New Mexico Medicaid Pharmacy Network Listing Blue Cross

Pharmacy Name Address 1 Address 2 City

ST ZIP Phone

WALMART PHARMACY 10-1846 199 WEST 5TH ST DOUGLAS AZ 85607 5203641279

COCHISE FOOT & ANKLE CARE CENTER 2480 E WILCOX DR SIERRA VISTA AZ 85635 5205153669

WALMART PHARMACY 10-0966 1835 EAST MAIN ST CORTEZ CO 81321 9705657038

WALMART PHARMACY 10-0962 2921 TOUPAL DRIVE TRINIDAD

CO 81082 7198463358

CITY DRUG 209 N COLLEGE AVE FORT COLLINS CO 80524 9704821234

SAVON PHARMACY #0801 311 W COLLEGE DR DURANGO

CO 81301 9703822228

WALMART PHARMACY 10-2270 1155 SOUTH CAMINO DEL RIO DURANGO CO 81303 9702598788

ARNETT LOCAL PHARMACY 7120 WYOMING NE STE 6 ALBUQUERQUE NM 87109 5053460533

ZUNI INDIAN HOSPITAL PHARMACY ROUTE 301 NORTH B ST ZUNI NM 87327 5057827521

NORTHERN NAVAJO MEDICAL CENTER PHARMACY HWY 491 NORTH SHIPROCK

NM 87420 5053687252

SANTA FE INDIAN HOSPITAL PHARMACY 1700 CERRILLOS RD SANTA FE NM 87505 5059469389

OJO ENCINO NAVAJO CLINIC #2 OJO ENCINO CHAPTER HOUSE ROAD OJO ENCINO NM 87013 5057312268

TORREON NAVAJO CLINIC 2500 STATE HWY 197 TORREON NM 87013 5057312284

QUESTA HEALTH CENTER

2573 STATE HWY 522

QUESTA NM 87556 5755860315

CATRON COUNTY CLINIC ONE FOSTER LN RESERVE

NM 87830 5755336456

LOVING HEALTH CLINIC 602 S 4TH ST LOVING NM 88256 5757453573

ARTESIA FAMILY HEALTH CENTER

1105 MEMORIAL DR

ARTESIA NM 88210 5757469848

WESTERN NM MED GROUP GALLUP 610 N 5TH ST GALLUP NM 87301

5058633120

WESTERN NM MEDICAL GROUP THOREAU 15 E. NAVARRE THOREAU NM 87323 5058627417

SACRAMENTO MOUNTAIN MEDICAL CENTER

74 JAMES CANYON HWY

CLOUDCROFT NM 88317 5756822542

ESPERANZA FAMILY HEALTH CENTER 903 C N 5TH ST ESTANCIA NM 87016

5053842777

ORTIZ MOUNTAIN HEALTH CENTER 06B MAIN ST CERRILLOS NM 87010 5054716266

TULAROSA MEDICAL CENTER 111 CENTRAL AVE TULAROSA NM 88352 5755851250

DULCE IHS PHARMACY 12000 STONE LAKE RD DULCE

NM 87528 5057593291

CROWNPOINT HEALTH CARE PHARMACY HWY JCT 57 RT 9 CROWNPOINT NM

87313 5057866344

COCHITI IHS PHARMACY 255 COCHITI ST COCHITI

NM 87072 5054652587

SANTA CLARA IHS PHARMACY ROUTE 5 ESPANOLA NM 87532 5057539421

TOHATCHI HEALTH CENTER PHARMACY 07 CHOOSGAI TOHATCHI

NM 87325 5057338218

ALBERTSONS MARKET PHARMACY #924 8100 VENTURA ST NE ALBUQUERQUE NM 87122 5058228484

WALMART PHARMACY 10-2612 1850 NORTH ZARAGOZA RD EL PASO TX 79936

9158556597

WALMART PHARMACY 10-3384

300 WEST 15TH STREET HEREFORD TX 79045 8063644459

SAMS PHARMACY 7970 NORTH MESA EL PASO TX 79932 9155870626

SAMS PHARMACY 11360 PELLICANO DRIVE EL PASO TX 79936 9155914090

SAMS PHARMACY 10-6502 7001 GATEWAY BLVD WEST EL PASO TX 79925 9157750960

WALMART PHARMACY 10-5108 3000 SAUL KLEINFELD DRIVE EL PASO TX 79936 9158497804

WALMART PHARMACY 10-3661 1551 N ZARAGOZA RD EL PASO TX 79936 9158552745

WALMART PHARMACY 10-4415 8115 NORTH LOOP EL PASO TX 79907 9156290903

WALMART PHARMACY 10-4366 951 NORTH RESLER EL PASO TX 79912 9158750196

WALMART PHARMACY 10-0512 10727 GATEWAY BLVD WEST EL PASO TX 79935 9155933164

WALMART PHARMACY 10-0500 4530 WOODROW BEAN EL PASO TX 79924 9157572538

WALMART PHARMACY 10-0964 9441 ALAMEDA AVE EL PASO TX 79907 9158581071

WALMART PHARMACY 10-1015 7555 N MESA EL PASO TX 79912 9158334332

WALMART PHARMACY 10-0626 2000 HOBBS HIGHWAY SEMINOLE TX 79360 4327583270

SAVON PHARMACY #0934 2200 N YARBROUGH DR EL PASO TX 79925 9155915637

WALMART PHARMACY 10-2201 7101 GATEWAY BLVD EL PASO TX 79925 9157796768

This print directory is a list of pharmacies in our network. The list is current as of the date it was published. To see the most current list of pharmacies in our network, go to our website,

bcbsnm.com/community-centennial. You can check our online Provider Finder to search for pharmacies. Under More Searches, click on a Find a Pharmacy. The Provider Finder is updated daily. It is updated more

often than the printed directory.

New Mexico Medicaid Pharmacy Network Listing

Blue Cross Community Centennial

Prime Therapeutics LLC Page 1 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

WALMART PHARMACY 10-3763 12236 MONTANA AVE EL PASO TX 79936 9159216879

BEAR CREEK PHARMACY LLC 101 BEAR CREEK PARKWAY, STE. #B KELLER

TX 76248 8175624766

K & K PHARMACY 1411 W AMERICAN BLVD MULESHOE TX 79347 8062727511

MAYFIELD PHARMACY 1915 E. MAYFIELD ROAD

SUITE 109 ARLINGTON TX 76014 8177958884

WALMART PHARMACY 10-5960 10301 ALAMEDA AVE SOCORRO TX 79927 9152453493

UNIVERSITY MEDICAL CENTER EAST PHARMACY 1485 GEORGE DIETER DR STE 107

EL PASO TX 79936 9155217087

WALMART PHARMACY 10-7229 1110 SUNLAND PARK DRIVE EL PASO TX 79922

9153522815

WALMART PHARMACY 10-5717 7831 PASEO DEL NORTE BLVD STE A

EL PASO

TX 79912 9152591949

SAGE MEMORIAL HOSPITAL US 191 & SR 264 GANADO

AZ 86505 9287554500

WALMART PHARMACY 10-1240 500 N HWY 90 BYP SIERRA VISTA AZ 85635 5204589690

WALMART PHARMACY 10-1230 5401 S WHITE MOUNTAIN RD SHOW LOW

AZ 85901 9285373010

FRYS FOOD AND DRUG 4351 E HIGHWAY 90 SIERRA VISTA AZ

85635 5204580997

WALGREENS #5027 1950 E FRY BLVD SIERRA VISTA

AZ 85635 5204585638

WALMART PHARMACY 10-3807 201 SOUTH PRICKLY PEAR AVE BENSON AZ 85602 5205860754

GENOA HEALTHCARE, LLC 1701 N DOUGLAS AVE

DOUGLAS AZ 85607 5203683059

GENOA HEALTHCARE, LLC 4755 CAMPUS DR SIERRA VISTA AZ

85635 5202263020

GENOA HEALTHCARE, LLC 1500 S WHITE MOUNTAIN RD BLDG 3, SUITE 302 SHOW LOW

AZ 85901 9285377002

CANYONLANDS HEALTHCARE - DUNCAN 103 FAIRGROUNDS RD DUNCAN AZ 85534 9282506961

CITY MARKET PHARMACY 3130 MAIN AVENUE DURANGO CO 81301 9702479435

CITY MARKET PHARMACY 508 E MAIN STREET CORTEZ CO 81321 9705656466

CITY MARKET PHARMACY 6 TOWN PLZ DURANGO CO 81301 9702472921

CITY MARKET PHARMACY #445 165 COUNTRY CENTER DR PAGOSA SPRINGS CO

81147 9707316006

WALGREENS #10370 1671 E MAIN ST CORTEZ CO 81321 9705649165

WALGREENS #10371 2701 MAIN AVE DURANGO

CO 81301 9703851001

RIVERGATE PHARMACY 575 RIVERGATE LANE STE 111 DURANGO CO 81301 9703757711

CAPITOL HEIGHTS PHARMACY 1200 MADISON ST DENVER CO 80206 3033883679

WALMART PHARMACY 10-5003

211 ASPEN VILLAGE DR

PAGOSA SPRINGS CO 81147 9707319017

WHEAT RIDGE PROFESSIONAL PHARMACY 6650 W 38TH AVE WHEAT RIDGE CO 80033

3034216111

CENTURA HEALTH PHARMACY AT MERCY REGIONAL MEDICAL CENTER 1010 THREE SPRINGS BLVD DURANGO CO 81301

9707641746

WALGREENS # 19273 28 TOWN PLAZA DURANGO CO 81301

9702475057

WALGREENS #6587 9700 MENAUL BLVD NE ALBUQUERQUE NM 87112 5052999541

WALGREENS

2105 CENTRAL AVE NW

ALBUQUERQUE NM 87104 5052422713

WALGREENS #5997 2625 SAN PEDRO DR NE ALBUQUERQUE NM 87110

5058835760

WALGREENS #2900 1096 S ST FRANCIS DR SANTA FE NM 87505 5059829811

ALBERTSONS MARKET PHARMACY #911 2801 A EUBANK BLVD ALBUQUERQUE

87112 5052941597

WALGREENS #4950 700 E 21ST STREET CLOVIS NM 88101 5757623851

WALGREENS #23 5001 MONTGOMERY BLVD NE ALBUQUERQUE NM 87109

5058815210

MICHAEL'S PRESCRIPTION CORNER

123 W AVENUE A LOVINGTON

88260 5753962311

WALGREENS #11360 11200 MONTGOMERY BLVD NE ALBUQUERQUE NM 87111

5052987477

WALGREENS #9336

2011 12TH STREET NW ALBUQUERQUE

87104 5052472353

WALGREENS #4651 10236 COORS BYPASS NW ALBUQUERQUE NM 87114 5058981730

ALBERTSONS MARKET PHARMACY #928 11825 LOMAS BLVD NE ALBUQUERQUE

NM 87112 5052939156

ALBERTSONS MARKET PHARMACY #904 4950 MONTGOMERY NE ALBUQUERQUE NM 87109 5058838703

PINON FAMILY PHARMACY 2300 B E 30TH SUITE 101 FARMINGTON

NM 87401 5053274826

WALGREENS #4047 101 COORS BLVD NW ALBUQUERQUE NM 87121 5058313147

SMITHS PHARMACY #409 600 EAST 20TH ST FARMINGTON NM 87401 5053251774

ALBERTSONS MARKET PHARMACY #680 2402 N GRIMES HOBBS NM 88240 5753924503

SMITHS PHARMACY #413 1000 RIO RANCHO DR RIO RANCHO NM 87124 5058921866

WALGREENS #7107

2300 E LOHMAN AVE

LAS CRUCES NM 88001 5756472506

SMITHS PHARMACY #414 2580 MAIN ST LOS LUNAS NM 87031 5058653310

WALGREENS #3366

3400 COORS BLVD NW ALBUQUERQUE NM 87120 5058364111

SMITHS PHARMACY #423 6125 4TH ST NW ALBUQUERQUE NM 87107 5053443509

WALGREENS #1279 2950 CENTRAL AVE SE ALBUQUERQUE NM 87106 5052621745

WALGREENS #5350 1835 N MAIN ST ROSWELL NM 88201 5756240423

SMITHS PHARMACY #571 1601 ARENAL SW ALBUQUERQUE NM 87105 5058774542

ALBERTSONS MARKET PHARMACY #937 10131 COORS BLVD NW ALBUQUERQUE NM 87114 5058973961

WALGREENS #9773 10300 CENTRAL AVE SE ALBUQUERQUE NM 87123 5052920917

Prime Therapeutics LLC Page 2 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

