| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | GLENDALE PRESCRIPTION CENTER INC | PHILADELPHIA | 1,942 | $105K |
| 2 | PRIMECARE PHARMACY SERVICES INC | SCRANTON | 1,670 | $93K |
| 3 | NORTHEAST PHARMACY SERVICES, INC. | LEHIGHTON | 97 | $5K |
| 4 | DUBOIS REGIONAL MEDICAL CENTER | BROOKVILLE | 251 | $3K |
| 5 | CHRISTOFANO ASSOCIATES LLC | YOUNGWOOD | 82 | $1K |
| 6 | DIAMOND DRUGS, INC. | INDIANA | 23 | $920.00 |
| 7 | KRYNICKI INC | MONONGAHELA | 27 | $575.04 |
| 8 | FOREST HILLS PHARMACY INC | SAINT MICHAEL | 27 | $480.00 |