| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | HAYAT PHARMACY 20 LLC | MILWAUKEE | 1,190 | $43K |
| 2 | JANESVILLE HOMETOWN PHARMACY LLC | JANESVILLE | 559 | $13K |
| 3 | GOOD VALUE PHARMACY LLC | WEST ALLIS | 24 | $663.00 |
| 4 | KIMBERLY HOMETOWN PHARMACY LLC | APPLETON | 34 | $457.92 |
| 5 | WAL-MART STORES EAST LP | PORTAGE | 14 | $341.59 |