WALMART PHARMACY 10-0824 8000 ACADEMY RD NE ALBUQUERQUE NM 87111 5058216008

WALMART PHARMACY 10-0835 400 EUBANK BLVD NE ALBUQUERQUE

NM 87123 5052928035

WALMART PHARMACY 10-0829 3251 CERILLOS RD SANTA FE NM 87507 5054734261

WALMART PHARMACY 10-0850 2701 CARLISLE BLVD NE

ALBUQUERQUE NM 87110 5058818496

WALMART PHARMACY 10-0826 4600 E MAIN ST FARMINGTON NM 87402 5053261197

SMITHS PHARMACY #432 31 SHERWOOD BLVD

WHITE ROCK NM 87547 5056729457

WALMART PHARMACY 10-0806 571 S WALTON BLVD LAS CRUCES NM 88001

5755243501

WALMART PHARMACY 10-0821 3728 N PRINCE ST CLOVIS NM 88101 5757692389

SMITHS PHARMACY #426 224 PASEO PUEBLO SUR TAOS

NM 87571 5757584823

WALGREENS #5157 1115 N RIVERSIDE DR ESPANOLA NM 87532 5057537005

WALGREENS #7735 6605 4TH ST NW

LOS RANCHOS DE ALBUQUERQU

NM 87107 5053459059

WALGREENS #4649 3501 LOMAS BLVD NE ALBUQUERQUE NM

87106 5052558908

WALMART PHARMACY 10-0868 2401 S CANAL ST CARLSBAD

NM 88220 5758851029

WALMART PHARMACY 10-0873 926 PASEO DEL PUEBLO SUR TAOS NM 87571 5757582743

WALMART PHARMACY 10-0851 1800 W HWY 70

RUIDOSO DOWNS NM 88346 5753785400

WALMART PHARMACY 10-0906 1650 W MALONEY AVE GALLUP NM

87301 5057223823

WALGREENS #4187 1941 SOUTHERN BLVD SE RIO RANCHO

NM 87124 5058918186

SMITHS PHARMACY #446 6001 LOMAS NE ALBUQUERQUE NM 87110 5052667433

WALGREENS #5923 13000 INDIAN SCHOOL RD NE ALBUQUERQUE NM 87112 5052980413

WALMART PHARMACY 10-0611 4500 N MAIN ST STE A ROSWELL NM 88201 5756223812

WALMART PHARMACY 10-1306 233 S NEW YORK AVE ALAMOGORDO NM 88310 5754345345

WALMART PHARMACY 10-0549 3800 LOVINGTON HWY HOBBS NM

88240 5754920310

SMITHS PHARMACY #439 4700 TRAMWAY NE ALBUQUERQUE NM 87111 5052925888

WALMART PHARMACY 10-1357 2501 HWY 180 EAST SILVER CITY

NM 88061 5753883113

WALGREENS #15033 3401 ISLETA BLVD, SW ALBUQUERQUE NM 87105 5058773130

WALMART PHARMACY 10-1380 2609 7TH ST LAS VEGAS NM 87701 5054255269

WALMART PHARMACY 10-1414

01 I 25 BYPASS

BELEN NM 87002 5058640270

WALMART PHARMACY 10-1397 10224 COORS BYPASS NW ALBUQUERQUE NM 87114

5058976935

ALBERTSONS MARKET PHARMACY #938 7101 WYOMING BLVD NE ALBUQUERQUE NM 87109

5058211275

WALGREENS #11960 1256 EL PASEO ROAD LAS CRUCES NM 88001

5755258713

WALGREENS #7930 1401 W PIERCE ST CARLSBAD NM 88220 5758870572

WALGREENS #2349

1401 NORTH TURNER ST

HOBBS NM 88240 5753932767

WALGREENS #4911 6000 COORS BLVD NW ALBUQUERQUE NM 87120

5058990989

WALGREENS #2425 620 MILLS AVENUE LAS VEGAS NM 87701 5054253317

WALGREENS #1941 1200 S MAIN ST ROSWELL

88203 5756241439

WALGREENS #6610 2500 MAIN ST NE LOS LUNAS NM 87031 5058657551

WALGREENS #9991 955 N WHITE SANDS BLVD ALAMOGORDO NM 88310

5754344116

WALGREENS #9067

701 E 20TH ST FARMINGTON

87401 5053263342

WALGREENS #5158 4051 SOUTHERN BLVD SE RIO RANCHO NM 87124

5058926690

WALGREENS #9007

1870 E HISTORIC HWY 66 GALLUP

87301 5057229499

SMITHS PHARMACY #427 200 TRAMWAY SE ALBUQUERQUE NM 87123 5052969751

LOWES MARKETPLACE PHARMACY 675 E 10TH ST ALAMOGORDO

NM 88310 5754344130

SMITHS PHARMACY #450 8040 ACADEMY RD NE ALBUQUERQUE NM 87111 5058234480

NEW MEXICO STATE VETERANS PHARMACY 992 S BROADWAY ST TRUTH OR CONSEQ

NM 87901 5758944231

WALGREENS #3367 8011 HARPER DR NE ALBUQUERQUE NM 87111 5058583134

SAVON PHARMACY #3914 1956 HWY 180 E SILVER CITY NM 88061 5753880133

CORAM CVS/SPECIALTY INFUSION SERVICES 7400 WASHINGTON ST NE ALBUQUERQUE NM 87109 5057983500

SMITHS PHARMACY #448 8301 GOLF COURSE RD NW ALBUQUERQUE NM 87120 5058971321

ALBERTSONS MARKET PHARMACY #903

4300 RIDGECREST DR

RIO RANCHO NM 87124 5058922262

COSTCO PHARMACY #116 1420 N RENAISSANCE BLVD NE ALBUQUERQUE NM 87107 5053427148

ALBERTSONS MARKET PHARMACY #665

202 W CHURCH STREET CARLSBAD NM 88220 5758852165

SAV-ON PHARMACY #0925 2551 E LOHMAN AVE LAS CRUCES NM 88011 5755219841

WALGREENS #3934 3298 CERRILLOS ROAD SANTA FE NM 87505 5054743507

ACL PHARMACY 80 B VETERANS BLVD ACOMA NM 87034 5055525393

ZIA INDIAN HEALTH CLINIC PHARMACY 155B CAPITAL SQUARE DR ZIA NM 87053 5058675258

SANTA ANA HEALTH CLINIC PHARMACY 02 C DOVE RD BERNALILLO NM 87004 5058672497

ALBUQUERQUE INDIAN HEALTH PHARMACY 801 VASSAR DRIVE NE ALBUQUERQUE NM 87106 5052487640

Prime Therapeutics LLC Page 3 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

