| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | REDLERS LTC PHARMACY LLC | OMAHA | 1,371 | $52K |
| 2 | HY-VEE INC | OMAHA | 113 | $4K |
| 3 | R & V INC. | OMAHA | 76 | $1K |
| 4 | YOUR HOMETOWN PHARMACY INC | LA VISTA | 796 | $164.01 |
| 5 | GERIMED, INC. | OMAHA | 98 | $90.66 |
| 6 | CLABAUGH PHARMACY INC | BEATRICE | 80 | $37.25 |
| 7 | ONEILL FAMILY PHARMACY INC | ONEILL | 12 | $11.65 |
| 8 | KEYSTONE RX CORPORATION INC | HEMINGFORD | 375 | $4.54 |
| 9 | DTAG PHARMACIES INC | KEARNEY | 19 | $2.22 |
| 10 | TGSC VENTURES, LLC | BROKEN BOW | 12 | $0.00 |