| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | MERCY FAMILY PHARMACY | DUBUQUE | 10,577 | $188K |
| 2 | HY-VEE INC | IOWA CITY | 4,226 | $109K |
| 3 | HY-VEE INC | DES MOINES | 3,156 | $77K |
| 4 | HY-VEE INC | FAIRFIELD | 2,740 | $62K |
| 5 | HY-VEE INC | JEFFERSON | 1,742 | $40K |
| 6 | GRX HOLDINGS LLC | DES MOINES | 998 | $24K |
| 7 | HARTIG DRUG CO CORP | DUBUQUE | 2,797 | $24K |
| 8 | PRESCRIPTION SHOPPE, INC. | MONTICELLO | 1,618 | $17K |
| 9 | GRX HOLDINGS LLC | KNOXVILLE | 766 | $15K |
| 10 | GRX HOLDINGS LLC | ELDORA | 413 | $13K |
| 11 | GRX HOLDINGS LLC | INDIANOLA | 469 | $11K |
| 12 | GRX HOLDINGS LLC | DES MOINES | 627 | $11K |
| 13 | HY-VEE INC | CARROLL | 457 | $8K |
| 14 | GRX HOLDINGS, LLC | ANKENY | 255 | $7K |
| 15 | MAHASKA DRUG INC | OSKALOOSA | 318 | $7K |
| 16 | HY-VEE INC | CORNING | 328 | $6K |
| 17 | FORBES PHARMACY CORP | URBANDALE | 773 | $6K |
| 18 | GRX HOLDINGS, LLC | NEWTON | 172 | $5K |
| 19 | GREENFIELD PHARMACY LLC | GREENFIELD | 324 | $4K |
| 20 | GRX HOLDINGS LLC | AMES | 135 | $4K |
| 21 | HY-VEE INC | LEON | 197 | $4K |
| 22 | DOTZLER PHARMACIES, INC. | HARLAN | 92 | $3K |
| 23 | GRX HOLDINGS LLC | GRIMES | 149 | $3K |
| 24 | WHITE DRUG ENTERPRISES INC | SPENCER | 287 | $2K |
| 25 | GRX HOLDINGS, LLC | BOONE | 50 | $1K |
| 26 | PHARMA340 LLC | ROCKWELL CITY | 70 | $1K |
| 27 | GRX HOLDINGS, LLC | STUART | 26 | $760.00 |
| 28 | TOTAL DOSE CENTERVILLE, LLC | CENTERVILLE | 41 | $641.53 |
| 29 | GRX HOLDINGS, LLC | AUDUBON | 25 | $621.36 |
| 30 | NUDAK VENTURES, LLC | LENOX | 30 | $590.66 |
| 31 | CLAYTON PHARMACY SERVICES | STRAWBERRY POINT | 24 | $480.01 |
| 32 | J&J PHARMACY INC | FOREST CITY | 12 | $392.00 |
| 33 | HUGHES PHARMACY SERVICES INC. | EMMETSBURG | 19 | $175.73 |
| 34 | GBANK HEALTH LLC | BETTENDORF | 14 | $169.17 |
| 35 | MADSEN INC | TOLEDO | 119 | $0.00 |
| 36 | S-S PHARMACY, INC. | COUNCIL BLUFFS | 392 | $0.00 |