JEMEZ HEALTH CENTER 110 SHEEP SPRINGS RD JEMEZ PUEBLO NM 87024 5758347413

ALBERTSONS MARKET PHARMACY #939 12201 ACADEMY RD N E ALBUQUERQUE

NM 87111 5052759733

WALGREENS #4510 4221 E MAIN ST FARMINGTON NM 87402 5053251749

WALGREENS #4421 3100 N MAIN ST

LAS CRUCES NM 88001 5755250298

SAVON PHARMACY #1909 1285 EL PASEO RD LAS CRUCES NM 88001 5755411264

WALMART PHARMACY 10-2653 1604 EAST SPRUCE STREET

PORTALES NM 88130 5753593435

WALGREENS #4650 138 SUDDERTH DR RUIDOSO NM 88345

5752571566

ALBERTSONS MARKET PHARMACY #987 3001 S ST FRANCIS DR SANTA FE NM 87501 5059928638

ALBERTSONS MARKET PHARMACY #986 3542 ZAFARANO DR SANTA FE

NM 87507 5054712914

COUNSELOR NAVAJO CLINIC 9837 US HIGHWAY 550 COUNSELOR NM 87018 5755684328

CUBA HEALTH CENTER 6349 US HWY 550 CUBA

NM 87013 5752893291

GRANTS FAMILY HEALTH CENTER 1217 BONITA ST GRANTS NM

87020 5052872958

MOUNTAINAIR FAMILY HEALTH CENTER 105 EAST PINON MOUNTAINAIR

NM 87036 5058472271

WALMART PHARMACY 10-2656 1610 N RIVERSIDE DRIVE ESPANOLA NM 87532 5057470427

PHARMERICA 2720 BROADBENT PKWY NE STE A

ALBUQUERQUE NM 87107 5053431113

WALMART PHARMACY 10-2652 1000 ROBERT RD GRANTS NM

87020 5052853378

GALLUP INDIAN MED CENTER PHARMACY 516 EAST NIZHONI BLVD GALLUP

NM 87301 5057221185

ALBERTSONS MARKET PHARMACY #690 1110 S MAIN ST ROSWELL NM 88203 5756227039

SMITHS PHARMACY #461 2308 CERRILLOS ROAD SANTA FE NM 87501 5054717874

SMITHS PHARMACY #424 #2B HWY 344 EDGEWOOD NM 87015 5052869040

ALBERTSONS MARKET PHARMACY #917 1625 RIO BRAVO BLVD S W ALBUQUERQUE NM 87105 5058772240

WALGREENS #5732 7850 ENCHANTED HILLS BLVD NE RIO RANCHO NM

87144 5057712777

SMITHS PHARMACY #459 8100 WYOMING NE SUITE A ALBUQUERQUE NM 87109 5058579783

WALGREENS #5731 9500 GOLF COURSE RD NW ALBUQUERQUE

NM 87114 5058977733

MESCALERO INDIAN HOSPITAL PHARMACY 318 ABALONE LOOP MESCALERO NM 88340 5754643844

PINE HILL HEALTH CENTER 07 BIA ROUTE 140 PINE HILL NM 87357 5057753933

DZILTH NA O DITH HLE HEALTH CENTER

6 RD 7586

BLOOMFIELD NM 87413 5053688144

ALAMO NAVAJO HEALTH CENTER HWY 169 MM29 ALAMO NM 87825

5758542626

COSTCO PHARMACY #667 500 EUBANK BLVD SE ALBUQUERQUE NM 87123

5053326602

SAMS PHARMACY 10-4703 10600 COORS BYPASS NW ALBUQUERQUE NM 87114

5059220847

WALGREENS #6121 8400 MONTGOMERY BLVD NE ALBUQUERQUE NM 87111 5055599134

TAOS PICURIS HEALTH CENTER PHARMACY

1090 GOAT SPRINGS RD

TAOS NM 87571 5757586995

ISLETA HEALTH CENTER PHARMACY #1 SAGEBRUSH STREET ALBUQUERQUE NM 87105

5058694474

SAN FELIPE HEALTH CLINIC PHCY 3 CEDAR ST SAN FELIPE PUEBLO SAN FELIPE NM 87001 5058675485

MAGDALENA CLINIC 801 10TH ST MAGDALENA

87825 5758543161

SAMS PHARMACY 10-6672 300 EUBANK BLVD NE ALBUQUERQUE NM 87123 5052910998

SMITHS PHARMACY #498 111 COORS RD NW ALBUQUERQUE NM 87121

5058365322

SMITHS PHARMACY #467

751 TRINITY DR STE 100 LOS ALAMOS

87544 5056624778

SMITHS PHARMACY #496 3701 CONSTITUTION NE ALBUQUERQUE NM 87110

5052569443

SMITHS PHARMACY #485

4016 LOUISIANA NE ALBUQUERQUE

87110 5058840307

SMITHS PHARMACY #494 5850 EUBANK NE ALBUQUERQUE NM 87111 5052997621

SMITHS PHARMACY #491 2110 PACHECO SANTA FE

NM 87501 5054735563

ALBERTSONS MARKET PHARMACY #691 900 W 2ND ST ROSWELL NM 88201 5756221984

WALMART PHARMACY 10-2924 2550 COORS BLDV NW ALBUQUERQUE

NM 87120 5053521880

SAMS PHARMACY 10-6347 4500 E MAIN FARMINGTON NM 87402 5053265384

WALGREENS #6346 525 W ZIA ROAD SANTA FE NM 87505 5058202196

MARKET STREET PHARMACY #927 600 N GUADALUPE ST SANTA FE NM 87501 5059824806

SAMS PHARMACY 10-4784 2711 N. TELSHOR BLVD LAS CRUCES NM 88011 5755217890

WALMART PHARMACY 10-3596

2250 MAIN ST NW

LOS LUNAS NM 87031 5055654622

ALBERTSONS MARKET PHARMACY #919 2351 MAIN ST SE LOS LUNAS NM 87031 5058652089

WALGREENS #7351

4700 4TH ST NW ALBUQUERQUE NM 87107 5053441390

WALGREENS #7442 1201 UNSER BLVD SW ALBUQUERQUE NM 87121 5058315094

WALMART PHARMACY 10-5155 1550 S VALLEY DR LAS CRUCES NM 88005 5755236844

WALMART PHARMACY 10-5166 1021 E PINE ST DEMING NM 88030 5755466746

SAMS PHARMACY 10-6408 4201 RODEO RD SANTA FE NM 87507 5054710152

QUAY COUNTY FAMILY HEALTH CENTER 1302 E MAIN ST TUCUMCARI NM 88401 5754612200

WALGREENS #7881 5 WALKER RD EDGEWOOD NM 87015 5052810950

Prime Therapeutics LLC Page 4 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

WALGREENS #2026 100 E HWY 550 BERNALILLO NM 87004 5058676071

WALGREENS #2053 6565 PARADISE BLVD NW ALBUQUERQUE

NM 87114 5052170983

WALGREENS #2050 315 N MAIN ST BELEN NM 87002 5058611762

WALMART PHARMACY 10-5492 700 N 6TH ST

SOCORRO NM 87801 5758381426

WALGREENS #9213 1900 WYOMING BLVD NE ALBUQUERQUE NM 87112 5052171241

WALMART PHARMACY 10-5430 3500 COORS BLVD SW

ALBUQUERQUE NM 87121 5058778987

WALGREENS #9608 6250 PASEO DEL NORTE NE ALBUQUERQUE NM 87113

5052172392

WALMART PHARMACY 10-3427 604 N 26TH ST ARTESIA NM 88210 5757466137

WALGREENS #7438 5850 EUBANK BLVD NE ALBUQUERQUE

NM 87111 5052172818

SAMS PHARMACY 10-4938 1421 N RENAISSANCE BLVD NE ALBUQUERQUE NM 87107 5053449129

WALMART PHARMACY 10-3317 8511 GOLF COURSE ROAD NW ALBUQUERQUE

NM 87114 5057923683

WALMART PHARMACY 10-3732 901 UNSER BLVD SE RIO RANCHO NM

87124 5059629239

WALMART PHARMACY 10-3428 1400 W MAIN ST FARMINGTON

NM 87401 5053272262

SAMS PHARMACY 10-4961 4400 N MAIN ST ROSWELL NM 88201 5756279866

NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD 4901 LANG AVE NE

ALBUQUERQUE NM 87109 5057963025

WALMART PHARMACY 10-3385 9600 SAGE RD SW ALBUQUERQUE NM

87121 5058314023

ALBERTSONS MARKET PHARMACY #920 710A PASEO DEL PUEBLO SUR TAOS

NM 87571 5757581203

ALBERTSONS MARKET PHARMACY #905 2910 JUAN TABO BLVD NE ALBUQUERQUE NM 87112 5052998600

ALBERTSONS MARKET PHARMACY #923 7800 ENCHANTED HILLS BLVD NE RIO RANCHO NM 87144 5057718411

ALBERTSONS MARKET PHARMACY #915 6200 COORS BLVD NW ALBUQUERQUE NM 87120 5058985970

COSTCO PHARMACY #1016 9955 COORS BYPASS NW ALBUQUERQUE NM 87114 5059227409

SMITHS PHARMACY #463 4800 MCMAHON BLVD NW ALBUQUERQUE NM

87114 5059224303

WALGREENS #9715 2200 UNSER BLVD NW ALBUQUERQUE NM 87120 5052179940

WALMART PHARMACY 10-3731 460 HWY 528 BERNALILLO

NM 87004 5057714877

WALMART PHARMACY 10-4201 66 STATE ROAD 344 EDGEWOOD NM 87015 5052863053

WALGREENS #11361 1861 MAIN ST NW LOS LUNAS NM 87031 5058652933

WALMART PHARMACY 10-4341

2001 HR ASHBAUGH DR

TRUTH OR CONSEQUENCES NM 87901 5758940645

QUEMADO HEALTH CENTER 8 OLD TOWN LOOP QUEMADO NM 87829

5757734610

HOBBS FAMILY HEALTH CENTER 200 W LEA HOBBS NM 88240

5753910270

WALGREENS #11958 3632 MENAUL BLVD NE ALBUQUERQUE NM 87110

5052172551

WALGREENS #10808 100 ROSEDALE RD SILVER CITY NM 88061 5755340053

WALMART PHARMACY 10-5491

2266 WYOMING BLVD NE

ALBUQUERQUE NM 87112 5053232885

WALGREENS #11458 3990 E LOHMAN AVE LAS CRUCES NM 88011

5755221457

ALBERTSONS MARKET PHARMACY #682 721 MECHEM DR STE B RUIDOSO NM 88345 5756308020

WALGREENS #12407 10800 UNSER BLVD NW ALBUQUERQUE

87114 5052051849

WALGREENS #12004 8011 VENTURA NE ALBUQUERQUE NM 87122 5052172860

WALGREENS #12751 811 PASEO DEL PUEBLO SUR TAOS NM 87571

5757581704

WALGREENS #12793

801 W JOE HARVEY BLVD HOBBS

88240 5753920053

WALGREENS #12270 2101 NORTHERN BLVD NE RIO RANCHO NM 87124

5052173980

WALGREENS #12469

2700 W PICACHO AVE LAS CRUCES

88007 5755230833

WALGREENS #13164 9601 GIBSON BLVD SW ALBUQUERQUE NM 87121 5053596000

WALGREENS #12005 5721 AIRPORT RD SANTA FE

NM 87507 5052161492

WALMART PHARMACY 10-3423 5701 HERRERA DR SANTA FE NM 87507 5054249166

WALMART PHARMACY 10-5675 11001 MENAUL BLVD NE ALBUQUERQUE

NM 87112 5052003440

CUBA HEALTH CENTER PHARMACY 6349 US HIGHWAY 550 CUBA NM 87013 5752893291

CUBA SCHOOL BASED HEALTH CENTER #50 COUNTY ROAD 13 CUBA NM 87013 5752892082

GALLUP TEEN HEALTH CENTER 1055 1/2 RICO ST GALLUP NM 87301 5057212681

WALGREENS #15603 122 N GOLD AVE DEMING NM 88030 5755462731

SAN JUAN ONCOLOGY ASSOCIATES, PC

2325 E 30TH ST

FARMINGTON NM 87401 5055646850

WALMART PHARMACY 10-4601 3331 RINCONADA BLVD LAS CRUCES NM 88011 5756803779

WALMART PHARMACY 10-2451

4700 CUTLER AVE NE ALBUQUERQUE NM 87110 5053461661

WALGREENS #15929 201 CEDAR ST SE STE 102 ALBUQUERQUE NM 87106 5052436195

WALGREENS #13927 3375 RINCONADA BLVD LAS CRUCES NM 88011 5753829100

FARMERS UPTOWN PHARMACY 2800 N MAIN ST ROSWELL NM 88201 5756230830

MESA PHARMACY 1279 S 2ND ST RATON NM 87740 5752456372

CANCER CENTER PHARMACY 1201 CAMINO DE SALUD NE ALBUQUERQUE NM 87102 5052721700

MICHAEL'S PRESCRIPTION CORNER NORTE VISTA 2420 N FOWLER ST HOBBS NM 88240 5753922311

Prime Therapeutics LLC Page 5 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

