| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | RIDER PHARMACY INC | FAIRMONT | 749 | $85K |
| 2 | WEST VIRGINIA CVS PHARMACY LLC | ELKINS | 217 | $8K |
| 3 | WEST VIRGINIA CVS PHARMACY LLC | GASSAWAY | 225 | $5K |
| 4 | WALGREEN CO. | ELKINS | 335 | $2K |
| 5 | WEST VIRGINIA CVS PHARMACY LLC | HUNTINGTON | 152 | $1K |
| 6 | HOOD'S PHARMACY INC | FOLLANSBEE | 156 | $1K |
| 7 | WEST VIRGINIA CVS PHARMACY LLC | BLUEFIELD | 65 | $1K |
| 8 | WEST VIRGINIA CVS PHARMACY LLC | CHARLESTON | 94 | $815.26 |
| 9 | GRIFFITH & FEIL DRUG, INC. | KENOVA | 105 | $456.16 |
| 10 | WALGREEN CO | BRADSHAW | 89 | $336.08 |
| 11 | WALGREEN CO | PARKERSBURG | 56 | $139.78 |
| 12 | GOMPERS PHARMACY, INC. | WHEELING | 27 | $122.01 |
| 13 | BLACK DIAMOND PHARMACY, LLC | NORTHFORK | 14 | $44.95 |
| 14 | FLAT IRON PHARMACY, LLC | WELCH | 115 | $0.00 |
| 15 | GIANT EAGLE INC | MORGANTOWN | 121 | $0.00 |
| 16 | PHARMACY ASSOCIATES, INC | HUNTINGTON | 178 | $0.00 |
| 17 | RITCHIE COMMUNITY PHARMACY, LLC | HARRISVILLE | 15 | $0.00 |
| 18 | GIANT EAGLE INC | MORGANTOWN | 130 | $0.00 |
| 19 | WALGREEN CO | MAN | 523 | $0.00 |
| 20 | WALGREEN CO | PARKERSBURG | 313 | $0.00 |
| 21 | SHPH LLC | SHEPHERDSTOWN | 13 | $0.00 |
| 22 | CHARLIE'S PHARMACY OF MULLENS, LLC | MULLENS | 128 | $0.00 |