| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | HILS, LLC | MOBERLY | 4,641 | $207K |
| 2 | GPMO, INC | HANNIBAL | 2,097 | $73K |
| 3 | GATEWAY APOTHECARY | SAINT LOUIS | 1,203 | $51K |
| 4 | CGI PHARMACY LLC | CAPE GIRARDEAU | 270 | $37K |
| 5 | SUMMERS PHARMACY OF APPLETON CITY, INC | APPLETON CITY | 358 | $29K |
| 6 | BATTLEFIELD PHARMACY | BATTLEFIELD | 317 | $16K |
| 7 | B Y ENTERPRISES INC | SIKESTON | 354 | $10K |
| 8 | AUBURN PHARMACY INC | MOUNT VERNON | 118 | $9K |
| 9 | SAULTS DRUG STORE INC | FULTON | 77 | $5K |
| 10 | HARRIS PHARMACY INC | KENNETT | 874 | $5K |
| 11 | TOP NOTCH PHARMACIES LLC | SARCOXIE | 93 | $5K |
| 12 | BROADWAY LTC, LLC | CAPE GIRARDEAU | 121 | $4K |
| 13 | NEW MADRID PHARMACY INC | NEW MADRID | 113 | $913.50 |
| 14 | MS MGC INC | MONTGOMERY CITY | 12 | $900.00 |
| 15 | ROCKHILL PHARMACY, LLC | KANSAS CITY | 266 | $279.86 |
| 16 | DUFFETT HOLDINGS LLC | RICHMOND | 37 | $271.26 |
| 17 | N E MO CLOSED DOOR PHARMACY L L C | CLARENCE | 49 | $153.65 |
| 18 | BSAP LLC | ADVANCE | 13 | $93.18 |
| 19 | UNITED SCRIPTS LTC LLC | LEES SUMMIT | 911 | $0.00 |
| 20 | KIKO ENTERPRISES, LLC | ST CLAIR | 12 | $0.00 |
| 21 | SYMBRIA RX SERVICES GREAT PLAINS, LLC | LEES SUMMIT | 141 | $0.00 |
| 22 | ROBERTS DRUG STORE, LLC | JEFFERSON CITY | 12 | $0.00 |