331
BOLLINGER COUNTY
MARBLE HILL
TWIN CITY PHARMACY
106 N 1ST ST
MARBLE HILL, MO,
63764
(573) 238-4177
BOONE COUNTY
CENTRALIA
KINKEAD
HEALTHMART PHCY
105 S ALLEN ST
CENTRALIA, MO, 65240
(573) 682-2155
COLUMBIA
ELLIS FISCHEL
CANCER CENTER
115 BUSINESS LOOP 70
W
COLUMBIA, MO, 65203
(573) 882-8890
HY-VEE PHARMACY
(1076)
3100 W BROADWAY
COLUMBIA, MO, 65203
(573) 447-2144
INTERLOCK
PHARMACY
4509 INTERSTATE 70
DR SE
COLUMBIA, MO, 65201
(573) 875-1971
KILGORE'S MEDICAL
PHCY
1608 CHAPEL HILL RD
COLUMBIA, MO, 65203
(573) 447-4444
BUCHANAN COUNTY
SAINT JOSEPH
LIPIRA PHARMACY
4914 FREDERICK AVE
SAINT JOSEPH, MO,
64506
(816) 279-1770
MEDICINE CENTER
PHARMACY
3601 FARAON ST
SAINT JOSEPH, MO,
64506
(816) 233-9963
ROGERS LTC
PHARMACY
2518 1/2 FREDERICK
AVE
SAINT JOSEPH, MO,
64506
(816) 671-1161
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
35

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
ROGERS PHARMACY
2524 FREDERICK AVE
SAINT JOSEPH, MO,
64506
(816) 232-3348
BUTLER COUNTY
POPLAR BLUFF
LETASSY HEALTH
SERVICES INC
1002 W PINE ST
POPLAR BLUFF, MO,
63901
(573) 785-0048
NORTHWEST
PHARMACY
2210 BARRON RD
POPLAR BLUFF, MO,
63901
(573) 686-6211
PHYSICIAN PARK
PHARMACY CSP
225 PHYSICIANS PARK
STE 100A
POPLAR BLUFF, MO,
63901
(573) 778-9238
CAMDEN COUNTY
CAMDENTON
LAKER DRUG
72 S BUSINESS ROUTE
5
CAMDENTON, MO,
65020
(573) 873-2626
CAPE GIRARDEAU
COUNTY
CAPE GIRARDEAU
JOHN'S RX INC
2003 INDEPENDENCE
ST
CAPE GIRARDEAU, MO,
63703
(573) 334-1300
SCHNUCKS
PHARMACY #702
19 S KINGSHIGHWAY
ST
CAPE GIRARDEAU, MO,
63703
(573) 334-9125
SOUTHEAST
PHARMACY
1723 BROADWAY ST
STE 110
CAPE GIRARDEAU, MO,
63701
(573) 331-7900
JACKSON
MEDICENTER
PHARMACY
200 W WASHINGTON ST
JACKSON, MO, 63755
(573) 243-1303
CARROLL COUNTY
CARROLLTON
HOMETOWN
PHARMACY
1409 N JEFFERSON ST
CARROLLTON, MO,
64633
(660) 542-2020
REMEDIES FAMILY
PHARMACY
1003 N US HIGHWAY 65
CARROLLTON, MO,
64633
(660) 542-1111
CASS COUNTY
BELTON
RED CROSS LTC
PHARMACY
401 MAIN ST
BELTON, MO, 64012
(816) 892-1200
DREXEL
DREXEL PHARMACY
203 E MAIN ST
DREXEL, MO, 64742
(816) 657-2448
CHRISTIAN COUNTY
NIXA
ST JOHN'S PHARMACY-
NIXA
940 W MOUNT VERNON
ST STE 130
NIXA, MO, 65714
(417) 724-5350
OZARK
FAMILY PHCY #10
HLTHCARE
1152 W JACKSON ST
OZARK, MO, 65721
(417) 581-6813
HIXSON DRUG INC
604A E SOUTH ST
OZARK, MO, 65721
(417) 581-7777
CLAY COUNTY
