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258 Total Credentialed Pharmacies as of 1-14-2019 2018 NCCP – Network Compound Credentialing Program CREDENTIALED PHARMACIES LISTING

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Page 1: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

258 Total Credentialed Pharmacies as of 1-14-2019

2018

NCCP – Network Compound Credentialing Program

CREDENTIALED

PHARMACIES LISTING

Page 2: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

Introduction

This user guide will assist members with the selection of a pharmacy which has been credentialed with the

OptumRx Network Compound Credentialing Program (NCCP).

Using the Guide

This guide is in alphabetical order by state. Each page provides a list of the pharmacies credentialed and

licensed to dispense within that state.

Symbols next to the pharmacies are also provided for reference for some of the more routine types of

compounded products. If your type of product is not listed, or if you are unsure of the type of compounded

product you are filling; the pharmacies listed should be able to answer your questions based on the

prescriptions and direct you appropriately as to their ability to compound the product.

Also, please be aware that not ALL compounded medications require a pharmacy that is listed within this

Guide. Some of the more ‘simple’ compounds which do not require a rigorous credentialing review may be

made available to you from any of the network pharmacy providers that you use for your routine medications.

How to find a pharmacy that dispenses a specific type of compound medication The abbreviations below represent routine types of compounds. Not all pharmacies are credentialed to

dispense all types of compounds.

The charts on each page will let you know which pharmacy may be able to compound the medication you need.

(For example if the prescription appears to be for a topical product look for the TOP symbol after the

pharmacies within your state.)

TOP: denotes topical products (e.g. pain ointments/gels and topical hormone creams)

HRT: denotes hormone replacement therapy and fertility medications (e.g. estriol)

PED: denotes pediatric (children) custom products (e.g. liquid g-tube preparations)

NAS: denotes nasal or oral inhaled therapies (e.g. antibiotic or steroid nasal compounds)

STR: denotes sterile Preparations (e.g. IV, IM, SC and Epidural injections, Ophthalmic preparations and

fortified antibiotic/antifungal drops)

SUP: denotes Supplements (e.g. Enzymes, EFA’s, Vitamin A/C/D and Calcium)

PTD: denotes Medicare Part D (e.g. a compound claim for a Medicare Part D beneficiary)

Page 3: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

STATES

MENU: Please click your specific state to navigate through the Pharmacy Locator Guide.

AL AL – Cont.

AK AK-Cont. AZ AZ-Cont.

AR AR-Cont. CA CA-Cont.

CO CO- Cont.

CT CT-Cont. DC DE DE-Cont. FL FL-Cont. GA

GA-Cont. HI HI-Cont. ID ID-Cont. IL IL-Cont. IN IN-Cont. IA

IA-Cont. KS KS-Cont. KY KY-Cont LA LA-Cont. ME ME-Cont.

MD

MD-Cont.

MA MA-Cont.

MA-Cont. 1

MA-Cont. 2

MA-Cont. 3

MI MI-Cont. MN MN-Cont.

MS MS-Cont.

MO MO-Cont.

MT MT-Cont.

NE NE-Cont. NV NV.-Cont.

NH NH-Cont.

NJ. NJ-Cont. NM NM-Cont.

NY NY-Cont. NC NC-Cont.

ND ND-Cont.

OH OH-Cont.

OK OK-Cont.

OR OR-Cont. PA PA-Cont.

RI RI-Cont. SC SC-Cont. SD SD-Cont.

TN TN-Cont. TX TX-Cont.

UT VT VT-Cont VA VA-Cont. WA WA-Cont.

WV WV-Cont.

WI

WI-Cont. WY WY-Cont.

Page 4: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ALABAMA (AL)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Compoundia Pharmacy 766 WestLake Village Unit E Westlake Village CA (805) 371-4443 (805) 371-4375 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Crestwood Pharmacy & Soda Fountain 5502 Crestwood Blvd Suite A Birmingham AL (205) 564-0429 (205) 564-0529 X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Legacy Compounding Inc. 2422 Danville Rd SW Suite H Decatur AL (256) 353-1123 (256) 280-3551 X X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Prestige Compounding 2215 Highway 78 Suite 90 Dora AL (205) 313-3560 (888) 574-4888 X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Professional Pharmacy 2001 North Airport Road Jasper AL 205-221-4564 205-221-4555 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

Soleo Health Inc. 2866 Dauphin Street, Suite H Mobile AL (251) 234-6075 (251) 272-3298 X X

SureCare Specialty Pharmacy 4005 N. Mesa El Paso TX 915-532-2400 855-821-7058 X X X X X X

The Compounding Shoppe 3349 Independence Drive Suite 102 Birmingham AL 205-870-3150 855-862-0446 X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X X X X

Page 5: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ALASKA (AK)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Broadway Apothecary 1515 Oak Street Eugene OR (541) 684-9352 (541) 684-0858 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 6: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ARIZONA (AZ)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acacia Apothecary and Wellness 1845 W Orange Grove Rd Ste 115 Tucson AZ 520-670-0777 520-620-9738 X X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Customedico Pharmacy + Wellness 10900 N Scottsdale Road Suite 403 Scottsdale AZ (480) 946-9477 (480) 946-1345 X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Elements Compounding Pharmacy 2110 E Baseline Rd Mesa AZ 480-625-4750 480-625-3054 X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medtown Rx 4128 W. Burbank Blvd Burbank CA (818) 500-0079 (818) 500-0225 X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Page 7: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ARIZONA (AZ) – Continued

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Potter's House Apothecary 21585 N. 77th Ave #1500 Peoria AZ 623-362-9322 623-362-9001 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Raintree Apothecary 9260 E Raintree Dr Suite 150 Scottsdale AZ (480) 912-5959 (480) 912-1950 X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Sona Compounding 530 Hendersonville Rd Ste B Asheville NC 828-782-5571 828-785-1490 X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 8: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ARKANSAS (AR)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Page 9: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

CALIFORNIA (CA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

ABC Compounding Pharmacy 16311 Ventura Blvd #110 Encino CA (818) 783-0422 (818) 783-0423 X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anaheim Hills Medical Pharmacy 500 S. Anaheim Hills Rd #100 Anaheim CA (714) 279-1111 (714) 279-1115 X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

B&B Pharmacy 10244 Rosecrans Ave Bellflower CA 562-866-8363 562-925-6208 X X X X X

Better Value Pharmacy 2707 E Valley Blvd West Covina CA 626-960-4723 626-813-7648 X X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

CDM Drugs 2865 E Coast Hwy, Ste 150 Corona Del Mar CA (949) 644-7575 (949) 644-2340 X X

Central Drugs 1955 Sunnycrest Dr Suite 100 Fullerton CA 714-515-1530 714-515-1535 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Care Compounding 124 Market Place San Ramon CA (925) 830-0555 (925) 830-0450 X X X X X X

Custom HealthCare Compounding Pharmacy 24022 Calle De La Plata Suite 510 Laguna Hills CA (949) 595-2273 (949) 595-2275 X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Ed's Healthy Living Pharmacy and Compounding 879 S. Tustin St. Orange CA (714) 485-0908 (714) 485-0663 X X X

Expert Compounding Pharmacy 6744 Balboa Dr Van Nuys CA 818-988-7979 818-787-7256 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Health Tree Pharmacy 563 W Whittier Blvd La Habra CA (562) 864-7435 (562) 475-5438 X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

King's Pharmacy and Compounding Center 16205 Sand Canyon Ave #105 Irvine CA (949) 387-0780 (949) 387-0784 X X X X X

King's Pharmacy and Compounding Center 510 Superior Ave #120 Newport Beach CA (949) 631-4624 (949) 631-4626 X X X

Koshland Pharm: Custom Compounding Pharmacy 301 Folsom St Ste B San Francisco CA 415-344-0600 415-344-0607 X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

