| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | SAKRX, LLC | OMAHA | 114,909 | $9.65M |
| 2 | OSIE INC. | LINCOLN | 18,150 | $1.08M |
| 3 | SAKRX, LLC | OMAHA | 5,557 | $189K |
| 4 | TOOLEY DRUG COMPANY | COLUMBUS | 4,255 | $135K |
| 5 | NEBRASKA MEDICAL CENTER | OMAHA | 10,300 | $62K |
| 6 | SERVICE DRUG, INC | CHADRON | 1,890 | $49K |
| 7 | WALGREEN CO | OMAHA | 969 | $1K |
| 8 | NORTH PLATTE PHARMACY INC | NORTH PLATTE | 296 | $115.17 |
| 9 | BALYNOR INC | CENTRAL CITY | 125 | $4.44 |
| 10 | KUBAT PHARMACY BEATRICE, LLC | BEATRICE | 15 | $0.00 |
| 11 | PROVIDENCE MEDICAL CENTER | WAYNE | 12 | $0.00 |
| 12 | HARRIS APOTHECARIES LLC | RED CLOUD | 42 | $0.00 |
| 13 | HY-VEE INC | OMAHA | 13 | $0.00 |