EXCELSIOR SPRINGS
BROWN
PRESCRIPTION DRUGS
149 CROWN HILL RD
EXCELSIOR SPRINGS,
MO, 64024
(816) 637-3188
JACK W MONROE
PHARMACY INC
1236 N JESSE JAMES
RD
EXCELSIOR SPRINGS,
MO, 64024
(816) 637-6118
GLADSTONE
GREAT OAK
PHARMACY
7275 N OAK TRFY
GLADSTONE, MO,
64118
(816) 453-9450
HY-VEE PHARMACY
(1219)
7117 N PROSPECT AVE
GLADSTONE, MO,
64119
(816) 452-7711
KANSAS CITY
OMNICARE PHARMACY
OF THE
453 NE 111TH ST
KANSAS CITY, MO,
64155
(816) 942-2800
LIBERTY
HY-VEE PHARMACY
(1384)
1332 W KANSAS ST
LIBERTY, MO, 64068
(816) 792-4632
CLINTON COUNTY
CAMERON
THE DRUG STORE
610 N WALNUT ST
CAMERON, MO, 64429
(816) 632-7211
COLE COUNTY
JEFFERSON CTY
TOLSON DRUG
226 E HIGH ST
JEFFERSON CTY, MO,
65101
(573) 636-4022
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
36

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
WHALEY'S PRO-CARE
SVC'S
630B E HIGH ST
JEFFERSON CTY, MO,
65101
(573) 632-2001
COOPER COUNTY
BOONVILLE
MEDICAL ARTS
PHARMACY
800 MAIN ST
BOONVILLE, MO, 65233
(660) 882-5208
CRAWFORD COUNTY
CUBA
TOWNE PHARMACY
200 N FRANKLIN ST
CUBA, MO, 65453
(573) 885-7212
STEELVILLE
STEELVILLE DRUG LLC
503 W MAIN ST
STEELVILLE, MO, 65565
(573) 775-2900
SULLIVAN
MEDICINE CABINET
105 PROGRESS PKWY
SULLIVAN, MO, 63080
(573) 860-3600
DADE COUNTY
GREENFIELD
GREENFIELD
PHARMACY INC
105 N GRAND STE 1
GREENFIELD, MO,
65661
(417) 637-2909
DALLAS COUNTY
BUFFALO
NYBERG PHARMACY
315 S ASH 65 & 32 JCT
BUFFALO, MO, 65622
(417) 345-2321
DEKALB COUNTY
MAYSVILLE
RANDOLPH
DRUGSTORE
301 S POLK ST
MAYSVILLE, MO, 64469
(816) 449-2700
DUNKLIN COUNTY
CAMPBELL
SCOTT FAMILY
PHARMACY LLC
414 W GRAND AVE
CAMPBELL, MO, 63933
(573) 246-2459
KENNETT
HARRIS PHARMACY
1224 1ST ST
KENNETT, MO, 63857
(573) 888-6006
MITCHELL PHARMACY
123 1ST ST
KENNETT, MO, 63857
(573) 888-9094
SENATH
SEMO DRUGS
102 W COMMERCIAL ST
SENATH, MO, 63876
(573) 738-2097
FRANKLIN COUNTY
SAINT CLAIR
ST CLAIR HEALTH
MART PHARMACY
855 N COMMERCIAL
AVE
SAINT CLAIR, MO,
63077
(636) 629-0710
ST CLAIR
THE MEDICINE SHOPPE
#0961
920 M ST CLAIR PLAZA
DR
ST CLAIR, MO, 63077
(636) 629-2022
UNION
HEARTLAND
DISCOUNT PHARMACY
707 US HIGHWAY 50 W
UNION, MO, 63084
(636) 583-2646
GASCONADE COUNTY
HERMANN
BERLENER PHARMACY
219 E 1ST ST
HERMANN, MO, 65041
(573) 486-2612
OWENSVILLE
MEDLEY PHARMACY
601 STATE ROUTE 28 E
OWENSVILLE, MO,
65066
(573) 437-3440