WALGREENS #15607 1509 E SANTA FE AVE GRANTS NM 87020 5056583107

ALAMOGORDO FAMILY HEALTH CENTER 1501 EAST 10TH ST ALAMOGORDO

NM 88310 5754342960

PLAINS REGIONAL MEDICAL CENTER PHARMACY 2401 W 21ST ST CLOVIS NM 88101 5757697680

WALMART PHARMACY 10-3517 1115 NM HWY 528 SE

RIO RANCHO NM 87124 5056004053

WALMART PHARMACY 10-3512 11018 MONTGOMERY BLVD NE ALBUQUERQUE NM 87111 5056004188

ALBERTSONS MARKET PHARMACY #681 1300 10TH ST

ALAMOGORDO NM 88310 5754881214

PHIL'S PHARMACY 5510 LOMAS NE ALBUQUERQUE NM 87110

5052656868

WALMART PHARMACY 10-4676 1820 UNSER BLVD NW ALBUQUERQUE NM 87102 5056004292

GENOA HEALTHCARE, LLC 7850 JEFFERSON ST NE SUITE 301

ALBUQUERQUE

NM 87109 5055850577

CHRISTUS ST. VINCENT OUTPATIENT PHARMACY 465 SAINT MICHAELS DR STE 112 SANTA FE NM 87505 5059135000

NEWSCRIPTS PHARMACY 7103 4TH ST NW STE G LOS RANCHOS

NM 87107 5053587155

WALMART PHARMACY 10-5726 2401 INDIAN WELLS ROAD ALAMOGORDO NM

88310 5758127044

WALMART PHARMACY 10-5782 150 N SONOMA RANCH BLVD LAS CRUCES

NM 88001 5753236097

BESTCARE PHARMACY ANGEL FIRE LLC UNIT B4, THE INN, HIGHWAY 434 ANGEL FIRE NM 87710 5752081616

GENOA HEALTHCARE, LLC 1007 NORTH POPE STREET

SUITE P SILVER CITY NM 88061 5753428900

CANONCITO BAND OF NAVAJOS HEALTH CLINIC 129 MEDICINE HORSE RD CANONCITO NM

87026 5059082307

GENOA HEALTHCARE, LLC 530 EAST DEMOSS STREET SUITE P LORDSBURG

NM 88045 5755428800

COMMUNITY, A WALGREENS PHARMACY #16544 933 SAN MATEO BLVD NE STE 501 ALBUQUERQUE NM 87108 5053138080

PMS SANTA FE FAMILY HEALTH CENTER 4730 BECKNER ROAD SANTA FE NM 87508 5059894500

INTEGRAL PHARMACY, LLC 109 S SECOND ST GALLUP NM 87301 5058629082

RX INNOVATIONS, LC 151 S WALNUT ST STE A5 LAS CRUCES NM 88001 5752881412

UPPER VALLEY BEHAVIORAL HEALTH 5690 SANTA TERESITA DR STE A2 SANTA TERESA NM

88008 5753324115

VEGUITA FAMILY HEALTH CENTER 1 SALOMON GRIEGO DRIVE VEGUITA NM 87062 5058646644

PINON FAMILY PHARMACY 2300 B EAST 30TH SUITE 101 FARMINGTON

NM 87401 5053274826

FARMERS PHARMACY MARKET 501 W 18TH ST # 7233 PORTALES NM 88130 5753597500

GENOA HEALTHCARE LLC 100 W GRIGGS AVE LAS CRUCES NM 88001 5756802736

HOPEWELL FAMILY HEALTH CENTER

1775 HOPEWELL ST

SANTA FE NM 87505 5054433100

GENOA HEALTHCARE LLC 2929 COORS BLVD NW SUITE 110 ALBUQUERQUE NM 87120

5054336357

GENOA HEALTHCARE, LLC 5150 JOURNAL CENTER BLVD NE ALBUQUERQUE NM 87109

5053378698

GENOA HEALTHCARE, LLC 2901 TRANSPORT ST SE ALBUQUERQUE NM 87106

5053378699

GENOA HEALTHCARE, LLC 2121 JUAN TABO BLVD NE ALBUQUERQUE NM 87112 5053378697

GENOA HEALTHCARE, LLC

1721 RIO RANCHO BLVD SE

RIO RANCHO NM 87124 5052084413

KARE DRUG - AZTEC 100 LLANO ST AZTEC NM 87410

5053346411

KARE DRUG #4 100 N CHURCH ST STE A BLOOMFIELD NM 87413 5056323324

VITAL CARE OF ALBUQUERQUE 7920 WYOMING BLVD. NE, SUITE A-1 ALBUQUERQUE

87109 5053846848

PMS-CARLSBAD SCHOOL BASED HEALTH CLINIC 3000 WEST CHURCH STREET CARLSBAD NM 88220 5752343319

PMS-SOCORRO TEEN HEALTH CENTER 1200 MICHIGAN AVENUE SOCORRO NM 87801

5758383199

HIGHLAND DRUGS

1691 GALISTEO ST STE A SANTA FE

87505 5057729340

TRIANGLE PHARMACY 12165 N HIGHWAY 14 CEDAR CREST NM 87008

5058869905

WALGREENS #6542

1100 GERONIMO DR EL PASO

79925 9157789301

WALGREENS #5274 2800 N MESA ST EL PASO TX 79902 9155336883

WALGREENS #15371 302 OREGON ST EL PASO

TX 79901 9155324344

WALGREENS #1293 1210 WEDGEWOOD DR EL PASO TX 79925 9155919496

UNITED PHARMACY #550 104 W 9TH ST MULESHOE

TX 79347 8062723169

MEDPLUS PHARMACY 7220 LOUIS PASTEUR DR STE 152 SAN ANTONIO TX 78229 2108686440

WALGREENS #3924 5900 N MESA ST EL PASO TX 79912 9155841153

CLINIC PHARMACY 901 TAHOKA RD SUITE B BROWNFIELD TX 79316 8066377049

BUNA FAMILY PHARMACY 351 TX ST HWY 62 BUNA TX 77612 4099943535

SAVON PHARMACY #2994

5630 N DESERT BLVD

EL PASO TX 79912 9158451422

WALGREENS #6498 2950 GEORGE DIETER DR EL PASO TX 79936 9158567040

ENCORE PHARMACY #75

10412 VISTA DEL SOL STE 1A EL PASO TX 79925 9155330167

WALGREENS #6543 10780 KENWORTHY EL PASO TX 79924 9158212698

GEE SHIPMAN PHARMACY 140 W LAMAR ST JASPER TX 75951 4093844646

SAVON PHARMACY #1936 3100 MESA ST EL PASO TX 79902 9153511183

WALGREENS #7328 9428 DYER ST EL PASO TX 79924 9157514415

SAVON PHARMACY #1006 5200 MONTANA AVE EL PASO TX 79903 9157780680

SAVON PHARMACY #2016 11320 MONTWOOD DR EL PASO TX 79936 9158559772

Prime Therapeutics LLC Page 6 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

SAVON PHARMACY #3999 10765 KENWORTHY EL PASO TX 79924 9158213031

PHARMERICA 6113 43RD STREET SUITE D LUBBOCK TX 79407 8662587662

COSTCO PHARMACY #768 6101 GATEWAY BLVD W STE #1 EL PASO TX 79925 9157745202

VIDOR FAMILY PHARMACY 1130 N MAIN ST

VIDOR TX 77662 4097692406

MALLEY'S FAMILY PHARMACY 3110 CALDER AVE BEAUMONT TX 77702 4098661429

LOWES MARKETPLACE PHARMACY 310 E AUSTIN ST

KERMIT TX 79745 4325863479

WALGREENS #9368 12390 EDGEMERE BLVD EL PASO TX 79938

9158496849

FORT WORTH PHARMACY, LLC 7833 OAKMONT BLVD SUITE 120

FORT WORTH

TX 76132 8173619960

MEDICAL ARTS PHARMACY 806 E AVE D SUITE A

COPPERAS COVE

TX 76522 2545474146

BOOMTOWN DRUG 514 S OKLAHOMA CUT OFF BURKBURNETT TX 76354 9405695600

THE MEDICINE STOP 1000 MAIN ST KERRVILLE

TX 78028 8308967440

WALGREENS #6753 8045 N LOOP DRIVE EL PASO TX

79915 9155925849

WALGREENS #11518 14300 HORIZON BLVD HORIZON CITY

TX 79928 9158521561

WALGREENS #11516 1329 GEORGE DIETER DR EL PASO TX 79936 9155943838

WALGREENS #12376 1432 ANTONIO ST

ANTHONY TX 79821 9158862413

WALGREENS #11436 10850 NORTH LOOP DR SOCORRO TX

79927 9158601315

WALGREENS #6435 1831 N LEE TREVINO DR EL PASO

TX 79936 9155941129

P & S PHARMACY 829 N MAIN ST CORSICANA TX 75110 9038745691

S AND R PHARMACY 1606 S MARGARET KIRBYVILLE TX 75956 4094232215

HOMETOWN PHARMACY 132 W MAIN ST POST TX 79356 8064952535

ADAMS PHARMACY 309 N HAMPTON RD DESOTO TX 75115 9722230444

MAURICEVILLE FAMILY PHARMACY 10897 HWY 12 MAURICEVILLE TX

77626 4097453784

ENCORE PHARMACY #27 3100 LEE TREVINO DR STE F EL PASO TX 79936 9155951177

WALGREENS #4679 2879 MONTANA AVE EL PASO

TX 79903 9155664464

WALGREENS #11749 10600 MONTANA AVE EL PASO TX 79935 9155914655

THE MEDICINE SHOPPE 212 NORTH STREET SUITE B NACOGDOCHES TX 75961 9365696430

WALGREENS #10414

10090 RUSHING RD

EL PASO TX 79924 9157559510

SAVON PHARMACY #3932 7022 N MESA ST EL PASO TX 79912

9155849481

WALGREENS #9173 8050 N MESA ST EL PASO TX 79932

9155850491

BRIDGE CITY FAMILY PHARMACY 1910 TEXAS AVE BRIDGE CITY TX 77611

4097355555

WALGREENS #15036 5401 MONTANA AVE EL PASO TX 79903 9157798825

PHARMERICA

4171 N MESA ST

SUITE 210A EL PASO TX 79902 9155451955

BRICK STREET PHARMACY 314 W RUSK ST TYLER TX 75701

9035338155

WALGREENS #3542 1607 N ZARAGOZA ROAD EL PASO TX 79936 9158560071

WALGREENS #3236 800 N ZARAGOZA ROAD EL PASO

79907 9158601670

WALGREENS #3570 890 NORTH RESLER DR EL PASO TX 79912 9155841359

WALGREENS #3826 11685 MONTWOOD DR EL PASO TX 79936

9158557704

UNITED PHARMACY #534

1601 TENNESSEE DALHART

79022 8062494772

MONTEZUMA CREEK CHC PHARMACY 1478 E HIGHWAY 162 MONTEZUMA CREEK UT 84534

4356513893

BLANDING FAMILY PHARMACY

910 S 300 W BLANDING

84511 4356780400

MONUMENT VALLEY HEALTH CENTER 30 WEST MEDICAL DRIVE MONUMENT VALLEY UT 84536 4357273045

NAVAJO MOUNTAIN HEALTH CENTER PHARMACY 2 RAINBOW ROAD NAVAJO MOUNTAIN

UT 84536 9286722494

MAIN STREET DRUG 140 S MAIN ST MONTICELLO UT 84535 4355872302

TRACE PHARMACY 8104 SOUTHWEST FWY STE B HOUSTON

TX 77074 7139816600

HEALTH CHECK PHARMACY 17101 W GRAND PKWY S STE 90 SUGAR LAND TX 77479 2812018232

WALGREENS #13125 12201 MONTWOOD DR EL PASO TX 79938 9158560278

STARR PLUS PHARMACY, LLC. 208 OAK DR S STE 601 LAKE JACKSON TX 77566 9792973800

WALMART PHARMACY 10-5947 5631 DYER ST EL PASO TX 79904 9152453517

WALMART PHARMACY 105962

4716 HONDO PASS DR

EL PASO TX 79904 9152453580

HOMETOWN PHARMACY 3200 OLTON RD STE B PLAINVIEW TX 79072 8062969000

YOUR NEW WAVERLY PHARMACY LLC

9320C STATE HIGHWAY 75 S NEW WAVERLY TX 77358 9363442424

WALMART PHARMACY 10-3136 13900 HORIZON BLVD HORIZON CITY TX 79928 9152066215

WALGREENS #10582 8889 GATEWAY BLVD W BLDG A100 EL PASO TX 79925 9155998571

GENOA HEALTHCARE, LLC 1600 MONTANA AVE EL PASO TX 79902 9152350060

GENOA HEALTHCARE, LLC 2400 TRAWOOD DR STE 303A EL PASO TX 79936 9152576167

WALMART PHARMACY 10-4105 101 E REDD RD EL PASO TX 79932 9152066140

DOD FT BLISS PHARMACY 18511 HIGHLANDER MEDICS ST

WILLIAM BEAUMONT AR

EL PASO TX 79920 9157429490

Prime Therapeutics LLC Page 7 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

