| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | PROCARE PHARMACY, L.L.C. | WASHINGTON | 27,338 | $147K |
| 2 | FOERS PHARMACY | WASHINGTON | 1,493 | $5K |
| 3 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 859 | $15.60 |
| 4 | MEDSTAR PHARMACIES, INC. | WASHINGTON | 70 | $0.85 |
| 5 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 946 | $0.84 |
| 6 | PRIME, INC | WASHINGTON | 372 | $0.28 |
| 7 | HARRIS TEETER LLC | WASHINGTON | 12 | $0.00 |
| 8 | KALORAMA PHARMACY | WASHINGTON | 91 | $0.00 |
| 9 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 359 | $0.00 |
| 10 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 57 | $0.00 |
| 11 | DISTRICT OF COLUMBIA CVS PHARMACY LLC | WASHINGTON | 26 | $0.00 |
| 12 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 43 | $0.00 |
| 13 | SIERRA INTERNATIONAL PHARMACEUTICAL | WASHINGTON | 65 | $0.00 |
| 14 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 33 | $0.00 |
| 15 | DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C. | WASHINGTON | 27 | $0.00 |