GENTRY COUNTY
ALBANY
PAMIDA PHARMACY
#851
102 S POLK
ALBANY, MO, 64402
(660) 726-3154
STANBERRY
FAMILY HEALTH MART
PHARMACY
102 W 1ST ST
STANBERRY, MO, 64489
(660) 783-0700
GREENE COUNTY
ASH GROVE
ASH GROVE
PHARMACY
490 N MEDICAL DR
ASH GROVE, MO, 65604
(417) 751-2111
REPUBLIC
FAMILY PHARMACY #9
285 US HIGHWAY 60 W
REPUBLIC, MO, 65738
(417) 732-8070
SPRINGFIELD
CHRISTIAN
HEALTHCARE
PHARMACY LLC
1328 E EVERGREEN ST
SPRINGFIELD, MO,
65803
(417) 889-6357
HY-VEE PHARMACY
#1641
1720 W BATTLEFIELD
ST
SPRINGFIELD, MO,
65807
(417) 884-1217
MANAGED
HEALTHCARE PHCY
1947 W SUNSET ST
SPRINGFIELD, MO,
65807
(417) 889-4000
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
37

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
ST JOHN'S
OUTPATIENT
PHARMACY
1235 E CHEROKEE ST
SPRINGFIELD, MO,
65804
(417) 820-2752
THE MEDICINE SHOPPE
#1260
811 E DIVISION ST
SPRINGFIELD, MO,
65803
(417) 866-3054
THE MEDICINE SHOPPE
#1633
1474 N BOONVILLE AVE
SPRINGFIELD, MO,
65802
(417) 869-1866
UVANTA PHARMACY
SOUTHERN MISSOURI
2103 E ROCKHURST ST
STE 108
SPRINGFIELD, MO,
65802
(417) 864-5873
STRAFFORD
FAMILY PHARMACY #2
106 E PINE ST
STRAFFORD, MO, 65757
(417) 736-2698
WILLARD
FAMILY PHARMACY #8
520 E JACKSON ST STE
A
WILLARD, MO, 65781
(417) 742-0029
GRUNDY COUNTY
TRENTON
HY-VEE PHARMACY
(1667)
1617 E 9TH ST
TRENTON, MO, 64683
(660) 359-4955
PAMIDA #358
2001 E 9TH ST
TRENTON, MO, 64683
(660) 359-2970
HARRISON COUNTY
BETHANY
HY-VEE PHARMACY
(1036)
1104 S 25TH ST # 47
BETHANY, MO, 64424
(660) 425-8171
HOLT COUNTY
MOUND CITY
ROGERS PHARMACY
607 STATE ST
MOUND CITY, MO,
64470
(660) 442-3355
HOWARD COUNTY
FAYETTE
SAM'S HEALTH MART
PHARMACY #3
300 N CHURCH ST
FAYETTE, MO, 65248
(660) 248-2275
JACKSON COUNTY
INDEPENDENCE
GENOA HEALTHCARE
OF MISSOURI LLC
17844 E 23RD ST S
INDEPENDENCE, MO,
64057
(816) 833-7325
STERLING PHARMACY
19321 E US HIGHWAY
40 STE A
INDEPENDENCE, MO,
64055
(816) 795-6034
WATT DRUG COMPANY
11724 E 23RD ST S
INDEPENDENCE, MO,
64050
(816) 461-8844
KANSAS CITY
ROCKHILL LTC
PHARMACY
4235 LOCUST ST
KANSAS CITY, MO,
64110
(816) 931-2225
LEES SUMMIT
GENOA HEALTHCARE
OF MISSOURI LLC
901 NE INDEPENDENCE
AVE
LEES SUMMIT, MO,
64086
(816) 347-0075
THE MEDICINE SHOPPE
#0626
1405 NE DOUGLAS ST
LEES SUMMIT, MO,
64086
(816) 524-8444
RAYTOWN
FOX'S DRUG STORE
10004 E 63RD ST
RAYTOWN, MO, 64133
(816) 353-1600