FOREST HILL PHARMACY 3403 MANSFIELD HWY FORTWORTH TX 76119 8178879434

SAM'S CLUB PHARMACY 10-6246 9498 GATEWAY BLVD N EL PASO

TX 79924 9157306092

WALMART PHARMACY 10-6813 3590 N ZARAGOZA RD EL PASO TX 79938 9153429867

WALMART PHARMACY 10-6587 10840 MARTIN LUTHE KING BLVD

EL PASO TX 79934 9157306195

TEXAS CHILDREN'S HOSPITAL WEST CAMPUS 18200 KATY FREEWAY, SUITE WB 145 HOUSTON TX 77094 8322271850

BORGER PHARMACY 524 W 10TH ST

BORGER TX 79007 8062749635

COMMUNITY PHARMACY 1612 SCRIPTURE ST DENTON TX 76201

9404840100

TOWN CENTER PHARMACY 180 TOWN CENTER BLVD JARRELL TX 76537 5127460901

CARE X PHARMACY 1111 S IRVING HEIGHTS DR SUITE # 120

IRVING

TX 75060 9722851444

APECC RX PHARMACY 17833 KUYKENDAHL RD SPRING TX 77379 8325597808

WHITE HEART PHARMACY 9720 JONES RD STE 280 HOUSTON

TX 77065 8326888384

BRODIE LANE PHARMACY 8916 BRODIE LANE SUITE 300 AUSTIN TX

78748 5123628083

ASHFORD PHARMACY 3751 S DAIRY ASHFORD RD # 102 HOUSTON

TX 77082 8322436127

CARE MED PHARMACY 6713 BROADWAY ST STE F PEARLAND TX 77581 8322883637

DINMA PHARMACY 832 DEL ORO LN STE 1

PHARR TX 78577 9566012277

COMMUNITY, A WALGREENS PHARMACY #21172 2701 N MESA ST STE 100A EL PASO TX

79902 9154443423

BUSHLAND DRUG 1600 S. FM 2381 AMARILLO

TX 79124 8063109853

SURGE RX 4320 BROADWAY ST SUITE 110 PEARLAND TX 77581 2817411266

DOCTORS PHARMACY 2101 N. MIDLAND DR STE 14B MIDLAND TX 79707 4322373010

MY DELIVERY PHARMACY 6356 S PEEK RD STE 1200 KATY TX 77450 2817178760

GENOA HEALTHCARE, LLC 3612 PERA AVE SUITE P1 EL PASO TX 79905 9152194892

N-ELITE PHARMACY 4806 RIVERSTONE BLVD MISSOURI CITY TX

77459 2817784808

NATURE GREEN LEAF PHARMACY 12568 BROADWAY ST STE 120 PEARLAND TX 77584 2816177438

PECAN PHARMACY 2885 DULLES AVE MISSOURI CITY

TX 77459 8325396092

SAV-ON PHARMACY #3249 3150 N ZARAGOZA RD EL PASO TX 79938 9159953600

MEDIOAK PHARMACY 3129 HIGHWAY 6 SUGAR LAND TX 77478 2819809979

MED2U PHARMACY

19929 HIGHWAY 6 STE B

MANVEL TX 77578 8323364180

S&R DRUG 494 SPRINGHILL ST JASPER TX 75951

4093842215

CYPRESS CARE PHARMACY 25222 NORTHWEST FWY, SUITE 101 CYPRESS TX 77429

2813042236

A PLUS PHARMACY 12430 EDGEMERE BLVD STE 209 EL PASO TX 79938

9157044333

ELITE RX PHARMACY 8035 HIGHWAY 6 STE 130 MISSOURI CITY TX 77459 2819152166

GENOA HEALTHCARE LLC

4875 MAXWELL AVE RM P

EL PASO TX 79904 9157451598

SERENE PHARMACY 3900 JOE RAMSEY BLVD E STE 2A GREENVILLE TX 75401

4302421028

GENOA HEALTHCARE, LLC 6600 MONTANA AVE STE P EL PASO TX 79925 9152066912

VITAL CARE OF SUN CITY 12025 ROJAS DRIVE SUITE I EL PASO

79936 9159107070

PHARMCARE USA OF EL PASO, LLC 10350 MONTANA AVE STE A EL PASO TX 79925 9154551167

WESTERN DRUG 106 E MAIN SPRINGERVILLE AZ 85938

9283334321

UNM STUDENT HEALTH CENTER PHARMACY

I UNIV OF NEW MEXICO MSC06 3870 BLDG 73 RM 21 ALBUQUERQUE

87131 5052776306

ADDISON DRUG 127 E SUMNER AVE FORT SUMNER NM 88119

5753552211

UNITED DRUG SUPERSTORE

221 W HALL ST HATCH

87937 5752674943

OMNICARE OF ALBUQUERQUE 9019 WASHINGTON ST NE STE B1 ALBUQUERQUE NM 87113 5053449759

DEMING HEALTH CENTER 300 S. DIAMOND AVENUE DEMING

NM 88030 5755464663

SOCORRO COMMUNITY HEALTH CNTR 1300 ENTERPRISE SOCORRO NM 87801 5758354444

UNIVERSITY MEDICAL CENTER YSLETA PHARMACY 300 S ZARAGOZA ROAD BUILDING B EL PASO

TX 79907 9157905722

UNIVERSITY MEDICAL CENTER OF EL PASO PHARMACY 4815 ALAMEDA AVE EL PASO TX 79905 9155217705

BUDA DRUG STORE 203 RAILROAD ST SUITE #2-B BUDA TX 78610 5123122111

MED TIME PHARMACY 641 N RESLER STE 306 07 EL PASO TX 79912 9155846337

SAN JUAN PHARMACY 65 S MAIN ST BLANDING UT 84511 4356782781

UNIVERSITY MEDICAL CENTER FABENS PHARMACY

101 POTASIO ST.

FABENS TX 79838 9155212271

HEALTHCARE PHARMACY 3865 E LOHMAN AVE STE 2 LAS CRUCES NM 88011 5759151538

ONE CARE INFUSION PHARMACY

907 W COAL AVE GALLUP NM 87301 5057264155

SAFEWAY PHARMACY #1733 900 W DEUCE OF CLUBS SHOW LOW AZ 85901 9285325659

SAFEWAY PHARMACY #0272 650 N BISBEE AVE WILLCOX AZ 85643 5203844612

SAFEWAY PHARMACY #1275 599 W 4TH ST BENSON AZ 85602 5205867323

SAFEWAY PHARMACY #0261 101 NACO HWY BISBEE AZ 85603 5204322274

SAFEWAY PHARMACY #0722 457 W MAIN ST TRINIDAD CO 81082 7198463086

SAFEWAY PHARMACY #1892 1580 EAST MAIN STREET CORTEZ CO 81321 9705641353

Prime Therapeutics LLC Page 8 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

FARMINGTON COMMUNITY HEALTH CENTER 1001 W BROADWAY FARMINGTON NM 87401 5053274796

SAFEWAY PHARMACY #1438 415 N MAIN AVE AZTEC

NM 87410 5053346261

SAFEWAY PHARMACY #2004 3540 E MAIN ST FARMINGTON NM 87402 5055643086

VALLEY COMMUNITY HEALTH CENTER 835 SPRUCE ST

ESPANOLA NM 87532 5057477400

TEEN HEALTH CENTER - CAPITAL HIGH SCHOOL 4851 PASEO DEL SOL SANTA FE NM 87507 5054671081

TEEN HEALTH CENTER -SANTA FE HIGH SCHOOL 2100 YUCCA ST

SANTA FE NM 87505 5054672439

WESTERN NEW MEXICO MEDICAL GROUP BEHAVIORAL HEALTH-GALLUP 2025 E AZTEC AVE GALLUP NM 87301

5058633828

SAFEWAY PHARMACY #1743 980 US HIGHWAY 491 GALLUP NM 87301 5057229977

PRESBYTERIAN MEDICAL SERVICES FAMILY HEALTH CENTER 2300 GRANDE BLVD SE RIO RANCHO

NM 87124 5058967100

PHARMACY PLUS - BERNALILLO 407 W HWY 550 BERNALILLO NM 87004 5058672336

NOWELL PHARMACY LLC 122 W ADAMS LOVINGTON

NM 88260 5753964242

DAVIS-FLECK UNITED PHARMACY 500 N BROADWAY ST TRUTH OR CONSEQUENCE NM

87901 5758942717

ALBUQUERQUE PHARMACY 500 LOUISIANA BLVD NE ALBUQUERQUE

NM 87108 5052625728

RIO RANCHO FAMILY HEALTH CENTER 184 UNSER BLVD NE RIO RANCHO NM 87124 5058960928

CHAPARRAL FAMILY HEALTH CENTER 204 ANGELINA BLVD.

