| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | OPTUM INFUSION SERVICES 500, INC. | PINE BROOK | 10,440 | $602K |
| 2 | OPTUM PHARMACY 700, LLC | PINE BROOK | 35 | $36K |
| 3 | SHREE GANESH PHARMACY LLC | PASSAIC | 2,577 | $17K |
| 4 | SPECIALTY RX INC | RIDGEFIELD PARK | 13,469 | $12K |
| 5 | SOHUM RX LLC | TRENTON | 370 | $9K |
| 6 | YAMNA LLC | NEWARK | 279 | $6K |
| 7 | PB PHARMACY | PATERSON | 458 | $6K |
| 8 | ICP2 LLC | PATERSON | 880 | $6K |
| 9 | PHARMACY EXPRESS INC | PATERSON | 588 | $4K |
| 10 | MEDICINE MAN RX LLC | HOBOKEN | 134 | $4K |
| 11 | FAITHFUL PHARMACY INC | EDISON | 3,470 | $3K |
| 12 | SHAYANAM LLC | IRVINGTON | 259 | $3K |
| 13 | TOTALCARE PHARMACY | BAYONNE | 70 | $3K |
| 14 | GERI SCRIPT L L C | POMPTON PLAINS | 8,621 | $1K |
| 15 | GSP PHARMACY INC | EAST ORANGE | 515 | $757.92 |
| 16 | ADLERS PHARMACY LTC INC | CHERRY HILL | 1,572 | $746.13 |
| 17 | PEOPLES RX INCORPORATED | UNION CITY | 310 | $596.25 |
| 18 | STELTON PHARMACY INC | PISCATAWAY | 496 | $485.55 |
| 19 | VITALIS DRUGS LLC | JERSEY CITY | 586 | $431.77 |
| 20 | J & P HOLDING COMPANY INC | PLAINFIELD | 165 | $371.20 |
| 21 | PARTNERS PHARMACY LLC | SPRINGFIELD | 254 | $360.00 |
| 22 | QUICK MART PHARMACY & CONVENIENCE LLC | MILLTOWN | 653 | $345.92 |
| 23 | SAADIYA HEALTH LLC | ELIZABETH | 220 | $331.64 |
| 24 | UNION AVENUE HEALTHCARE INC | BOUND BROOK | 842 | $309.65 |
| 25 | T & F DRUGS INC | WYCKOFF | 176 | $265.53 |
| 26 | CHAU HUYNH LIMITED LIABILITY COMPANY | PENNSAUKEN | 601 | $240.00 |
| 27 | PALMYRA PHARMACY LLC | PALMYRA | 907 | $160.00 |
| 28 | VIRISAAR PHARMACY INC | OLD BRIDGE | 121 | $154.08 |
| 29 | FUTURE PHARMACY INC | HOWELL | 385 | $96.00 |
| 30 | MS PHARMACY LLC | PERTH AMBOY | 13 | $80.00 |
| 31 | WAL-MART STORES EAST LP | PENNSVILLE | 80 | $45.00 |
| 32 | ACERE DRUGS INC | UNION CITY | 27 | $40.00 |
| 33 | SANA GLOBAL INC | CLIFTON | 14 | $40.00 |
| 34 | A PLUS PHARMACY | MANALAPAN | 27 | $11.98 |
| 35 | SAKER SHOPRITES INC | HOWELL | 28 | $0.00 |
| 36 | ALLWELL PHARMACY LLC | SOMERSET | 112 | $0.00 |
| 37 | CHINRAJ SOMERSET LLC | SOMERSET | 192 | $0.00 |
| 38 | MERCERVILLE PHARMACY LLC | MERCERVILLE | 66 | $0.00 |
| 39 | NOVECKS RX LLC | NORTH BERGEN | 33 | $0.00 |
| 40 | JEMS PHARMA LLC | BURLINGTON | 14 | $0.00 |
| 41 | HOSPITAL PHARMACY | PATERSON | 12 | $0.00 |
| 42 | VB PHARMACY INC | NORTH BERGEN | 13 | $0.00 |
| 43 | SAICARE DRUGS INC | BELLEVILLE | 38 | $0.00 |
| 44 | LANDMARK DRUG CORP | NORTH PLAINFIELD | 142 | $0.00 |
| 45 | MEDICAL MALL RX INC | TOMS RIVER | 13 | $0.00 |
| 46 | LYONS PHARMACY | IRVINGTON | 90 | $0.00 |
| 47 | WAL-MART STORES EAST LP | BRIDGETON | 70 | $0.00 |
| 48 | RX EXPRESS PHARMACY INC. | MANALAPAN | 207 | $0.00 |
| 49 | SEABRIGHT PHARMACY INC | ATLANTIC HIGHLANDS | 51 | $0.00 |
| 50 | AMITA CORP | NEWARK | 13 | $0.00 |
| 51 | WELLCURE LLC | AUDUBON | 135 | $0.00 |
| 52 | ANJANEYA DRUGS LLC | TRENTON | 86 | $0.00 |
| 53 | FORT LEE PHARMACY & SURGICAL INC | FORT LEE | 126 | $0.00 |
| 54 | DOWNTOWN MANAGEMENT LLC | JERSEY CITY | 35 | $0.00 |
| 55 | L PARK LLC | WEST NEW YORK | 13 | $0.00 |
| 56 | EWING PHARMACY LLC | EWING | 12 | $0.00 |
| 57 | AVON RX INC | HOBOKEN | 12 | $0.00 |