LEI Compounding 6541-B Via del Oro San Jose CA (408) 326-1530 (408) 326-1530 X

Marin Wellness Pharmacy 55 Mitchell Blvd Ste 11 San Rafael CA 415-521-1555 415-299-8619 X X X X X X

Medtown Rx 4128 W. Burbank Blvd Burbank CA (818) 500-0079 (818) 500-0225 X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Optimal Wellness Pharmacy 4200 Trabuco Rd Ste 190 Irvine CA 949-861-3170 949-861-3179 X X X X X X

Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X X X

Pacifica Pharmacy 23560 S. Madison St #112 Torrance CA 310-530-0831 310-530-8218 X X X X X X

Page 10: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

CALIFORNIA (CA) - Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Parkview Pharmacy and Home Healthcare 8283 Grove Ave Rancho Cucamonga CA 909-981-0956 909-981-8409 X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Cedar Park TX 512-219-0724 512-219-0943 X X X X X X

Rancho Park Pharmacy 10587 (A) W Pico Blvd Los Angeles CA 310-475-3541 310-474-3323 X X X X X X X

River Oak Pharmacy 1080 West F Street Suite D Oakdale CA (209) 847-2226 (209) 847-2241 X X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 721 S. Glasgow Ave., Suite C Inglewood CA (310) 665-1121 (310) 665-1141 X X

The Remedy Pharm 23811 Hawthorne Blvd Torrance CA (310) 375-0655 (310) 375-7255 X X X

Tormed Pharmacy Inc. 3440 Lomita Blvd Suite #149 Torrance CA (310) 326-7706 (310) 326-8568 X X X X X X X

UCSD Home Infusion Pharmacy 9610 Ridgehaven Court, Ste A San Diego CA (619) 543-7453 (619) 543-8220 X X

uniMED Pharmacy 2490 Honolulu Ave Suite 110 Montrose CA (818) 330-7031 (818) 330-9526 X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Valley Prescription and Compounding Pharmacy 330 E 13th Street Merced CA 855-303-5443 818-386-2688 X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 11: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

COLORADO (CO)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clearspring Pharmacy 801 W. Mineral Ave., #205 Littleton CO (303) 707-1500 (303) 707-1717 X X X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Lorenzo Apothecary 306 Main St Sterling CO (970) 522-0828 (970) 514-7909 X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Marin Wellness Pharmacy 55 Mitchell Blvd Ste 11 San Rafael CA 415-521-1555 415-299-8619 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Page 12: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

COLORADO (CO) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Premier Compounding Pharmacy 2000 PGA Boulevard Palm Beach Gardens FL 561-691-4991 561-691-4991 X X X X X

Premier Custom Center 137 Chase Rd Portsmouth RI 401-293-3999 401-293-3912 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Redline Pharmacy 401 W 33rd St # 100 Hastings NE 402-462-2929 402-462-2932 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

ScriptWorks 480 North Wignlet Lane Walnut Creek CA 925-934-4400 925-934-4442 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 6801 South Yosemite Street Suite B1 Centennial CO (303) 968-1915 (720) 266-4926 X X

SureCare Specialty Pharmacy 4005 N. Mesa El Paso TX 915-532-2400 855-821-7058 X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 13: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

CONNECTICUT (CT)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Delco Drugs 3833 Richmond Ave Staten Island NY 718-984-6600 718-984-6601 X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Page 14: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

CONNECTICUT (CT) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Cedar Park TX 512-219-0724 512-219-0943 X X X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 15: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

DISTRICT OF COLUMBIA (DC)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X X X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Page 16: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

DELAWARE (DE)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medrx Compounding & Pharmacy 601 Wayside Dr Houston TX 832-259-1362 832-582-7792 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 17: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

FLORIDA (FL)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Apothetech Rx Specialty Pharmacy 85-48 118th street Kew Gardens NY (718) 441-5474 (718) 441-5469 X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Caremax Pharmacy 725 5547 Normandy Blvd Jacksonville FL (904) 374-2692 (866) 725-5332 X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Care Pharmacy 12121 Shelbyville Rd Ste 107 Louisville KY 502-244-6500 502-244-6588 X X X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compoundia Pharmacy 766 WestLake Village Unit E Westlake Village CA (805) 371-4443 (805) 371-4375 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Delco Drugs 3833 Richmond Ave Staten Island NY 718-984-6600 718-984-6601 X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Health and Wellness Compounding Pharmacy 329 21ST Ave North Nashville TN 615-383-3784 615-292-2762 X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Page 18: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

FLORIDA (FL) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Lone Oak Pharmacy 3535 Lone Oak Rd Paducah KY 270-554-7944 270-554-4006 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Premier Compounding Pharmacy 2000 PGA Boulevard Palm Beach Gardens FL 561-691-4991 561-691-4991 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Prime Pharmacy 3604 University Blvd S, Suite 102 Jacksonville FL (904) 813-7634 (904) 551-6555 X X X X

Procare Pharmacy 1084 Lee Rd, Suite 4 Orlando FL (407) 730-2770 (407) 730-2764 X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Professional Compounding Pharmacists of Western Pennsylvania, Inc. 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X

Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X X

Raan Pharmacy 48 Lowell Ave Islip Terrace NY (631) 581-4285 (631) 581-4313 X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

Page 19: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

FLORIDA (FL) - Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Shertech Pharmacy Piedmont 1470 Hampton Plaza Drive Kernersville NC (336) 992-6853 (336) 992-6850 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 3100 Medlock Bridge Road, Suite 200 Norcross GA (470) 226-2300 (770) 545-6583 X X

Soleo Health Inc. 2866 Dauphin Street, Suite H Mobile AL (251) 234-6075 (251) 272-3298 X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Soleo Health Inc. 474 Northlake Blvd, Suite 1016 Altamonte Springs FL (407) 670-1230 (407) 605-5853 X X

Soleo Health Inc. 26800 Meadowbrook Road, Suite 119 Novi MI (248) 513-8687 (248) 939-5288 X X

Sona Compounding 530 Hendersonville Rd Ste B Asheville NC 828-782-5571 828-785-1490 X X X X X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

The Compounding Shoppe 3349 Independence Drive Suite 102 Birmingham AL 205-870-3150 855-862-0446 X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 20: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

GEORGIA (GA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compoundia Pharmacy 766 WestLake Village Unit E Westlake Village CA (805) 371-4443 (805) 371-4375 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Legacy Compounding Inc. 2422 Danville Rd SW Suite H Decatur AL (256) 353-1123 (256) 280-3551 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Peachtree Pharmacy 5270 Peachtree Parkway Suite 114A Peachtree Corners GA (678) 691-9079 (678) 691-9089 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Premier Compounding Pharmacy 2000 PGA Boulevard Palm Beach Gardens FL 561-691-4991 561-691-4991 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Page 21: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

GEORGIA (GA) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 3100 Medlock Bridge Road, Suite 200 Norcross GA (470) 226-2300 (770) 545-6583 X X

Soleo Health Inc. 2866 Dauphin Street, Suite H Mobile AL (251) 234-6075 (251) 272-3298 X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

The Compounding Shoppe 3349 Independence Drive Suite 102 Birmingham AL 205-870-3150 855-862-0446 X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 22: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

HAWAII (HI)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Broadway Apothecary 1515 Oak Street Eugene OR (541) 684-9352 (541) 684-0858 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Marin Wellness Pharmacy 55 Mitchell Blvd Ste 11 San Rafael CA 415-521-1555 415-299-8619 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 23: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