CHAPARRAL NM 88081 5758248100

SANTO DOMINGO PUEBLO HEALTH CENTER 85 WEST HIGHWAY 22 SANTO DOMINGO NM

87052 5054653073

NICHOLS SOUTHSIDE PHARMACY 3141 GOLLIHAR RD CORPUS CHRISTI

TX 78415 3618528288

COACH'S PHARMACY 100 N TEXAS STE A MERCEDES TX 78570 9565142420

BRITTEN PHARMACY SOLUTIONS 3 CARE CIR SUITE 300 AMARILLO TX 79124 8063506337

AMERITA 7338 REMCON CIRCLE STE 300 EL PASO TX 79912 9156135580

C - MED PHARMACY AND HEALTH CARE SERVICES LLC 5633 AVENUE I, SUITE #C ROSENBERG TX 77471 8323633787

PRIMEMED PHARMACY 1387 GEORGE DIETER STE A-104 EL PASO TX

79936 9155951300

SAFEMED PHARMACY #2 4245 E BERRY ST FORT WORTH TX 76105 8179694096

GALAXY PHARMACY 6655 TRAVIS ST STE 120 HOUSTON

TX 77030 2814966600

WALTON DRUG OF MORENCI 408 BURRO ALLEY MORENCI AZ 85540 9288659946

BEYOND PHARMACY BENSON 795 W 4TH ST BENSON AZ 85602 5205861299

FOOD CITY #111

85 S HWY 92

SIERRA VISTA AZ 85635 5204396081

SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER 2200 E SHOW LOW LAKE RD SHOW LOW AZ 85901

9285376321

CHIRICAHUA PHARMACY 155 CALLE PORTAL SUITE SUITE 600 SIERRA VISTA AZ 85635

5205158678

BENSON CHIRICAHUA PHARMACY 335 S OCOTILLO AVE BENSON AZ 85602

5205864699

CHIRICAHUA BISBEE PHARMACY 307 ARIZONA ST BISBEE AZ 85603 5204324660

COCHISE ONCOLOGY LLC

5151 E HIGHWAY 90

SIERRA VISTA AZ 85635 5208036644

CHIRICAHUA DOUGLAS PHARMACY 1111 N F AVE DOUGLAS AZ 85607

5203646860

SIERRA PHARMACY & COMPOUNDING LAB 2085 E FRY BLVD SIERRA VISTA AZ 85635 5204590705

BEEWELL PHARMACY 3518 CANYON DE FLORES STE B SIERRA VISTA

85650 5208953233

R & R FAMILY PHARMACY 27913 US HIGHWAY 287 SPRINGFIELD CO 81073 7195236201

LA JARA PHARMACEUTICAL CENTER 412 MAIN ST LA JARA CO 81140

7192745109

BAYFIELD PHARMACY

871 COUNTY ROAD 501 BAYFIELD

81122 9708849133

ADVANCED PHARMACY SERVICES 237 S 7TH ST GRAND JUNCTION CO 81501

9702424484

SOUTHWEST HEALTH SYSTEM INC PHARMACY

1311 NORTH MILDRED ROAD CORTEZ

81321 9705642194

B & B DRUG 149 MAIN AVENUE AKRON CO 80720 9705144433

SELAH MOUNTAIN PHARMACY 426 PAGOSA STREET PAGOSA SPRINGS

CO 81147 9702640126

AXIS HEALTH PHARMACY - CORTEZ 691 E EMPIRE ST CORTEZ CO 81321 9705657946

CJS PILL BOX 109 W 4TH ST PORTALES

NM 88130 5753564422

ADVANCED MEDICATION MANAGEMENT SYSTEMS 2402 W PIERCE STE 2B CARLSBAD NM 88220 5758852979

RODEN-SMITH PHARMACY 305 E LLANO ESTACADO BLVD CLOVIS NM 88101 5757623848

DURAN CENTRAL PHARMACY 1815 CENTRAL AVE NW ALBUQUERQUE NM 87104 5052474141

THE MEDICINE CHEST 1123 CANDELARIA RD NW ALBUQUERQUE NM 87107 5053442335

HIGHLAND PHARMACY

717 ENCINO PL NE

STE 1 ALBUQUERQUE NM 87102 5052433777

VICTOR'S REGENT PHARMACY 1643 ISLETA BLVD SW ALBUQUERQUE NM 87105 5058771620

BROWN DRUG STORE

322 W WASHINGTON AVE ARTESIA NM 88210 5757463591

LOWELLS PHARMACY 612 N 13TH ST STE A ARTESIA NM 88210 5757466681

KARE DRUG - AZTEC 100 LLANO ST AZTEC NM 87410 5053346411

CITY DRUG 7 MAIN ST CLAYTON NM 88415 5753749121

MESA WINDS HEALTHMART PHARMACY 1923 S 1ST STREET TUCUMCARI NM 88401 5754612784

SHARE N CARE PHARMACY AND MEDICAL SUPPLY 701 DALIES AVE BELEN NM 87002 5058647471

TRUST PHARMACY 1000 ROOSEVELT GRANTS NM 87020 5052873913

Prime Therapeutics LLC Page 9 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

KARE DRUG #4 100 N CHURCH ST STE A BLOOMFIELD NM 87413 5056323324

PLAZA DRUGS 178 BRIDGE ST LAS VEGAS

NM 87701 5054255221

NEW MEXICO BEHAVIORAL HEALTH INSTITUTE AT LAS VEGAS 3695 HOT SPRINGS BLVD LAS VEGAS NM 87701 5054542183

SOUTHWEST PHARMACY 2402 W PIERCE

ST 1A CARLSBAD NM 88220 5758876611

BEST BUY DRUGS 1445 WYOMING BLVD. NE ALBUQUERQUE NM 87112 5052994496

MOUNTAINAIR MEDS AND MORE LLC 111 W BROADWAY

MOUNTAINAIR NM 87036 5058470242

FAIRVIEW PHARMACY 734 N RIVERSIDE DR STE B ESPANOLA NM 87532

5057532209

VILLAGE PHARMACY INC 1719 S AVE D PORTALES NM 88130 5753568555

ROUTE 66 PHARMACY 117 CAMINO DE VIDA STE 200 SANTA ROSA

NM 88435 5754725666

CARLSBAD FAMILY HEALTH CENTER 2013 SAN JOSE BLVD CARLSBAD NM 88220 5758872455

SHARE 'N CARE PHARMACY 701 DALIES AVE STE B BELEN

NM 87002 5058647471

RX INNOVATIONS 7209 JEFFERSON ST. NE ALBUQUERQUE NM

87109 5058814601

LA TIENDA PHARMACY 1301 S CANAL CARLSBAD

NM 88220 5756280637

MENAUL COMPOUNDING PHARMACY 11417 MENAUL BLVD NE ALBUQUERQUE NM 87112 5052911600

SOUTHWEST CARE CENTER 649 HARKLE RD STE C

SANTA FE NM 87505 5059898154

NAMBE DRUGS 501 OLD SANTA FE TRL SANTA FE NM

87505 5054552256

HIT SPECIALISTS 10801 GOLF COURSE NW ALBUQUERQUE

NM 87114 5053424545

SIERRA BLANCA PHARMACY 1206 MECHEM DR RUIDOSO NM 88345 5752582456

MICHAEL'S PRESCRIPTION CORNER EUNICE 1024 MAIN STREET EUNICE NM 88231 5753942311

NAMBE DRUGS LOS ALAMOS 111 CENTRAL PARK SQ LOS ALAMOS NM 87544 5056619560

SOUTHWEST CARE CENTER PHARMACY 4710 JEFFERSON STREET NE SUITE A ALBUQUERQUE NM 87109 5057804044

UNM TRUMAN HEALTH SERVICES PHARMACY 801 ENCINO PL NE STE B4 ALBUQUERQUE NM

87102 5059250996

FIRST NATIONS COMMUNITY HEALTHSOURCE PHARMACY 5608 ZUNI RD SE ALBUQUERQUE NM 87108 5059985523

LA FAMILIA MEDICAL CENTER PHARMACY 1035 ALTO ST SANTA FE

NM 87501 5059824425

BESTCARE PHARMACY 4 LLC SANTA FE 2349 STATE ROAD 522 QUESTA NM 87556 5754836922

PARKHURST PHARMACY 1208 BONITA ST SUITE A GRANTS NM 87020 5052874641

ALBUQUERQUE CITY DRUG

205 SILVER AVE SW STE D

ALBUQUERQUE NM 87102 5057053540

BESTCARE PHARMACY SPRINGER LLC 307 MAXWELL AVE B SPRINGER NM 87747

5754833002

BESTCARE PHARMACY LORDSBURG LLC 204 E 4TH ST LORDSBURG NM 88045

5755423004

MOUNTAIN VIEW PHARMACY 550 E LISA DR STE C CHAPARRAL NM 88081

5758245242

BESTCARE PHARMACY-MORA LLC 3 COUNTY ROAD A033 MORA NM 87732 5753875703

BESTCARE PHARMACY CHAMA LLC

2215 STATE ROAD 17

B CHAMA NM 87520 5757561222

DEL-REY PHARMACY 3291 DEL REY BLVD SUITE 3 LAS CRUCES NM 88012

5758884756

ALBRIGHTON PHARMACY 401 ANTHONY DR STE E ANTHONY NM 88021 5753231241

MESILLA VALLEY PHARMACY 227 S. MAIN ST LAS CRUCES

88001 5753232093

SOUTHWEST CARE CENTER 901 W ALAMEDA ST SANTA FE NM 87501 5052160340

VITAL CARE OF LAS CRUCES 1680 HICKORY LOOP SUITE A LAS CRUCES NM 88005

5756361570

PMS-PECOS VALLEY MEDICAL CENTER

199 HIGHWAY 50 PECOS

87552 5057577111

PHARMACY 575 305 E SANGER ST STE 600 HOBBS NM 88240

5752632908

HILLRISE PHARMACY

2906 HILLRISE DR LAS CRUCES

88011 5756524499

MESILLA VALLEY PHARMACY & CONSULTING LTC 227 S MAIN ST LAS CRUCES NM 88001 5753232039

PHARMACY 575 LTC 305 E SANGER ST STE 600 HOBBS

NM 88240 5752632908

ALAMOGORDO COMMUNITY PHARMACY 1003 EAST 10TH ST ALAMOGORDO NM 88310 5752230795

BOISE CITY PHARMACY 318 W MAIN BOISE CITY

OK 73933 5805443441

GLENVIEW PROFESSIONAL PHARMACY 7640 GLENVIEW DR STE A RICHLAND HILLS TX 76180 8172841489

STRAWBERRY FAMILY DRUG & PHARMACY 1802 STRAWBERRY ROAD PASADENA TX 77502 7137409033

TEXAS ONCOLOGY PHARMACY - EL PASO E 7848 GATEWAY EAST EL PASO TX 79915 9155956874

THE PRESCRIPTION SHOP 120 S GRAND AVE STE 1 WAXAHACHIE TX 75165 9729382642

ADVANT-EDGE PHARMACY, INC

1576 LOMALAND DRIVE

EL PASO TX 79935 9155950409

UNIVERSITY MEDICAL CENTER NORTHEAST PHARMACY 9839 KENWORTHY ST EL PASO TX 79924 9152312310

UNIVERSITY HEALTH SYSTEM-TEXAS DIABETES INSTITUTE

701 S ZARZAMORA SAN ANTONIO TX 78207 2103587460

SANITARIUM DRUG STORE 156 COLEMAN ST MARLIN TX 76661 2548833541

CARVAJAL PHARMACY 3410 ROOSEVELT AVE SAN ANTONIO TX 78214 2109222176

PRESCRIPTION SHOP 813 HOSPITAL DR ANDREWS TX 79714 4325234861

CENTRO SAN VICENTE 8061 ALAMEDA AVE, SUITE B EL PASO TX 79915 9158597545

BI-WIZE PHARMACY 902 MAIN ST FRIONA TX 79035 8062502270

MCMAHAN PHARMACY SERVICES 1503 W FRONT ST GOLDTHWAITE TX 76844 3256482484

Prime Therapeutics LLC Page 10 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

JORDAN PHARMACY 107 N RICE ST HAMILTON TX 76531 2543863111

CITY DRUG 109 W LAFAYETTE ST JEFFERSON

TX 75657 9036652521

MATTHEWSON DRUG 717 S WASHINGTON MARSHALL TX 75670 9039386741

CARE MART PHARMACY 5013 GRANBURY RD.