HY-VEE PHARMACY
(1542)
9400 E 350
RAYTOWN, MO, 64133
(816) 358-5988
MEDKARE PHARMACY
LLC
8540 BLUE RIDGE BLVD
RAYTOWN, MO, 64138
(816) 353-3314
SUGAR CREEK
MATT'S MEDICINE
STORE
11200 1/2 E US
HIGHWAY 24
SUGAR CREEK, MO,
64054
(816) 833-3636
JASPER COUNTY
CARL JUNCTION
BRUNER DRUG
102 S MAIN ST
CARL JUNCTION, MO,
64834
(417) 649-7021
JOPLIN
THE MEDICINE SHOPPE
#0620
2131 E 32ND ST
JOPLIN, MO, 64804
(417) 781-2332
SARCOXIE
SARCOXIE PHARMACY
1408 HIGH ST
SARCOXIE, MO, 64862
(417) 548-7184
WEBB CITY
THE MEDICINE SHOPPE
#1486
1107 S MADISON ST
STE A
WEBB CITY, MO, 64870
(417) 673-4909
JEFFERSON COUNTY
CRYSTAL CITY
TWIN CITY PHARMACY
1447 US HWY 61 STE A
CRYSTAL CITY, MO,
63019
(636) 937-8228
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
38

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
DE SOTO
THE MEDICINE SHOPPE
#1376
100 N MAIN ST
DE SOTO, MO, 63020
(636) 586-5533
FESTUS
THE MEDICINE SHOPPE
#0812
116 WALNUT ST
FESTUS, MO, 63028
(636) 931-6444
JOHNSON COUNTY
WARRENSBURG
PARKERS PHARMACY
1047 S MAGUIRE ST
WARRENSBURG, MO,
64093
(660) 747-7449
LACLEDE COUNTY
LEBANON
GINGER'S HOMETOWN
PHARMACY
550 N JEFFERSON AVE
LEBANON, MO, 65536
(417) 532-9110
JOES PHARMACY
489 S JEFFERSON AVE
LEBANON, MO, 65536
(417) 532-7128
ST JOHN'S PHARMACY-
LEBANON
200 HOSPITAL DR
LEBANON, MO, 65536
(417) 533-6770
LAFAYETTE COUNTY
CONCORDIA
BRITT'S CENTRAL
DRUG
728 S MAIN ST
CONCORDIA, MO, 64020
(660) 463-2519
HIGGINSVILLE
RED CROSS LTC
PHARMACY
810 W 35TH ST STE 102
HIGGINSVILLE, MO,
64037
(660) 584-2110
ODESSA
THE DRUG STORE
408 N 4TH ST STE A
ODESSA, MO, 64076
(816) 633-8000
LAWRENCE COUNTY
AURORA
AURORA
PROFESSIONAL PHCY
124 S MADISON AVE
AURORA, MO, 65605
(417) 678-4136
MARIONVILLE
MARIONVILLE
PHARMACY
201 S HIGHWAY 60
MARIONVILLE, MO,
65705
(417) 258-2526
MOUNT VERNON
LANDRUM DRUG INC
1319 S LANDRUM ST
STE E
MOUNT VERNON, MO,
65712
(417) 461-1100
LINCOLN COUNTY
ELSBERRY
ELSBERRY PHARMACY
106 BROADWAY ST STE
A
ELSBERRY, MO, 63343
(573) 898-2550
TROY
BECKWITH PHARMACY
107 N LINCOLN DR
TROY, MO, 63379
(636) 528-8462
LINN COUNTY
BROOKFIELD
GREEN HILLS
PHARMACY
206 N MAIN ST
BROOKFIELD, MO,
64628
(660) 258-2122
LIVINGSTON COUNTY
CHILLICOTHE
HLTC PHARMACY
609 LOCUST ST
CHILLICOTHE, MO,
64601
(660) 646-7200
HY-VEE PHARMACY
(1077)
1210 WASHINGTON ST
CHILLICOTHE, MO,
64601
(660) 646-1280