IDAHO (ID)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Premier Custom Center 137 Chase Rd Portsmouth RI 401-293-3999 401-293-3912 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Shaver Pharmacy and Compounding Center 235 South 4th Ave Pocatello ID (208) 233-3341 (208) 233-3343 X X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 6801 South Yosemite Street Suite B1 Centennial CO (303) 968-1915 (720) 266-4926 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 24: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ILLINOIS (IL)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Aristacare Health Inc 1056 W Golf Road Hoffman Estates IL (847) 790-3995 (847) 490-3793 X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

District Drugs and Compounding Center 319 18TH ST Rock Island IL 309-786-8431 309-794-6481 X X X X X X

Doug's Pharmacy 137 N. Market Street Paxton IL 217-379-3684 217-379-6115 X X X X X

Dr. Aziz Pharmacy 7320 E 82nd Street Indianapolis IN 317-842-5771 317-842-5953 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Lone Oak Pharmacy 3535 Lone Oak Rd Paducah KY 270-554-7944 270-554-4006 X X X X X X

Page 25: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

ILLINOIS (IL) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Soleo Health Inc. 26800 Meadowbrook Road, Suite 119 Novi MI (248) 513-8687 (248) 939-5288 X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 26: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

INDIANA (IN)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X X X X X

Compound Care Pharmacy 12121 Shelbyville Rd Ste 107 Louisville KY 502-244-6500 502-244-6588 X X X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

District Drugs and Compounding Center 319 18TH ST Rock Island IL 309-786-8431 309-794-6481 X X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Doug's Pharmacy 137 N. Market Street Paxton IL 217-379-3684 217-379-6115 X X X X X

Dr. Aziz Pharmacy 7320 E 82nd Street Indianapolis IN 317-842-5771 317-842-5953 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Health and Wellness Compounding Pharmacy 329 21ST Ave North Nashville TN 615-383-3784 615-292-2762 X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Page 27: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

INDIANA (IN) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Legacy Compounding Inc. 2422 Danville Rd SW Suite H Decatur AL (256) 353-1123 (256) 280-3551 X X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Okuleys Pharmacy and Home Medical 1201 E 2nd St Defiance OH 419-784-4800 419-784-4777 X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Soleo Health Inc. 26800 Meadowbrook Road, Suite 119 Novi MI (248) 513-8687 (248) 939-5288 X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

The Medicine Chest Pharmacy 2803 E State Blvd Fort Wayne IN (260) 483-3169 (260) 483-3160 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

Tri-State Compounding Pharmacy 7715 Beechmond Ave Cincinnatti OH 513-624-7333 513-624-7555 X X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Page 28: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

IOWA (IA)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Aristacare Health Inc 1056 W Golf Road Hoffman Estates IL (847) 790-3995 (847) 490-3793 X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

District Drugs and Compounding Center 319 18TH ST Rock Island IL 309-786-8431 309-794-6481 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Premier Custom Center 137 Chase Rd Portsmouth RI 401-293-3999 401-293-3912 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Page 29: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

IOWA (IA) - Continued

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Redline Pharmacy 401 W 33rd St # 100 Hastings NE 402-462-2929 402-462-2932 X X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 30: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

KANSAS (KS)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Apothetech Rx Specialty Pharmacy 85-48 118th street Kew Gardens NY (718) 441-5474 (718) 441-5469 X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clearspring Pharmacy 801 W. Mineral Ave., #205 Littleton CO (303) 707-1500 (303) 707-1717 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 2350 N Greenwich Road Suite 1000 Wichita KS 316-636-9595 316-636-9591 X X X X X X

Dandurand Drugs 7732 E. Central Wichita KS 316-685-2353 316-685-5331 X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Page 31: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

KANSAS (KS) – Continued

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Premier Custom Center 137 Chase Rd Portsmouth RI 401-293-3999 401-293-3912 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Redline Pharmacy 401 W 33rd St # 100 Hastings NE 402-462-2929 402-462-2932 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 32: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

KENTUCKY (KY)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Care Pharmacy 12121 Shelbyville Rd Ste 107 Louisville KY 502-244-6500 502-244-6588 X X X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Lexington Compounding Pharmacy 399 Waller Avenue Suite 110 Lexington KY (859) 276-3905 (859) 277-0252 X X X X X X X

Lone Oak Pharmacy 3535 Lone Oak Rd Paducah KY 270-554-7944 270-554-4006 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Redline Pharmacy 401 W 33rd St # 100 Hastings NE 402-462-2929 402-462-2932 X X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Page 33: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

KENTUCKY (KY) - Continued

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Stultz Pharmacy 2420 Argillite Rd. Flatwoods KY 606-834-1052 606-834-1039 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

Tri-State Compounding Pharmacy 7715 Beechmond Ave Cincinnatti OH 513-624-7333 513-624-7555 X X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Page 34: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

LOUISIANA (LA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Epic Specialty Pharmacy 8138 Oak St New Orleans LA 504-324-4343 504-301-2950 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Innovative Pharmacy 312-B Marion Ave McComb MS 601-684-4127 601-684-8479 X X X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 35: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MAINE (ME)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 36: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MARYLAND (MD)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Agbi's Pharmacy LLC 605 Reisterstown RD Pikesville MD 410-415-5370 410-484-1652 X X X X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chambers' Apothecary 278 Lincoln Way East Chambersburg PA (717) 263-0747 (717) 263-0225 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA (757) 599-9643 (757) 599-9647 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Page 37: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MARYLAND (MD)-Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Rustburg Family Pharmacy 925 Village Hwy Ste 2 Rustburg VA 434-332-1730 434-332-1736 X X X X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 38: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MASSACHUSETTS (MA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Akron Health Mart Pharmacy 879 East Exchange St Akron OH 330-375-5040 330-375-5048 X X X X

Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X X X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anaheim Hills Medical Pharmacy 500 S. Anaheim Hills Rd #100 Anaheim CA (714) 279-1111 (714) 279-1115 X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Apothetech Rx Specialty Pharmacy 85-48 118th street Kew Gardens NY (718) 441-5474 (718) 441-5469 X X

Aristacare Health Inc 1056 W Golf Road Hoffman Estates IL (847) 790-3995 (847) 490-3793 X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Best Choice Pharmacy 138-19 Queens Blvd Briarwood NY (718) 558-0008 (718) 558-0001 X X X X

Better Balance Pharmacy 5834 Louetta Rd., Suite D Spring TX (281) 205-7091 (281) 205-7093 X X X X

BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 X X X X X

Boulevard Pharmaceutical Compounding Center 149 Shrewsbury St Worcester MA 508-754-1791 508-795-0813 X X X X X X

Bremo Pharmacy 2024 Staples Mill Rd Richmond VA (804) 288-8361 (804) 355-1639 X X X X X

Broadway Apothecary 1515 Oak Street Eugene OR (541) 684-9352 (541) 684-0858 X X X X X

Buderer Drug Company 38530 Chester Road Suite 400 Avon OH 440-934-3100 440-934-3103 X X X X X X X

Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X

Cadila Pharmacy 23832 Southfield Rd Southfield MI (248) 557-9333 (248) 557-4970 X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Caremax Pharmacy 725 5547 Normandy Blvd Jacksonville FL (904) 374-2692 (866) 725-5332 X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X X

CDM Drugs 2865 E Coast Hwy, Ste 150 Corona Del Mar CA (949) 644-7575 (949) 644-2340 X X

Central Drug 3802 N Laurent Street Victoria TX 361-575-4713 361-573-9880 X X X X X X

Central Drugs 1955 Sunnycrest Dr Suite 100 Fullerton CA 714-515-1530 714-515-1535 X X X X X

Chambers' Apothecary 278 Lincoln Way East Chambersburg PA (717) 263-0747 (717) 263-0225 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X X X X X

Clark's Rx Pharmacy 7415 Old Troy Pike Huber Heights OH (937) 506-3060 (937) 506-3061 X X X X X X