FORT WORTH TX 76133 8174415211

KEYES PHARMACY LLC 928 N HOBART ST PAMPA TX 79065 8066691202

AMERITA 6015 RANDOLPH BLVD

SAN ANTONIO TX 78233 2109307200

GARLAND INDEPENDENT PHARMACY 3641 BROADWAY BLVD STE 100 SUITE 100 GARLAND TX 75043

9728641110

MARTIN DRUG CO 601 S NEBRASKA SAN JUAN TX 78589 9567871861

ELK PHARMACY 317 N. MAIN ST. STRATFORD

TX 79084 8063665505

CAMPBELL DRUG STORE 101 W THORNTON THREE RIVERS TX 78071 3617863757

GREENS POINT PHARMACY 165 GREENS RD HOUSTON

TX 77060 2818724177

PHARRMACY 1002 W SAM HOUSTON STE 1 PHARR TX

78577 9562830911

SANDER PHARMACY 916 E 6TH ST WESLACO

TX 78596 9569684528

EUBANK DRUG 1510 N. BRAZOS WHITNEY TX 76692 2546943314

GUARDIAN ANGEL PHARMACY 1537 N ZARAGOZA RD STE 1A

EL PASO TX 79936 9158500713

UNIVERSITY HOSPITAL OUTPATIENT PHARMACY 4502 MEDICAL DR SAN ANTONIO TX

78229 2103582904

BROADWAY PHARMACY 6100 BROADWAY ALAMO HEIGHTS

TX 78209 2108243322

EL PASO STATE SUPPORTED LIVING CENTER PHARMACY 6700 DELTA DRIVE EL PASO TX 79905 9157826328

EL PASO PSYCHIATRIC CENTER PHARMACY 4615 ALAMEDA AVENUE EL PASO TX 79905 9155345300

CONQUEST PLAZA PHARMACY 308 CONQUEST BLVD EDINBURG TX 78539 9562872882

P & S PHARMACY LTC 829 N MAIN ST STE C CORSICANA TX 75110 9038745121

KILLION'S PHARMACY 396 W TEXAS AVE WASKOM TX

75692 9036872525

AMERITA 4001 W SAM HOUSTON PKWY N STE 120 HOUSTON TX 77043 7138437700

BUSSEY DRUG 443 AUSTIN ST TIMPSON

TX 75975 9362542471

AMERITA 2101 DONLEY DR STE 105 AUSTIN TX 78758 5124583983

ADVANT-EDGE PHARMACY #2 14476 HORIZON BLVD STE J HORIZON CITY TX 79928 9158528884

ROGER'S PHARMACY

1021 E 1ST ST

DUMAS TX 79029 8069357494

HEREFORD PHARMACY 809 S 25 MILE AVE HEREFORD TX 79045

8063643400

ABELDT'S GASLIGHT PHARMACY 200 GASLIGHT BLVD LUFKIN TX 75904

9366392346

O&M PHARMACY INC 1630 HOUSTON AVE PORT ARTHUR TX 77640

4099849919

PROVEN CARE PHARMACY, LLC 10950 BISSONNET ST STE # 220 HOUSTON TX 77099 2819839333

RED OAK DRUG

106 E OVILLA RD

STE 1 RED OAK TX 75154 9726172222

TANGLEWOOD PHARMACY 2445 A NORTHWEST LOOP STEPHENVILLE TX 76401

2549687657

PARK PLAZA PHARMACY 1213 HERMANN DR STE 140 HOUSTON TX 77004 7135242828

CLINIC PHARMACY 201 JAMES ST U1378 BRACKETTVILLE

78832 8305639334

DRUG EMPORIUM 200 2321 W LOOP 281 LONGVIEW TX 75604 9032970558

BOWERS PRESCRIPTION SHOP 121 E TEXAS BLVD DALHART TX 79022

8062494343

DRUG EMPORIUM 230

4210 SW 45TH AVE B AMARILLO

79109 8063581800

LIBERTY DRUGS 403 MUSTANG DRIVE DENVER CITY TX 79323

8065922765

DRUG EMPORIUM 262

5109 82ND ST LUBBOCK

79424 8067940022

THE MEDICINE SHOPPE PHARMACY 2002 GRANT STEA EL PASO TX 79930 9155446605

DRUG EMPORIUM 251 2550 BARROW ST ABILENE

TX 79605 3256980442

TEXAS CHILDREN'S HOSPITAL PHARMACY WB1120 6621 FANNIN ST HOUSTON TX 77030 8328245250

ADC PHARMACY 6700 W 9TH AVE AMARILLO

TX 79106 8063580331

DRUG EMPORIUM 273 5900 BOSQUE BLVD WACO TX 76710 2547720011

UNIVERSITY FAMILY HEALTH CENTER SOUTHWEST 2121 SW 36TH ST SAN ANTONIO TX 78237 2103585140

THE MEDICINE SHOPPE PHARMACY 3310 FORT BLVD EL PASO TX 79930 9155645451

HENDRICK PHARMACY ON AMBLER 1265 AMBLER AVENUE ABILENE TX 79601 3256704545

UNIVERSITY FAMILY HEALTH CENTER SOUTHEAST

1055 ADA ST

SAN ANTONIO TX 78223 2103585534

AMERITA 603 QUAIL CREEK DR SPC 700 AMARILLO TX 79124 8066027212

DRUG EMPORIUM 284

5614 S BROADWAY TYLER TX 75703 9035349105

MINIMED DISTRIBUTION CORP 18302 TALAVERA RDG SAN ANTONIO TX 78257 8778916750

QUAIL VALLEY PHARMACY 2244 FM 1092 RD MISSOURI CITY TX 77459 2814999300

MEDEX PHARMACY 9600 FONDREN RD #B3 HOUSTON TX 77096 7137713800

GALLOWAY PHARMACY 910 N GALLOWAY AVE # 100 MESQUITE TX 75149 9722167000

JACKSON PARK PHARMACY 4107 CROSSPOINT BLVD. SUITE B EDINBURG TX 78539 9562920404

LOVING CARE PHARMACY INC 4406 AIRLINE DR HOUSTON TX 77022 7138089103

Prime Therapeutics LLC Page 11 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