MACON COUNTY
LA PLATA
LAPLATA PHARMACY
29936 JULY RD
LA PLATA, MO, 63549
(660) 332-4456
MACON
MILLER REXALL DRUG
115 VINE ST
MACON, MO, 63552
(660) 385-2167
MARIES COUNTY
VIENNA
SINKS PHARMACY
606 HIGHWAY 63 S
VIENNA, MO, 65582
(573) 422-6400
MARION COUNTY
HANNIBAL
COUNTY MARKET
PHARMACY 184
5 DIAMOND BLVD
HANNIBAL, MO, 63401
(573) 221-3000
PALMYRA
PAMIDA PHARMACY
#866
502 E ROSS ST
PALMYRA, MO, 63461
(573) 769-1115
MERCER COUNTY
PRINCETON
HY-VEE CLINIC
PHARMACY (1036)
710 W MAIN ST
PRINCETON, MO, 64673
(660) 748-7730
MILLER COUNTY
ELDON
APOTHECARE HEALTH
SERVICE
103D S MAPLE ST
ELDON, MO, 65026
(573) 392-5355
MISSISSIPPI COUNTY
EAST PRAIRIE
MAIN STREET
PHARMACY
117 E MAIN ST
EAST PRAIRIE, MO,
63845
(573) 649-9229
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
39

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
POLK COUNTY
BOLIVAR
STEPHENS PHARMACY
1100 S SPRINGFIELD
AVE
BOLIVAR, MO, 65613
(417) 326-2416
STEPHENS PHARMACY
1100 S SPRINGFIELD
AVE STE A
BOLIVAR, MO, 65613
(417) 326-2570
THE MEDICINE SHOPPE
#1130
2000 S SPRINGFIELD
AVE
BOLIVAR, MO, 65613
(417) 326-7455
PULASKI COUNTY
ST ROBERT
ST JOHN'S PHARMACY
ST ROBERT
586 OLD ROUTE 66
ST ROBERT, MO, 65584
(573) 336-2180
RANDOLPH COUNTY
MOBERLY
KRIBBS FAMILY
PHARMACY
319 W REED ST
MOBERLY, MO, 65270
(660) 263-8020
SAM'S HEALTH MART
PHARMACY #2
530 E 24 HIGHWAY
MOBERLY, MO, 65270
(660) 263-0909
RAY COUNTY
RICHMOND
C & C DISCOUNT DRUG
401 WOLLARD BLVD
RICHMOND, MO, 64085
(816) 776-6926
MEDICINE SHOPPE
#1976
706 WOLLARD BLVD
RICHMOND, MO, 64085
(816) 776-3315
RIPLEY COUNTY
DONIPHAN
MEDICAL CENTER
PHARMACY
513 N GRAND AVE
DONIPHAN, MO, 63935
(573) 996-3784
SAINT FRANCOIS
COUNTY
FARMINGTON
MEDICATE LTC
PHARMACY
312 E KARSCH BLVD
FARMINGTON, MO,
63640
(573) 756-7870
SOUTHEAST MISSOURI
QUALITY CARE
1351 AIRPARK DR
FARMINGTON, MO,
63640
(573) 546-3018
WELLFOUNT-MISSOURI
111 E COLUMBIA ST
FARMINGTON, MO,
63640
(888) 778-1160
SAINT LOUIS COUNTY
BRIDGETON
PHARMERICA #4118
12137 BRIDGETON SQ
BRIDGETON, MO, 63044
(800) 291-5701
CHESTERFIELD
ACCUSCRIPTS LLC
1795 CLARKSON RD
STE 240
CHESTERFIELD, MO,
63017
(636) 449-8888
CORUM HEALTH
SERVICES INC
14805 N OUTER 40 RD
STE 140
CHESTERFIELD, MO,
63017
(636) 733-7300
MIDWEST LONG TERM
753 GODDARD AVE
CHESTERFIELD, MO,
63005
(636) 534-6800
NETWORK
HEALTHCARE
PHARMACY
13995 CLAYTON RD