Clearspring Pharmacy 801 W. Mineral Ave., #205 Littleton CO (303) 707-1500 (303) 707-1717 X X X X X X X

Community Pharmacy 1256 Pennsylvania Ave Tyrone PA (814) 684-0230 (814) 684-0845 X X X X X

Page 39: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MASSACHUSETTS (MA) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compoundia Pharmacy 766 WestLake Village Unit E Westlake Village CA (805) 371-4443 (805) 371-4375 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Crestwood Pharmacy & Soda Fountain 5502 Crestwood Blvd Suite A Birmingham AL (205) 564-0429 (205) 564-0529 X X X X

CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Care Compounding 124 Market Place San Ramon CA (925) 830-0555 (925) 830-0450 X X X X X X

Custom HealthCare Compounding Pharmacy 24022 Calle De La Plata Suite 510 Laguna Hills CA (949) 595-2273 (949) 595-2275 X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 2350 N Greenwich Road Suite 1000 Wichita KS 316-636-9595 316-636-9591 X X X X X X

Customedico Pharmacy + Wellness 10900 N Scottsdale Road Suite 403 Scottsdale AZ (480) 946-9477 (480) 946-1345 X X X X X

Dandurand Drugs 7732 E. Central Wichita KS 316-685-2353 316-685-5331 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diket's Professional Drugs 240 S 13th Avenue Laurel MS (601) 425-2527 (601) 425-2528 X X X X X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Dougherty's Pharmacy 5959 Royal Lane Suite 515 Dallas TX (214) 373-5300 (214) 373-5333 X X X X X X

Doug's Pharmacy 137 N. Market Street Paxton IL 217-379-3684 217-379-6115 X X X X X

Dr. Aziz Pharmacy 7320 E 82nd Street Indianapolis IN 317-842-5771 317-842-5953 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Ed's Healthy Living Pharmacy and Compounding 879 S. Tustin St. Orange CA (714) 485-0908 (714) 485-0663 X X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Greenhill Specialty Pharmacy 2531 Woodruff Rd #107 Simpsonville SC (864) 520-1550 (864) 520-1505 X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X X

Fulton Care Pharmacy 557 East 168th Street Bronx NY (347) 918-8700 (347) 918-8701 X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Harvest Drug & Gift 4426 Kell West Boulevard Wichita Falls TX 940-692-7081 940-692-9676 X X X X X X X

Health and Wellness Compounding Pharmacy 329 21ST Ave North Nashville TN 615-383-3784 615-292-2762 X X X X X

Health Tree Pharmacy 563 W Whittier Blvd La Habra CA (562) 864-7435 (562) 475-5438 X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Ideal Care Pharmacy 811 Ave U Brooklyn NY (718) 382-1990 (718) 382-1991 X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Page 40: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MASSACHUSETTS (MA) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X X

John's Pharmacy 2001 Independence St Cape Girardeau MO (573) 334-1300 (573) 334-0493 X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy 4021 Cascade Road SE Grand Rapids MI 616-974-9792 616-464-3469 X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

King's Pharmacy and Compounding Center 16205 Sand Canyon Ave #105 Irvine CA (949) 387-0780 (949) 387-0784 X X X X X

King's Pharmacy and Compounding Center 510 Superior Ave #120 Newport Beach CA (949) 631-4624 (949) 631-4626 X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Legacy Compounding Inc. 2422 Danville Rd SW Suite H Decatur AL (256) 353-1123 (256) 280-3551 X X X X X X X

LEI Compounding 6541-B Via del Oro San Jose CA (408) 326-1530 (408) 326-1530 X

Lexington Compounding Pharmacy 399 Waller Avenue Suite 110 Lexington KY (859) 276-3905 (859) 277-0252 X X X X X X X

Lorenzo Apothecary 306 Main St Sterling CO (970) 522-0828 (970) 514-7909 X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

McMahan Pharmacy Services 1503 W Front St Goldthwaite TX 325-648-2484 325-648-3417 X X X X X X

MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA (757) 599-9643 (757) 599-9647 X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Medtown Rx 4128 W. Burbank Blvd Burbank CA (818) 500-0079 (818) 500-0225 X X X X

Metscript Pharmacy 4888 Highway 90A Ste 100 Sugar Land TX (281) 277-2700 (281) 277-2767 X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X

Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Nour Pharmacy 535 Getty Avenue #2 Clifton NJ 973-955-4000 973-955-4009 X X X X X

Oakdell Pharmacy 7220 Louis Pasteur, Ste 176 San Antonio TX (210) 614-6200 (210) 614-3848 X X X X X X

Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X X X

Parkway Pharmacy 134 E. Northside Dr. Clinton MS (601) 924-8935 (601) 924-9127 X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X X X X X X

Peachtree Pharmacy 5270 Peachtree Parkway Suite 114A Peachtree Corners GA (678) 691-9079 (678) 691-9089 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Potter's House Apothecary 21585 N. 77th Ave #1500 Peoria AZ 623-362-9322 623-362-9001 X X X X X X X

Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X

Page 41: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MASSACHUSETTS (MA) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Prestige Compounding 2215 Highway 78 Suite 90 Dora AL (205) 313-3560 (888) 574-4888 X X X X X

Prime Pharmacy 3604 University Blvd S, Suite 102 Jacksonville FL (904) 813-7634 (904) 551-6555 X X X X

Procare Pharmacy 1084 Lee Rd, Suite 4 Orlando FL (407) 730-2770 (407) 730-2764 X X X X X

Professional Compounding Pharmacists of Western Pennsylvania, Inc. 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X

Professional Pharmacy 2001 North Airport Road Jasper AL 205-221-4564 205-221-4555 X X X X

Proven Care Pharmacy, LLC 10950 Bissonnet St # 220 Houston TX (281) 983-9333 (281) 983-9335 X X X X X X

Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X X

Pyramids Pharmacy Webster 500 N Kobayashi Road Suite E Webster TX 281-724-0531 281-724-0535 X X X X X X

Raan Pharmacy 48 Lowell Ave Islip Terrace NY (631) 581-4285 (631) 581-4313 X X X X

Raintree Apothecary 9260 E Raintree Dr Suite 150 Scottsdale AZ (480) 912-5959 (480) 912-1950 X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X X X

Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

River Oak Pharmacy 1080 West F Street Suite D Oakdale CA (209) 847-2226 (209) 847-2241 X X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X X

Rustburg Family Pharmacy 925 Village Hwy Ste 2 Rustburg VA 434-332-1730 434-332-1736 X X X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Service Drug 215 West Main St Delta UT (435) 864-2545 (435) 864-5925 X X X X X

Shaver Pharmacy and Compounding Center 235 South 4th Ave Pocatello ID (208) 233-3341 (208) 233-3343 X X X X X X X

Sherman Pharmacy 2 58-10 Myrtle Ave Ridgewood NY (718) 628-8190 (718) 628-8191 X X

Shertech Pharmacy Piedmont 1470 Hampton Plaza Drive Kernersville NC (336) 992-6853 (336) 992-6850 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 204 Three Springs Dr Suite 3 Weirton WV (603) 324-2978 (603) 718-3824 X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 3100 Medlock Bridge Road, Suite 200 Norcross GA (470) 226-2300 (770) 545-6583 X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 2866 Dauphin Street, Suite H Mobile AL (251) 234-6075 (251) 272-3298 X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Soleo Health Inc. 721 S. Glasgow Ave., Suite C Inglewood CA (310) 665-1121 (310) 665-1141 X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Soleo Health Inc. 474 Northlake Blvd, Suite 1016 Altamonte Springs FL (407) 670-1230 (407) 605-5853 X X

Soleo Health Inc. 2912 W 6th St Suite 120 Fort Worth TX (817) 916-1206 (817) 381-4419 X X

