| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | MILLERSBURG PHARMACY, INC. | MILLERSBURG | 110 | $11K |
| 2 | BIANCULLI, PAUL | PITTSBURGH | 220 | $7K |
| 3 | JANICE E OLCESE | SHAMOKIN | 114 | $3K |
| 4 | WILSON'S PHARMACY | PITTSBURGH | 75 | $2K |
| 5 | PAUL B MACDONALD'S PHARMACY INC | MC CONNELLSBURG | 16 | $34.91 |
| 6 | WYCOMBE PHARMACY INC. | PHILADELPHIA | 44 | $0.00 |