CHESTERFIELD, MO,
63017
(636) 779-2700
ST LUKE'S PHARMACY
224 S WOODS MILL RD
STE 350S
CHESTERFIELD, MO,
63017
(314) 205-6023
CLAYTON
MEDICAL ARTS
PHARMACY
211 N MERAMEC AVE
CLAYTON, MO, 63105
(314) 862-0333
EARTH CITY
EVERSPRING
4280 RIDER TRAIL
NORTH BLDG B
EARTH CITY, MO, 63045
(314) 344-9094
ELLISVILLE
MEDICINE AND MORE
15870 CLAYTON RD
ELLISVILLE, MO, 63011
(636) 227-5525
EUREKA
THE MEDICINE SHOPPE
#1390
215 THRESHER DR
EUREKA, MO, 63025
(636) 938-4600
FLORISSANT
INTERLOCK
PHARMACY SYSTEM
345 DUNN RD
FLORISSANT, MO,
63031
(314) 921-4242
SAINT LOUIS
CLAYTON HEALTH
SERVICES
1035 BELLEVUE AVE
SAINT LOUIS, MO,
63117
(314) 768-8870
EBERHART PHARMACY
4221 BAYLESS AVE
SAINT LOUIS, MO,
63123
(314) 638-1000
NEELS PHARMACY
8 CRESTWOOD
EXECUTIVE CTR
SAINT LOUIS, MO,
63126
(314) 849-3123
SAINT JOHN'S MERCY
MEDICAL CENTER
PHARMACY
615 S NEW BALLAS RD
SAINT LOUIS, MO,
63141
(314) 251-7843
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
41

First Health Part D Premier Plus and First Health Part D Premier’s
Long-Term Care Pharmacies
WILKINSON HEALTH
SERVICES
125 S WASHINGTON ST
STE 100
NEVADA, MO, 64772
(417) 667-2500
WAYNE COUNTY
PIEDMONT
MEDICAL CENTER
PHARMACY
RR 4 BOX 4515
PIEDMONT, MO, 63957
(573) 223-4235
WEBSTER COUNTY
MARSHFIELD
MARSHFIELD CLINIC
PHCY LLC
483 POMME DE TERRE
MARSHFIELD, MO,
65706
(417) 468-4442
ROGERSVILLE
ROGERSVILLE
PHARMACY
319 S MAIN ST STE N
ROGERSVILLE, MO,
65742
(417) 753-7774
WORTH COUNTY
GRANT CITY
SHERRI'S PHARMACY
SERVICES
108 E 1ST ST STE A
GRANT CITY, MO, 64456
(660) 564-3784
WRIGHT COUNTY
MOUNTAIN GROVE
FAMILY PHARMACY
1600 N MAIN ST
MOUNTAIN GROVE,
MO, 65711
(417) 926-9655
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
43

First Health Part D Premier Plus and First Health Part D Premier’s
Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)
Pharmacies
Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian Health
Program (I/T/U) Pharmacies through First Health Part D Premier Plus and First Health Part D Premier’s
pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these
pharmacies under limited circumstances (e.g., emergencies).
For more information on I/T/U pharmacies, please call Customer Service at 1-866-865-0662, 24 hours a day, 7
days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit
www.PharmacyLocator.coventry-medicare.com.