Soleo Health Inc. 26800 Meadowbrook Road, Suite 119 Novi MI (248) 513-8687 (248) 939-5288 X X

Soleo Health Inc. 6801 South Yosemite Street Suite B1 Centennial CO (303) 968-1915 (720) 266-4926 X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Soleo Health Inc. 950 Calcon Hook Road, Suite 19 Sharon Hill PA (610) 200-6502 (610) 726-1882 X X

Solutions Pharmacy 13830 Sawyer Ranch Rd #104 Dripping Springs TX (512) 382-9381 (512) 532-6689 X X X X X X

South River Compounding Pharmacy 11420 W. Huguenot Road Midlothian VA 804-897-6447 804-897-6449 X X X X X X

South River Compounding Pharmacy 3656 Mayland Court Richmond VA 804-897-6447 804-967-6449 X X X X X X

Page 42: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MASSACHUSETTS (MA) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

St. Anthony Pharmacy 3860 Broadway New York NY (212) 923-6111 (646) 930-4777 X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Stonegate Pharmacy 2501 W. William Cannon Suite 203 Austin TX 512-707-2300 512-707-2378 X X X X X X X

Stonegate Pharmacy on Broadway 2515 Broadway San Antonio TX (210) 354-0101 (210) 354-0404 X X X X X

Teba Pharmacy 7618 5th Ave Brooklyn NY (347) 517-4833 (347) 517-4834 X X

The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X X X X

The Compounding Shoppe 3349 Independence Drive Suite 102 Birmingham AL 205-870-3150 855-862-0446 X X X X X

The Medicine Chest Pharmacy 2803 E State Blvd Fort Wayne IN (260) 483-3169 (260) 483-3160 X X X X X X X

The Remedy Pharm 23811 Hawthorne Blvd Torrance CA (310) 375-0655 (310) 375-7255 X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

Tormed Pharmacy Inc. 3440 Lomita Blvd Suite #149 Torrance CA (310) 326-7706 (310) 326-8568 X X X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

Triumph Pharmacy 6875 FM 1488 Road Suite 300 Magnolia TX 281-252-4200 281-252-4201 X X X X X X X

UCSD Home Infusion Pharmacy 9610 Ridgehaven Court, Ste A San Diego CA (619) 543-7453 (619) 543-8220 X X

uniMED Pharmacy 2490 Honolulu Ave Suite 110 Montrose CA (818) 330-7031 (818) 330-9526 X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Vernak Farms Country Store and Pharmacy 1889 East Lake Road Skaneateles NY 315-673-9327 315-673-9896 X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 43: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MICHIGAN (MI)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X

Cadila Pharmacy 23832 Southfield Rd Southfield MI (248) 557-9333 (248) 557-4970 X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy 4021 Cascade Road SE Grand Rapids MI 616-974-9792 616-464-3469 X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Page 44: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MICHIGAN (MI) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Soleo Health Inc. 26800 Meadowbrook Road, Suite 119 Novi MI (248) 513-8687 (248) 939-5288 X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 45: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MINNESOTA (MN)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Aristacare Health Inc 1056 W Golf Road Hoffman Estates IL (847) 790-3995 (847) 490-3793 X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Page 46: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MINNESOTA (MN) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 47: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MISSISSIPPI (MS)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Diket's Professional Drugs 240 S 13th Avenue Laurel MS (601) 425-2527 (601) 425-2528 X X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Epic Specialty Pharmacy 8138 Oak St New Orleans LA 504-324-4343 504-301-2950 X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Innovative Pharmacy 312-B Marion Ave McComb MS 601-684-4127 601-684-8479 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Parkway Pharmacy 134 E. Northside Dr. Clinton MS (601) 924-8935 (601) 924-9127 X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Page 48: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MISSISSIPPI (MS) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Soleo Health Inc. 2866 Dauphin Street, Suite H Mobile AL (251) 234-6075 (251) 272-3298 X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Page 49: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MISSOURI (MO)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 2350 N Greenwich Road Suite 1000 Wichita KS 316-636-9595 316-636-9591 X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Page 50: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MISSOURI (MO) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Page 51: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

MONTANA (MT)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Shaver Pharmacy and Compounding Center 235 South 4th Ave Pocatello ID (208) 233-3341 (208) 233-3343 X X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Page 52: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEBRASKA (NE)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clearspring Pharmacy 801 W. Mineral Ave., #205 Littleton CO (303) 707-1500 (303) 707-1717 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Redline Pharmacy 401 W 33rd St # 100 Hastings NE 402-462-2929 402-462-2932 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 53: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEVADA (NV)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Better Value Pharmacy 2707 E Valley Blvd West Covina CA 626-960-4723 626-813-7648 X X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Marin Wellness Pharmacy 55 Mitchell Blvd Ste 11 San Rafael CA 415-521-1555 415-299-8619 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X X X

Page 54: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEVADA (NV) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 721 S. Glasgow Ave., Suite C Inglewood CA (310) 665-1121 (310) 665-1141 X X

Sona Compounding 530 Hendersonville Rd Ste B Asheville NC 828-782-5571 828-785-1490 X X X X X X

SureCare Specialty Pharmacy 4005 N. Mesa El Paso TX 915-532-2400 855-821-7058 X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Page 55: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW HAMPSHIRE (NH)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 56: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW JERSEY (NJ)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Delco Drugs 3833 Richmond Ave Staten Island NY 718-984-6600 718-984-6601 X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Ideal Care Pharmacy 811 Ave U Brooklyn NY (718) 382-1990 (718) 382-1991 X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medrx Compounding & Pharmacy 601 Wayside Dr Houston TX 832-259-1362 832-582-7792 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X

Page 57: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW JERSEY (NJ) - Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Nour Pharmacy 535 Getty Avenue #2 Clifton NJ 973-955-4000 973-955-4009 X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

Teba Pharmacy 7618 5th Ave Brooklyn NY (347) 517-4833 (347) 517-4834 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 58: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW MEXICO (NM)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Page 59: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW MEXICO (NM) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Sona Compounding 530 Hendersonville Rd Ste B Asheville NC 828-782-5571 828-785-1490 X X X X X X

SureCare Specialty Pharmacy 4005 N. Mesa El Paso TX 915-532-2400 855-821-7058 X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 60: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW YORK (NY)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Apothetech Rx Specialty Pharmacy 85-48 118th street Kew Gardens NY (718) 441-5474 (718) 441-5469 X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Asti's South Hills Pharmacy 250 MT Lebanon Blvd Pittsburgh PA 412-561-2347 412-561-2503 X X X X X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Best Choice Pharmacy 138-19 Queens Blvd Briarwood NY (718) 558-0008 (718) 558-0001 X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Delco Drugs 3833 Richmond Ave Staten Island NY 718-984-6600 718-984-6601 X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fulton Care Pharmacy 557 East 168th Street Bronx NY (347) 918-8700 (347) 918-8701 X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Health and Wellness Compounding Pharmacy 329 21ST Ave North Nashville TN 615-383-3784 615-292-2762 X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Ideal Care Pharmacy 811 Ave U Brooklyn NY (718) 382-1990 (718) 382-1991 X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Page 61: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NEW YORK (NY) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Modern Medicine Rx 33-41 Newark St Suite 2b Hoboken NJ (201) 420-9000 (201) 420-4040 X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Raan Pharmacy 48 Lowell Ave Islip Terrace NY (631) 581-4285 (631) 581-4313 X X X X

ReadyScrip Advanced Pharma 201 Route 17 North, 11th floor Rutherford NJ (201) 549-8895 (201) 549-8878 X X X X X X

Redi Pharmacy 250 West Route 59 Suite 5 Nanuet NY (845) 507-0630 (845) 507-0631 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Sherman Pharmacy 2 58-10 Myrtle Ave Ridgewood NY (718) 628-8190 (718) 628-8191 X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Soleo Health Inc. 950 Calcon Hook Road, Suite 19 Sharon Hill PA (610) 200-6502 (610) 726-1882 X X

