| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | CROSS LTC PHARMACY, LLC | CHUBBUCK | 394 | $22K |
| 2 | ROCKLAND PHARMACY, INC | AMERICAN FALLS | 566 | $21K |
| 3 | TNT APOTHECARY LLC | WENDELL | 40 | $530.50 |
| 4 | KEYMED INC | POCATELLO | 14 | $80.90 |
| 5 | CHASTAINS INC | LEWISTON | 157 | $0.00 |
| 6 | CD PHARMACY LLC | MERIDIAN | 183 | $0.00 |