OKLAHOMA
ADAIR COUNTY
STILWELL
WILMA P MANKILLER
HLTH CTR
RR 6 BOX 840
STILWELL, OK, 74960
(918) 696-8800
ATOKA COUNTY
ATOKA
CHOCTAW NATION
HEALTHCARE CLINIC
1201 W LIBERTY RD
ATOKA, OK, 74525
(580) 889-1981
BLAINE COUNTY
WATONGA
WATONGA IHS
PHARMACY
RR 1 BOX 34A
WATONGA, OK, 73772
(580) 623-4991
BRYAN COUNTY
DURANT
CNHS DURANT CLINIC
1600 N WASHINGTON
AVE
DURANT, OK, 74701
(580) 920-2100
CADDO COUNTY
ANADARKO
ANADARKO IHS
PHARMACY
PO BOX 828
ANADARKO, OK, 73005
(405) 247-2458
CARNEGIE
CARNEGIE INDIAN
HEALTH CLINIC
US HIGHWAY 0 WEST
CARNEGIE, OK, 73015
(580) 654-1100
CANADIAN COUNTY
EL RENO
EL RENO INDIAN
HEALTH CENTER
1631A E HIGHWAY 66
EL RENO, OK, 73036
(405) 262-7631
CARTER COUNTY
ARDMORE
CNHS ARDMORE
CLINIC
2510 CHICKASAW BLVD
ARDMORE, OK, 73401
(580) 226-8181
CHEROKEE COUNTY
TAHLEQUAH
CHEROKEE NATION
100 S BLISS AVE
TAHLEQUAH, OK, 74464
(918) 458-3105
CHOCTAW COUNTY
HUGO
CHOCTAW NATION
HEALTH CLINIC
410 N ELM
HUGO, OK, 74743
(580) 326-7561
CLEVELAND COUNTY
NORMAN
ABSENTEE SHAWNEE
TRIBAL
15702 E HIGHWAY #9
NORMAN, OK, 73026
(405) 292-9530
COMANCHE COUNTY
LAWTON
LAWTON IHS
PHARMACY
1515 NE LAWRIE
TATUM RD
LAWTON, OK, 73507
(580) 353-0350
CREEK COUNTY
SAPULPA
SAPULPA INDIAN HLTH
CNTR
1125 E CLEVELAND
AVE
SAPULPA, OK, 74066
(918) 224-9310
CUSTER COUNTY
CLINTON
CLINTON INDIAN
HOSPITAL PHCY
RR 1 BOX 3060
CLINTON, OK, 73601
(580) 323-2884
DELAWARE COUNTY
JAY
JAY COMMUNITY
CLINIC
1015 W WASHBOURNE
ST
JAY, OK, 74346
(918) 253-4271
HASKELL COUNTY
STIGLER
CHOCTAW NATION
HEALTH CLINIC
PHARMACY
2204 E MAIN ST
STIGLER, OK, 74462
(918) 967-9200
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
44

First Health Part D Premier Plus and First Health Part D Premier’s
Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)
Pharmacies
JOHNSTON COUNTY
TISHOMINGO
TISHOMINGO INDIAN
CLINIC
815 E 6TH ST
TISHOMINGO, OK,
73460
(580) 371-2362
KAY COUNTY
NEWKIRK
KANZA PHARMACY
3151 E RIVER RD
NEWKIRK, OK, 74647
(580) 362-2449
PONCA CITY
WHITE HEALTH EAGLE
HEALTH CENTER
200 WHITE EAGLE DR
PONCA CITY, OK, 74601
(580) 765-2501
LE FLORE COUNTY
POTEAU
RUBIN WHITE HEALTH
CLINIC PHCY
109 KERR AVE
POTEAU, OK, 74953
(918) 649-1100
TALIHINA
CHOCTAW NATION
HEALTHCARE CTR
PHARMACY
1 CHOCTAW WAY
TALIHINA, OK, 74571
(918) 567-7000
LINCOLN COUNTY
STROUD
BLACK HAWK HEALTH
CENTER
356110 E 930 RD
STROUD, OK, 74079
(918) 968-9531
MAYES COUNTY
SALINA
AMO SALINA HEALTH
CTR
900 N OWEN WALTERS
BLVD
SALINA, OK, 74365
(918) 434-8500
MCCURTAIN COUNTY
IDABEL
CHOCTAW NATION
HEALTH CLINIC
PHARMACY
902 LINCOLN RD
IDABEL, OK, 74745
(580) 286-2600
MCINTOSH COUNTY
EUFAULA
EUFAULA INDIAN HLTH
CNTR
800 W FORREST AVE