St. Anthony Pharmacy 3860 Broadway New York NY (212) 923-6111 (646) 930-4777 X X

St. Louis Hills Pharmacy 4365 Chippewa St Suite 100 St. Louis MO (314) 832-2480 (314) 832-2498 X X X X X

Teba Pharmacy 7618 5th Ave Brooklyn NY (347) 517-4833 (347) 517-4834 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Vernak Farms Country Store and Pharmacy 1889 East Lake Road Skaneateles NY 315-673-9327 315-673-9896 X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 62: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NORTH CAROLINA (NC)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Andrews Apothecary 3072 Trenwest Dr Ste A Winston Salem NC 336-723-1679 336-723-1670 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Family Pharmacy of Statesville 208 Old Mocksville Rd Statesville NC 704-872-0296 704-873-7723 X X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Health and Wellness Compounding Pharmacy 329 21ST Ave North Nashville TN 615-383-3784 615-292-2762 X X X X X

HealthSmart Pharmacy 2001 S Main St Wake Forest NC 919-569-0500 919-556-4288 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Page 63: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NORTH CAROLINA (NC) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

Shertech Pharmacy Piedmont 1470 Hampton Plaza Drive Kernersville NC (336) 992-6853 (336) 992-6850 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 3100 Medlock Bridge Road, Suite 200 Norcross GA (470) 226-2300 (770) 545-6583 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 64: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

NORTH DAKOTA (ND)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 65: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

OHIO (OH)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Akron Health Mart Pharmacy 879 East Exchange St Akron OH 330-375-5040 330-375-5048 X X X X

Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Asti's South Hills Pharmacy 250 MT Lebanon Blvd Pittsburgh PA 412-561-2347 412-561-2503 X X X X X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Buderer Drug Company 38530 Chester Road Suite 400 Avon OH 440-934-3100 440-934-3103 X X X X X X X

Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X X X X X

Clark's Rx Pharmacy 7415 Old Troy Pike Huber Heights OH (937) 506-3060 (937) 506-3061 X X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Health & Wellness Pharmacy 5050 Blazer Pkwy Ste 202 Dublin OH 614-389-3946 888-661-4497 X X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Page 66: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

OHIO (OH) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

MD Compounding Pharmacy 721 Boardman-Canfield Rd Boardman OH 330-726-6337 855-301-8645 X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Okuleys Pharmacy and Home Medical 1201 E 2nd St Defiance OH 419-784-4800 419-784-4777 X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Professional Compounding Pharmacists of Western Pennsylvania, Inc. 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Soleo Health Inc. 26800 Meadowbrook Road, Suite 119 Novi MI (248) 513-8687 (248) 939-5288 X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

The Compounding Pharmacy of Green 4016 Massillon Rd Uniontown OH 330-899-0406 330-899-0652 X X X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

Tri-State Compounding Pharmacy 7715 Beechmond Ave Cincinnatti OH 513-624-7333 513-624-7555 X X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 67: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

OKLAHOMA (OK)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Page 68: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

OKLAHOMA (OK) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 69: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

OREGON (OR)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Broadway Apothecary 1515 Oak Street Eugene OR (541) 684-9352 (541) 684-0858 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 2866 Dauphin Street, Suite H Mobile AL (251) 234-6075 (251) 272-3298 X X

Sona Compounding 530 Hendersonville Rd Ste B Asheville NC 828-782-5571 828-785-1490 X X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 70: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

PENNSYLVANIA (PA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Asti's South Hills Pharmacy 250 MT Lebanon Blvd Pittsburgh PA 412-561-2347 412-561-2503 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Better Balance Pharmacy 5834 Louetta Rd., Suite D Spring TX (281) 205-7091 (281) 205-7093 X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Chambers' Apothecary 278 Lincoln Way East Chambersburg PA (717) 263-0747 (717) 263-0225 X X X X X X X

Community Pharmacy 1256 Pennsylvania Ave Tyrone PA (814) 684-0230 (814) 684-0845 X X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Professional Compounding Pharmacists of Western Pennsylvania, Inc. 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Soleo Health Inc. 950 Calcon Hook Road, Suite 19 Sharon Hill PA (610) 200-6502 (610) 726-1882 X X

Summit Health 3400 Edgmont Ave Brookhaven PA 610-872-5418 610-872-1969 X X X X X X

Town & Country Compounding 106 Prospect Street Ridgewood NJ 201-447-2020 201-447-3253 X X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Page 71: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

RHODE ISLAND (RI)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Advanced Therapeutics 319 E Palm Dr. Ste A & B Placentia CA (714) 667-3832 (888) 978-5154 X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Page 72: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

RHODE ISLAND (RI) –Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Rye Beach Pharmacy 464 Forest Ave Rye NY 914-967-0856 914-967-1989 X X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

V.L.S. Pharmacy, Inc. 4402 5th Avenue Brooklyn NY (718) 854-1384 (718) 854-4313 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 73: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

SOUTH CAROLINA (SC)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Everwell Specialty Pharmacy 6506 N. Davis Highway Pensacola FL 850-473-9190 850-473-9935 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Greenhill Specialty Pharmacy 2531 Woodruff Road Simpsonville SC 864-520-1550 973-887-3119 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Premier Compounding Pharmacy 2000 PGA Boulevard Palm Beach Gardens FL 561-691-4991 561-691-4991 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 3100 Medlock Bridge Road, Suite 200 Norcross GA (470) 226-2300 (770) 545-6583 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Page 74: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

SOUTH DAKOTA (SD)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Aristacare Health Inc 1056 W Golf Road Hoffman Estates IL (847) 790-3995 (847) 490-3793 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Redline Pharmacy 401 W 33rd St # 100 Hastings NE 402-462-2929 402-462-2932 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 X X X X X X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 75: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

TENNESSEE (TN)

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fountain Plaza Pharmacy 2825 W. Andrew Johnson Hwy Morristown TN (423) 307-5757 (423) 307-5241 X X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Health and Wellness Compounding Pharmacy 329 21ST Ave North Nashville TN 615-383-3784 615-292-2762 X X X X X

Health First Infusion 1959 W 9th Street West Palm Beach FL 561-842-2828 561842-1617 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Keystone Pharmacy, LLC 118 Weisenberger #400 Madison MS 855-739-9948 855-221-0918 X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Lone Oak Pharmacy 3535 Lone Oak Rd Paducah KY 270-554-7944 270-554-4006 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Precision Compounding Pharmacy 2113 State Street New Albany IN 812-941-9300 812-941-9417 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Page 76: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

TENNESSEE (TN) – Continued

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Shertech Pharmacy Piedmont 1470 Hampton Plaza Drive Kernersville NC (336) 992-6853 (336) 992-6850 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 3100 Medlock Bridge Road, Suite 200 Norcross GA (470) 226-2300 (770) 545-6583 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 77: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

TEXAS (TX)

Return to Instructions * Return to Menu TEXAS (TX) – Continued

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Better Balance Pharmacy 5834 Louetta Rd., Suite D Spring TX (281) 205-7091 (281) 205-7093 X X X X

Better Living Medical 1039 N Twin City Hwy Nederland TX 409-727-8660 409-727-8670 X X X X X X

Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Central Drug 3802 N Laurent Street Victoria TX 361-575-4713 361-573-9880 X X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Dougherty's Pharmacy 5959 Royal Lane Suite 515 Dallas TX (214) 373-5300 (214) 373-5333 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Fort Worth Pharmacy 7833 Oakmont Blvd Fort Worth TX 817-361-9960 817-361-9970 X X X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Harvest Drug & Gift 4426 Kell West Boulevard Wichita Falls TX 940-692-7081 940-692-9676 X X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary South Texas Inc 5009 S McColl Rd Suite A Edinburg TX 956-467-0246 956-688-8967 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