UNIVERSITY HEALTH SYSTEM-PAVILION PHARMACY 4647 MEDICAL DR SAN ANTONIO TX 78229 2103588680

PRUDENT PHARMACY 6335 GULFTON ST SUITE 105 HOUSTON TX 77081 2818670040

MUENSTER PHARMACY 511 N MAPLE MUENSTER TX 76252 9407592833

NEIGHBORHOOD PHARMACY 801 N MAIN ST

STE-F ANDREWS TX 79714 4325237000

PHARMACY 4 LESS 432 MURPHY RD STAFFORD TX 77477 2819695077

TARRYTOWN EXPOCARE 8500 SHOAL CREEK BLVD BLDG 1

BLDG. 1 AUSTIN TX 78757 5126177312

TOTAL CARE CAC PHARMACY LLC 14755 NORTH FWY STE 200 HOUSTON TX 77090

2813778137

CARVAJAL PHARMACY SOUTH SAN 7500 BARLITE BLVD # 201-B SAN ANTONIO TX 78224 2109771860

JACOBS FAMILY PHARMACY 2701 AUSTIN AVE BROWNWOOD

TX 76801 3256461100

SURECARE SPECIALTY PHARMACY, LLC 4005 N. MESA EL PASO TX 79902 9155322400

CARVAJAL PHARMACY CROCKETT PARK 1715 MCCULLOUGH AVE SAN ANTONIO

TX 78212 2109771870

JOURDANTON PHARMACY 1810 EAST STATE HWY 97 JOURDANTON TX

78026 8307700770

MEDLITE 16506 FM 529 RD STE 108 HOUSTON

TX 77095 2818157366

HEALTHY CITY PHARMACY 3028 TRAWOOD DR STE D EL PASO TX 79936 9154007993

HEREFORD PHARMACY LTC 809 S 25 MILE AVE

HEREFORD TX 79045 8063643400

CARVAJAL PHARMACY INGRAM PARK 6157 NW LOOP 410 SUITE 124 SAN ANTONIO TX

78238 2105212552

UNIVERSITY MEDICAL CENTER PHARMACY 7 6600 NORTH DESERT BLVD EL PASO

TX 79912 9155212263

UNIVERSITY MEDICAL CENTER PHARMACY 6 1521 JOE BATTLE BLVD EL PASO TX 79936 9155212261

MEDICINE CHEST PLUS PHARMACY 15355 VANTAGE PKWY W SUITE 212 HOUSTON TX 77032 8323280923

RGU PHARMACY 7420 REMCON CIRCLE BLDG C STE 150 EL PASO TX 79912 9152252016

HEALTHY STRIDES RX 4401 EMANCIPATION AVE HOUSTON TX 77004 2818882235

FABENS PHARMACY 1420 FABENS RD STE B FABENS TX

79838 9157642739

PHARM HOUSE DRUG NEEDVILLE 13500 HIGHWAY 36 NEEDVILLE TX 77461 9797935534

K&K PHARMACY 1411 WEST AMERICAN BLVD. MULESHOE

TX 79347 8062727511

PETS AND PEOPLE PHARMACY 9215 BROADWAY ST STE 113 SUITE 113 PEARLAND TX 77584 2817415825

SCRIPX 601 W FM 544 STE 102 MURPHY TX 75094 4695960341

RIO GRANDE PHARMACY

5500 DONIPHAN DR STE 201-202

EL PASO TX 79932 9152608555

PRESCRIPTION SHOP 201 E GRANT AVE MORTON TX 79346

8062660070

SEMINOLE COMMUNITY PHARMACY 209 NW 8TH ST # 1080 SEMINOLE TX 79360

4327584971

TEXAS CHILDREN'S HOSPITAL PHARMACY - THE WOODLANDS 17600 INTERSTATE 45 S WL350.13 THE WOODLANDS TX 77384

9362675357

ALLDAY PHARMACY 12410 MONTWOOD DR. SUITE C EL PASO TX 79928 9155004566

FALCON PHARMACY OF TEXAS #2, INC

2435 TEXAS PKWY STE B

MISSOURI CITY TX 77489 2812087401

NORTHGATE PHARMACY 9411 DYER ST SUITE A EL PASO TX 79924

9154009900

RIO GRANDE PHARMACY 5500 DONIPHAN DR. STE 201-202 EL PASO TX 79932 9152608555

MEKASON PHARMACY 602 E CAMPBELL ST KERMIT

79745 4325860116

ANDREWS COMMUNITY PHARMACY 1312 N MAIN ST ANDREWS TX 79714 4322232265

ZURIEL PHARMACY 12234 SHADOW CREEK PARKWAY STE 4110 PEARLAND TX 77584

2817214990

NATURAL HEALTH PHARMACY

2127 HIGHWAY 90 A SUITE B MISSOURI CITY

77489 3463042692

NORTH LOOP PHARMACY 8829 N LOOP DR EL PASO TX 79907

9154448124

PRESCRIPTION SHOP

813 HOSPITAL DR ANDREWS

79714 4325234861

CAREMED PHARMACY #2 8121 BROADWAY ST # 109 HOUSTON TX 77061 2818887163

WINKLER COUNTY PHARMACY 814 MYER LN KERMIT

TX 79745 4325868127

WEST VALLEY PHARMACY 6898 DONIPHAN DR # A CANUTILLO TX 79835 9156424070

ALLAYMEDS INC 2414 BABCOCK RD STE 111 SAN ANTONIO

TX 78229 2108096607

SOCORRO PHARMACY 10680 N LOOP DR STE C SOCORRO TX 79927 9152718113

WE CARE PHARMACY 312 N MAIN ST STE A SEMINOLE TX 79360 4328474777

EASTLAKE PHARMACY 13001 EASTLAKE BLVD STE 107 EL PASO TX 79928 9152003762

CURANT HEALTH EL PASO 1201 E SCHUSTER AVENUE BUILDING 4A EL PASO TX 79902 6789817454

UPPER VALLEY PHARMACY LLC

121 E REDD RD

EL PASO TX 79932 9155848882

UNIVERSITY PHARMACY 4850 E UNIVERSITY AVE ODESSA TX 79762 4323668821

ADVANT-EDGE PHARMACY #2

14476 HORIZON BLVD STE J HORIZON CITY TX 79928 9158528884

WOORI PHARMACY LLC 2625 OLD DENTON RD. SUITE 216 CARROLLTON TX 75007 9722452828

JOHN'S PHARMACY 9134 CENTRAL AVE SE ALBUQUERQUE NM 87123 5052996169

TEXAS CITY PHARMACY 2506 25TH AVE NORTH 4 TEXAS CITY TX 77590 4096553033

ELGIN PHARMACY 1202 ELGIN ST # B HOUSTON TX 77004 7135339033

LLJ PHARMACY 13420 STATE HIGHWAY 249 STE K HOUSTON TX 77086 2818098305

PIONEER PHAMILY PHARMACY 1115 E PIONEER PKWY STE 103 ARLINGTON TX 76010 8175836998

Prime Therapeutics LLC Page 12 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST

ZIP Phone

METSCRIPT PHARMACY 4888 HWY 90 A STE 100 SUGAR LAND

TX 77498 2812772700

MEDCARE PHARMACY 11322 BELLAIRE BLVD STE 116 HOUSTON

TX 77072 2815610088

HOUSTON METHODIST PHARMACY 13300 HARGRAVE RD STE 360 HOUSTON TX 77070 2817370070

AMAZING GRACE PHARMACY 1965 TEXAS PKWY

MISSOURI CITY TX 77489 8322300169

GREENPATH PHARMACY 24000 HIGHWAY 59 N KINGWOOD TX 77339 8324450500

SANTA MARIA PHARMACY 6108 GULFTON ST

HOUSTON TX 77081 7135925300

CHOICE PHARMACY 9935 BISSONNET ST B HOUSTON TX 77036

7137780463

CORRALES PHARMACY 4940 CORRALES RD SUITE 200

CORRALES

NM 87048 5058973784

TPS/LIBERTY RX 6206 DASHWOOD HOUSTON

TX 77081 7137780160

HEALTHQUEST PHARMACY 1311 W SAM HOUSTON PKWY N STE 105 HOUSTON TX 77043 8322220100

UNIVERSITY HEALTH SYSTEM - ROBERT B GREEN CAMPUS 903 W MARTIN ST SAN ANTONIO

TX 78207 2103583475

SNI PHARMACY 842 E CALIFORNIA ST UNIT A GAINESVILLE TX

76240 9403016131

HOMETOWN PHARMACY AND MEDICAL 824 E MAIN ST TRINIDAD

CO 81082 7198450069

BEYOND PHARMACY WILLCOX 902 W REX ALLEN DR WILLCOX AZ 85643 5207661299

DREAMCARE PHARMACY 7616 BRANFORD PL STE 330

SUGAR LAND TX 77479 2812012280

ELIZ PHARMACY 7120 FM 1464 RD STE D RICHMOND TX

77407 8328864526

MED RX PHARMACY 4000 FULTON ST, STE C HOUSTON

TX 77009 7136955000

BETTER HEALTH PHARMACY 8615 S HULEN ST STE 115 FORT WORTH TX 76123 6827083499

WILLIS PHARMACY 9851 FM 1097 RD W SUITE 195 WILLIS TX 77318 9362863288

MT CRISTO PHARMACY LLC 1155 MCNUTT RD STE 110 SUNLAND PARK NM 88063 5753329393

VIP PHARMACY 1891 N LEE TREVINO STE 200 EL PASO TX 79936 9156292020

PLACITAS PHARMACY 221 STATE HIGHWAY 165 # A4 PLACITAS NM

87043 5058670733

GENERX DISCOUNT PHARMACY 1202 W PIONEER DR STE 140 IRVING TX 75061 9722593094

ALICARE PHARMACY 5730 BROADWAY ST STE 110 PEARLAND

TX 77581 2813726751

APOGEE PHARMACY 608 E BAILEY BOSWELL RD STE 140 SAGINAW TX 76131 8173498088

HEALTH RX SPECIALTY PHARMACY 580 S DENTON TAP RD, SUITE 295 COPPELL TX 75019 4698307400

NAHS PHARMACY

1601 MAIN ST STE 109

RICHMOND TX 77469 2814985700

LIFE PHARMACY 23541 WESTHEIMER PARKWAY SUITE 130 KATY TX 77494

7136655050

MESA HILLS PHARMACY 310 S MESA HILLS DR STE C EL PASO TX 79912

9153082050

MAXCARE FAMILY PHARMACY 2620 E CROSSTIMBERS ST STE 145 HOUSTON TX 77093

2815012228

MEDRX PHARMACY 4321 N BELT LINE RD SUITE 500 B MESQUITE TX 75150 9727611970

CK PHARMACY

1110 KINGWOOD DR # 108

KINGWOOD TX 77339 8326449712

JUSTIN FAMILY PHARMACY 120 W 4TH ST JUSTIN TX 76247

9406482222

THE CHEMIST PHARMACY 4821 LJ PKWY STE 60 SUGAR LAND TX 77479 2819697346

AMERITA 8080 TRISTAR DR. STE 120 IRVING

75063 9728150460

CHAMPION PHARMACY 2669 SCENIC DR ALAMOGORDO NM 88310 5754465950

MEDIC PHARMACY 12121 WESTHEIMER RD. SUITE 209 HOUSTON TX 77077

2815315965

HEALTH ONE PHARMACY

3800 MAIN ST STE #102 THE COLONY

75056 2144692244

ONESOURCE SPECIALTY MEDICINE 8989 FOREST LN STE 138 DALLAS TX 75243

4695471441

WHITE MOUNTAIN PHARMACY

4461 S WHITE MOUNTAIN RD STE E1 SHOW LOW

85901 9285378555

HAPPY HOOVES FAMILY PHARMACY 1408 SIDNEY BAKER ST KERRVILLE TX 78028 8309996337

LIFE DRUGS RX 12015 LOUETTA ROAD, STE 300 HOUSTON

TX 77070 7134627029

APEX PHARMACY LLC 12597 E MISSISSIPPI AVE UNIT 300 AURORA CO 80012 3034793864

GRANBURY DRUG I 602 S MORGAN ST GRANBURY

TX 76048 8175731164

TRS PHARMACY 3727 GREENBRIAR DR STE 114 STAFFORD TX 77477 3462304148

MODERN ALCHEMIST COMPOUNDING PHARMACY 7900 SAN PEDRO DR NE STE A8 ALBUQUERQUE NM 87109 5052000033

UNIVERSITY HOSPITAL OUTPATIENT PHARMACY 1209 UNIVERSITY BOULVARD NE ALBUQUERQUE NM 87102 5052728674

UNMH PHARMACY AT SOUTH EAST HEIGHTS CLINIC 8200 CENTRAL AVE SE SUITE 106 ALBUQUERQUE NM 87108 5052724563

SW MESA FAMILY & COMMUNITY HEALTH PHARMACY

301 UNSER BLVD NW

STE 106 ALBUQUERQUE NM 87121 5059254451

UNM HOSPITALS OUTPATIENT AND DISCHARGE PHARMACY 2211 LOMAS BLVD NE # 4ACC ALBUQUERQUE NM 87106 5052724239

NORTH VALLEY CENTER FOR FAMILY AND COMMUNITY HEALTH PHARMACY

3401 4TH ST NW STE 106 ALBUQUERQUE NM 87107 5059945353

UNM MENTAL HEALTH CENTER OUTPATIENT PHARMACY 2600 MARBLE AVE NE ALBUQUERQUE NM 87106 5052722831

HENDRICK MEDICAL CENTER OUTPATIENT PHARMACY 1900 PINE ST ABILENE TX 79601 3256703068

DT PHARMACY 3911 WOODLAWN AVE PASADENA TX 77504 8327750060

HEALTHCO PHARMACY CORP 2541 N MACGREGOR WAY STE 100 HOUSTON TX 77004 7132186337

HEALTHCO PHARMACY #2 8604 MARTIN LUTHER KING JR. BLVD HOUSTON TX 77033 7136405575

TEXAS CHILDREN'S HOSPITAL PHARMACY-SOUTHWEST 9700 BISSONNET ST STE 1000W HOUSTON TX 77036 8327331400

Prime Therapeutics LLC Page 13 of 14 5/10/2024

Pharmacy Name Address 1 Address 2 City ST ZIP Phone

MED POINT PHARMACY 10008 BELLAIRE BLVD #114 HOUSTON TX 77072 2818794033

PHARMONE 780 NE ALSBURY BLVD SUITE B BURLESON TX 76028 6826288111

TEXAS CHILDREN'S HOSPITAL - SPECIALTY PHARMACY 1250 MOURSUND ST STE 825 HOUSTON TX 77030 8777272503

ALL CARE PHARMACY 1441 S MIDLOTHIAN PKWY STE 140 MIDLOTHIAN TX 76065 9727755222

TKS PHARMACY 4809 ARGONNE ST STE 225 DENVER CO 80249 7205832110

HOMETOWN PHARMACY - KERMIT 900 MYER LN # A KERMIT TX 79745 4323095160

RIOGRANDE CARE PHARMACY 4371 E LOHMAN AVE LAS CRUCES NM 88011 5753233938

BUDGET PHARMACY 19786 INTERSTATE 45 SPRING TX 77373 7136943785

COMPOUNDING SHOP PHARMACY, INC 11845 WILCREST DR HOUSTON TX 77031 2814952230

DENVER CITY PHARMACY 105 E BROADWAY ST DENVER CITY TX 79323 8065923333

To ask for auxiliary aids and services or materials in other formats and languages at no cost,

please call 1-866

-689-1523 (TTY/TDD: 711).

Such services are funded in part with the State of New Mexico.

Blue Cross and Blue Shield of New Mexico complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-710-6984 (TTY: 711).

Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’d́ę́ę’, t’áá jiik’eh, éí ná hóĺǫ, kojį’ hódíílnih 1-855-710-6984 (TTY: 711).

Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation,

a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

Prime Therapeutics, LLC, is a separate company and is the Pharmacy Benefit Manager for Blue Cross Community Centennial.

Prime Therapeutics LLC Page 14 of 14 5/10/2024