EUFAULA, OK, 74432
(918) 689-2547
MUSKOGEE COUNTY
MUSKOGEE
MUSKOGEE HEALTH
CENTER
1805 N YORK ST
MUSKOGEE, OK, 74403
(918) 687-0201
NOWATA COUNTY
NOWATA
CHEROKEE NATION
PRIMARY HLTH
202 E GALER AVE
NOWATA, OK, 74048
(918) 273-0192
OKFUSKEE COUNTY
OKEMAH
USPHS OKEMAH
COMMUNITY
309 N 14TH ST
OKEMAH, OK, 74859
(918) 623-0555
OKLAHOMA COUNTY
OKLAHOMA CITY
OKC INDIAN CLINIC
PHCY
4913 W RENO AVE
OKLAHOMA CITY, OK,
73127
(405) 948-4900
OKMULGEE COUNTY
OKMULGEE
OKMULGEE INDIAN
HLTH CNTR
1313 E 20TH ST
OKMULGEE, OK, 74447
(918) 782-2700
OSAGE COUNTY
PAWHUSKA
PAWHUSKA IHS
PHARMACY
715 GRANDVIEW AVE
PAWHUSKA, OK, 74056
(918) 287-4491
OTTAWA COUNTY
MIAMI
NORTHEASTERN
TRIBAL HLTH SYSTEM
2301 S EIGHT TRIBES
TRL
MIAMI, OK, 74354
(918) 675-2021
PAWNEE COUNTY
PAWNEE
PAWNEE IHS
PHARMACY
1201 HERITAGE CIR
PAWNEE, OK, 74058
(918) 762-2517
PAYNE COUNTY
PERKINS
PERKINS FAMILY
CLINIC
501 E HIGHWAY 33
PERKINS, OK, 74059
(405) 547-2473
PITTSBURG COUNTY
MCALESTER
CHOCTAW NATION
HEALTH CLINIC
903 E MONROE AVE
MCALESTER, OK, 74501
(918) 423-8440
PONTOTOC COUNTY
ADA
CHICKASAW NATION
FAMILY
1921 STONECIPHER DR
ADA, OK, 74820
(580) 436-6260
CHICKASAW NATION
MEDICAL CENTER
1921 STONECIPHER DR
ADA, OK, 74820
(580) 421-4570
CHICKASAW NATION
MEDICAL CENTER
1921 STONECIPHER DR
ADA, OK, 74820
(580) 421-4569
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
45

First Health Part D Premier Plus and First Health Part D Premier’s
Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)
Pharmacies
CHICKASAW NATION
PURCELL HEALTH
1001 N COUNTRY CLUB
RD
ADA, OK, 74820
(405) 527-4700
POTTAWATOMIE
COUNTY
MCCLOUD
KICKAPOO TRIBAL
HEALTH CENTER
PHARMACY
407 N HWY 102
MCCLOUD, OK, 74851
(405) 964-2081
SHAWNEE
ABSENTEE
SHAWNEE#1
PHARMACY
2029 GORDON COOPER
DR
SHAWNEE, OK, 74801
(405) 878-5859
CITIZEN POTAWATOMI
NATION PHCY
2307 GORDON COOPER
DR
SHAWNEE, OK, 74801
(405) 273-5236
CITIZEN POTAWATOMI
NATION W CLINIC
781 GRAND CASINO
BLVD
SHAWNEE, OK, 74804
(405) 964-5770
ROGERS COUNTY
CLAREMORE
CLAREMORE IHS
PHARMACY
101 S MOORE AVE
CLAREMORE, OK,
74017
(918) 342-6581
SEMINOLE COUNTY
WEWEOKA
WEWOKA INDIAN HLTH
CENTER PHARMACY
INTERSECTION HWY 56
& 27
WEWEOKA, OK, 74884
(405) 257-6281
SEQUOYAH COUNTY
SALLISAW
REDBIRD SMITH HLTH
CENTER
301 J T STITES BLVD
SALLISAW, OK, 74955
(918) 775-9159
TULSA COUNTY
TULSA
TULSA INDIAN HLTH
CARE RESOURCE
550 S PEORIA AVE
TULSA, OK, 74120
(918) 382-1267
WAGONER COUNTY
COWETA
KOWETA INDIAN
HEALTH FACILITY
31870 EAST HIGHWAY
51
COWETA, OK, 74429
(918) 279-3406
This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy
is still in the network, is open or is still in the same location.
46