McMahan Pharmacy Services 1503 W Front St Goldthwaite TX 325-648-2484 325-648-3417 X X X X X X

Page 78: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Medrx Compounding & Pharmacy 601 Wayside Dr Houston TX 832-259-1362 832-582-7792 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Metscript Pharmacy 4888 Highway 90A Ste 100 Sugar Land TX (281) 277-2700 (281) 277-2767 X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Oakdell Pharmacy 7220 Louis Pasteur, Ste 176 San Antonio TX (210) 614-6200 (210) 614-3848 X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Precision Rx 12617 Race Track Rd Tampa FL 813-463-8009 888-893-5758 X X X X X X

Premier Custom Center 137 Chase Rd Portsmouth RI 401-293-3999 401-293-3912 X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Professional Arts Pharmacy 128 Curran Ln Lafayette LA 337-991-0101 337-991-0151 X X X X X X

Proven Care Pharmacy, LLC 10950 Bissonnet St # 220 Houston TX (281) 983-9333 (281) 983-9335 X X X X X X

Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X X

Pyramids Pharmacy Webster 500 N Kobayashi Road Suite E Webster TX 281-724-0531 281-724-0535 X X X X X X

Red River Pharmacy Services Inc 1327 College Drive Texarkana TX (903) 792-7435 (903) 793-0485 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

SandsRx 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X

Soleo Health Inc. 8275 El Rio, Suite 180 Houston TX (832) 981-1000 (713) 574-9676 X X

Soleo Health Inc. 2912 W 6th St Suite 120 Fort Worth TX (817) 916-1206 (817) 381-4419 X X

Solutions Pharmacy 13830 Sawyer Ranch Rd #104 Dripping Springs TX (512) 382-9381 (512) 532-6689 X X X X X X

Stonegate Pharmacy 2501 W. William Cannon Suite 203 Austin TX 512-707-2300 512-707-2378 X X X X X X X

Stonegate Pharmacy on Broadway 2515 Broadway San Antonio TX (210) 354-0101 (210) 354-0404 X X X X X

SureCare Specialty Pharmacy 4005 N. Mesa El Paso TX 915-532-2400 855-821-7058 X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

Triumph Pharmacy 6875 FM 1488 Road Suite 300 Magnolia TX 281-252-4200 281-252-4201 X X X X X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 79: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

UTAH (UT)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Atlas Drugs 8416 Kennedy Blvd North Bergen NJ 201-869-5990 888-449-5990 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clearspring Pharmacy 801 W. Mineral Ave., #205 Littleton CO (303) 707-1500 (303) 707-1717 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pharmacy Name 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Page 80: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

UTAH (UT) – Continued

Return to Instructions * Return to Menu

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

Service Drug 215 West Main St Delta UT (435) 864-2545 (435) 864-5925 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 81: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

VERMONT (VT)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Acton Pharmacy 563 Massachusetts Ave Acton MA 978-263-3902 978-263-2305 X X X X X

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Aspirar Pharmacy 135 Parkway Office G STE 105 Cary NC 919-971-9011 855-382-7700 X X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

PerforMix Specialty Pharmacy 25 Pelham Rd Salem NH 603-870-9618 603-870-9621 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 5 Shawmut Road, Suite 103 Canton MA (781) 298-3427 (339) 368-7716 X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Pharmacy Name 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Page 82: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

VIRGINIA (VA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

Alexandria Compounding Pharmacy 500 Montgomery St. #120 Alexandria VA (703) 549-4350 (703) 683-1039 X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Andrews Apothecary 3072 Trenwest Dr Ste A Winston Salem NC 336-723-1679 336-723-1670 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X

Bremo Pharmacy 2024 Staples Mill Rd Richmond VA (804) 288-8361 (804) 355-1639 X X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Family Pharmacy of Statesville 208 Old Mocksville Rd Statesville NC 704-872-0296 704-873-7723 X X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medicap Pharmacy 956 J. Clyde Morris Blvd Newport News VA (757) 599-9643 (757) 599-9647 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Patterson Park Pharmacy 2245 Eastern ave Baltimore MD (410) 675-6046 (410) 563-1147 X X X X X X

Peachtree Pharmacy 5270 Peachtree Parkway Suite 114A Peachtree Corners GA (678) 691-9079 (678) 691-9089 X X X X X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X X

Pharmacy Name 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Page 83: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

VIRGINIA (VA) - Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Premier Custom Center 137 Chase Rd Portsmouth RI 401-293-3999 401-293-3912 X X X X X

Premier Pharmacy Inc. 109 Jack White Dr Kingsport TN 423-245-1022 423-245-6391 X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Rustburg Family Pharmacy 925 Village Hwy Ste 2 Rustburg VA 434-332-1730 434-332-1736 X X X X X X X

Rx3 Compounding Pharmacy 12230 Ironbridge Rd Suite C Chester VA 804-717-5000 804-717-8300 X X X X X X X

Shertech Pharmacy Piedmont 1470 Hampton Plaza Drive Kernersville NC (336) 992-6853 (336) 992-6850 X X X X X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

South River Compounding Pharmacy 11420 W. Huguenot Road Midlothian VA 804-897-6447 804-897-6449 X X X X X X

South River Compounding Pharmacy 3656 Mayland Court Richmond VA 804-897-6447 804-967-6449 X X X X X X

Teba Pharmacy 7618 5th Ave Brooklyn NY (347) 517-4833 (347) 517-4834 X X

The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Volunteer Pharmacy 2559 Willow Point Way Knoxville TN (865) 560-0135 (865) 724-1601 X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 84: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WASHINGTON (WA)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

All-Care Pharmacy 8415 N Pima Rd Suite 125 Scottsdale AZ (480) 270-6700 (480) 270-6701 X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Broadway Apothecary 1515 Oak Street Eugene OR (541) 684-9352 (541) 684-0858 X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Cascade Specialty Pharmacy 325 NE Hostmark St Poulsbo WA (360) 779-2737 (360) 779-4905 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

District Drugs and Compounding Center 319 18TH ST Rock Island IL 309-786-8431 309-794-6481 X X X X X X

Doc's Drugs 455 E. Reed Street Braidwood IL 708-534-8540 708-534-2045 X X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

Haldey Pharmaceutical Compounding 2510 Westchester Ave Bronx NY 646-350-0033 855-326-6768 X X X X X X X

Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

LEI Compounding 6541-B Via del Oro San Jose CA (408) 326-1530 (408) 326-1530 X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Pharmacy Name 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X

Marin Wellness Pharmacy 55 Mitchell Blvd Ste 11 San Rafael CA 415-521-1555 415-299-8619 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Page 85: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WASHINGTON (WA) -Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X

Rx Unlimited Pharmacy 16673 Roscoe Blvd. North Hills CA (877) 798-6583 (818) 781-2400 X X X X

San Ysidro Pharmacy 1498 East Valley Rd Santa Barbara CA 805-969-2284 805-565-3174 X X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Soleo Health Inc. 721 S. Glasgow Ave., Suite C Inglewood CA (310) 665-1121 (310) 665-1141 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 86: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WEST VIRGINIA (WV)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Asti's South Hills Pharmacy 250 MT Lebanon Blvd Pittsburgh PA 412-561-2347 412-561-2503 X X X X X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Aventus Pharmacy 10323 Cross Creek Blvd Tampa FL 321-356-1454 888-843-3886 X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Kare Pharmacy 136 Arnett Blvd Danville VA (434) 792-8281 (434) 792-3235 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

Pro Compounding Pharmacy 527 N State Of Franklin Rd Johnson City TN 423-975-0597 423-975-0597 X X X X X X

