| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | COMMUNITY PHARMACY SERVICES LLC | GRETNA | 4,440 | $152K |
| 2 | KOHLLS PHARMACY & HOMECARE INC | LINCOLN | 1,749 | $63K |
| 3 | BENS DRUG STORE INC | GRAND ISLAND | 1,984 | $48K |
| 4 | KOHLLS PHARMACY & HOMECARE INC | OMAHA | 233 | $16K |
| 5 | BERTS DRUG INC | HASTINGS | 304 | $3K |
| 6 | NEBRASKA LTC PHARMACY | LINCOLN | 113 | $1K |
| 7 | SAKRX, LLC | OMAHA | 99 | $19.94 |
| 8 | U SAVE PHARMACY OF AUBURN LLC | AUBURN | 80 | $1.96 |
| 9 | JAMMAL PHARMS INC | KEARNEY | 143 | $0.41 |
| 10 | U-SAVE PHARMACY OF NORFOLK INC | NORFOLK | 53 | $0.00 |
| 11 | D & S PHARMACY INC | LINCOLN | 62 | $0.00 |
| 12 | PONIDAY LLC | CAMBRIDGE | 38 | $0.00 |
| 13 | SAKRX, LLC | OMAHA | 77 | $0.00 |