| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | KIRYAS JOEL PHARMACY INC | MONROE, NY | 588 | $7K |
| 2 | CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | AKRON, OH | 240 | $5K |
| 3 | BRIGHT MEDICAL TECHNOLOGY INC | PHILADELPHIA, PA | 188 | $3K |
| 4 | KOHLLS PHARMACY & HOMECARE INC | LINCOLN, NE | 97 | $2K |
| 5 | KOHLLS PHARMACY & HOMECARE INC | OMAHA, NE | 82 | $2K |
| 6 | SSV PHARMACY 1 LLC | HARTFORD, CT | 99 | $2K |
| 7 | BADRI INC | BAKERSFIELD, CA | 125 | $2K |
| 8 | SAKRX, LLC | LINCOLN, NE | 66 | $2K |
| 9 | KOHLLS PHARMACY & HOMECARE INC | OMAHA, NE | 50 | $1K |
| 10 | AVON MEDICAL PHARMACY INC | HARTFORD, CT | 55 | $1K |
| 11 | BRIDGEPORT CHEMISTS INC | BRIDGEPORT, CT | 65 | $1K |
| 12 | SAKRX, LLC | OMAHA, NE | 41 | $1K |
| 13 | 1972078921 | 40 | $1K | |
| 14 | BEDARD MEDICAL INC | AUBURN, ME | 42 | $964.96 |
| 15 | GREENBAUMS PHARMACY INC | MONSEY, NY | 81 | $875.57 |
| 16 | UNITY PHARMACY LLC | FAIRFIELD, CT | 33 | $561.75 |
| 17 | BRIDGEPORT PHARMACY LLC | BRIDGEPORT, CT | 25 | $539.28 |
| 18 | OMNI FAMILY HEALTH | BAKERSFIELD, CA | 32 | $527.04 |
| 19 | KOSIROG PHARMACY INC | CHICAGO, IL | 16 | $360.14 |
| 20 | AIRLINE DRUG INC. | SPRINGFIELD, MA | 17 | $355.77 |
| 21 | KOHLLS PHARMACY & HOMECARE INC | OMAHA, NE | 13 | $337.98 |
| 22 | HANCOCK PHARMACY II LLC | BRIDGEPORT, CT | 18 | $337.05 |
| 23 | BRIMHALL PHARMACY INC | BAKERSFIELD, CA | 20 | $327.43 |
| 24 | INTEGRA PARTNERS LLC | TROY, MI | 24 | $240.90 |
| 25 | MEDICAL SERVICE COMPANY | OAKWOOD VILLAGE, OH | 12 | $210.91 |
| 26 | WAYNE DRUG OF PULASKI, INC | OSWEGO, NY | 14 | $157.61 |
| 27 | BAYONNE PHARMACY INC | BAYONNE, NJ | 17 | $156.35 |
| 28 | PASSAIC COMMUNITY PHARMACY INC | PASSAIC, NJ | 12 | $155.37 |