Soleo Health Inc. 4 Skyline Dr Hawthorne NY (800) 395-6143 (800) 395-6149 X X

Soleo Health Inc. 6185 Shamrock Ct, Suite A Dublin OH (614) 467-8200 (614) 467-8300 X X

Soleo Health Inc. 204 Three Springs Dr Suite 3 Weirton WV (603) 324-2978 (603) 718-3824 X X

The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 X X X X X X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Pharmacy Name 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 87: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WISCONSIN (WI)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

Aeva Specialty Pharmacy 2870 S. Maryland Pkwy #110 Las Vegas NV (702) 558-2382 (702) 558-5407 X X X X

Akina Pharmacy 4080 Lafayette Center Drive Chantilly VA (855)792-5462 (855)792-5463 X X X X X X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Aristacare Health Inc 1056 W Golf Road Hoffman Estates IL (847) 790-3995 (847) 490-3793 X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

Compounding Docs Inc 5499 N Federal Hwy Suite G Boca Raton FL 561-826-0711 561-826-0717 X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Core Pharmacy 212 N Park Ave Herrin IL 618-942-6900 618-942-7600 X X X X X X

Creams N Caps Michigan 25875 Novi Road Suite 130 Novi MI (248) 530-5769 (248) 308-2635 X X X X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Custom Health Pharmacy, Inc 844 Willard Dr Ste 7 Green Bay WI 920-884-7345 920-884-7346 X X X X X

Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

District Drugs and Compounding Center 319 18TH ST Rock Island IL 309-786-8431 309-794-6481 X X X X X X

Doug's Pharmacy 137 N. Market Street Paxton IL 217-379-3684 217-379-6115 X X X X X

Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Health Dimensions Compounding Pharmacy 39303 Country Club Dr Farmington Hills MI 248-489-1573 248-489-1573 X X X X X X

Hopewell Pharmacy 1 West Borad Street Hopewell NJ 609-466-1960 609-466-8222 X X X X X X X

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Kubat Pharmacy 4924 Center St Omaha NE 402-558-2474 402-561-1252 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 X X X X

Lee Silsby Compounding Pharmacy 3216 Silsby Rd Cleveland Heights OH 216-321-4300 216-321-4303 X X X X X X

Pharmacy Name 2422 Danville Rd SW Suite H Decatur AL (256) 353-1123 (256) 280-3551 X X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Page 88: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WISCONSIN (WI) – Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Patient Care America 5371 Hiatus Road Sunrise FL 954-473-4717 954-473-9519 X X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Solutions 5204 Jackson Road Suite C Ann Arbor MI (734) 821-8000 (734) 821-8001 X X X X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X

Pinnacle Compounding 1120 Kensington Ave. Ste. E Missoula MT (406) 541-6121 (406) 541-6267 X X X

Pine Pharmacy 5110 Main St Williamsville NY 716-332-2288 716-332-2287 X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Rock Valley Compounding Pharmacy 811 S. Perryville Rd Unit 109 Rockford IL (779) 423-0542 (815) 977-3077 X X X X X

SmartScript Pharmacy 4041 State Rd Ste B Oshkosh WI 844-476-2781 844-245-7075 X X X X

Soleo Health Inc. 655 W. Grand Ave., Unit 240 Elmhurst IL (630) 478-8240 (630) 782-4889 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

Transdermal Therapeutics, Inc. 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Voshell's Pharmacy 3455 Wilkens Avenue Baltimore MD (410) 644-8400 (410) 368-5110 X X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X

Page 89: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WYOMING (WY)

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusion Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 X X

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 X X X X X X X

Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 X X X

ASPcares 2657 NW 20th Street Miami FL (305) 856-0070 (305) 856-0072 X

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 X X

Athena Pharmacy 2025 N. Mt. Julliet Rd. Suite 100 Mt Juliet TN 615-288-4037 615-288-4061 X X X X X X

Avella of Deer Valley, Inc. 23620 N 20th Drive Suite 12 Phoenix AZ 877-792-7684 866-792-7684 X X X X X X

Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X

Carie Boyds Prescription Shop 122 Grapevine Hwy Hurst TX 817-282-9376 817-282-1709 X X X X X X X

Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X

Clearspring Pharmacy 801 W. Mineral Ave., #205 Littleton CO (303) 707-1500 (303) 707-1717 X X X X X X X

Conversio Health 720 Aerovista Place Suite D San Luis Obispo CA (866) 239-3784 (800) 977-9255 X X

Curexa 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Denton Prescription Shop 2501 W Oak St Ste 100 Denton TX 940-382-6758 940-382-2694 X X X X X X

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 X X

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 X X X X

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Fusion Rx Compounding Pharmacy 2001 Westwood Blvd. Suite A Los Angeles CA (310) 204-6676 (310) 204-6678 X X X X X

Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 X X X X X

ImprimisRx 9257 Research Dr Irvine CA 949-551-7195 949-551-1950 X X X X X X X

Infinity Care Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Key Compounding Pharmacy 530 S 336th St Federal Way WA 206-878-3900 206-878-1114 X X X X X X X

Mack Bayou Pharmacy 82 Mack Bayou Loop Santa Rosa Beach FL 850-622-0730 850-622-0730 X X X X X X

Medscript Pharmacy 14400 John Humphery Drive Ste 110 Orland Park IL 708-460-4930 708-460-4932 X X

Medtown Rx 4128 W. Burbank Blvd Burbank CA (818) 500-0079 (818) 500-0225 X X X X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Mt. Olympus Compounding, LLC 392 E 12300 S Suite A Draper UT (801) 278-9008 (801) 849-0399 X X X

National Specialty Pharmacy LLC 2970 St. Rose Parkway #120 Henderson NV (702) 832-3320 (702) 425-9704 X

Pentec Health, Inc. 4 Creek Parkway Boothwyn PA 800-223-4376 610-494-7328 X X

Pharmacy Specilaties & Clinic 2333 W 57TH ST Sioux Falls SD 605-334-1672 605-331-3243 X X X X X X X

Prescription Dispensing Labs 101 Commercial Parkway Austin TX 512-219-0724 512-219-0943 X X X X X X

RepublicRx Specialty Pharmacy 1862 W. Bitters Rd Ste. 100 San Antonio TX 210-718-0300 210-255-1461 X X X X X

Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Sobe Compounding Apothecary 13150 SW 134 St Miami FL 305-969-5410 305-969-5453 X X X X X X

Soleo Health Inc. 1324 W. Winton Ave. Hayward CA (510) 362-7360 (510) 460-1389 X X

Page 90: CREDENTIALED PHARMACIES LISTING Compound...NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state. Not all NCCP pharmacies participate

Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the

NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Not all NCCP pharmacies participate in all networks.

Please verify the compound credentialed pharmacy participates in your Plan’s network. 1 - 1 4 - 2 0 1 9

WYOMING (WY) - Continued

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Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Soleo Health Inc. 415 S 48th Street, Suite 101 Tempe AZ (480) 296-0222 (602) 910-4801 X X

Topical Solutions Pharmacy 20612 N. Cave Creek Rd. #150 Phoenix AZ (480) 351-8278 (480) 351-8277 X X

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

University Compounding Pharmacy 1875 3rd Ave San Diego CA (619) 683-2005 (619) 683-2008 X X X X X

US Compounding 1270 Don's Lane Conway AR 800-718-3588 501-499-8383 X X X X X X X

Vasco Rx 4045 E Bell Rd Phoenix AZ 602-971-6950 602-404-2504 X X X X X X X

Village Compounding Pharmacy 975 Corbindale Rd Houston TX 713-464-5069 713-464-5099 X X X X X X

Woodland Hills Pharmacy 20361 Ventura Blvd ste 305 Woodland Hills CA (855) 876-3060 (866) 893-9320 X X X X X