| American Home Care System Inc. | Medical Supply (DME) | Aiea | DMEPOS |
| American Home Care System Inc. | Medical Supply (DME) | Aiea | DMEPOS |
| Brian A Carter Inc. | Westside Specialty Pharmacy | Hanapepe | Specialty Pharmacy; Infusion Services |
| Brian A Carter Inc. | Westside Specialty Pharmacy | Hanapepe | Infusion Services; Specialty Pharmacy |
| Castle Medical Center | Adventist Health Castle | Laie | Rural Health Clinic |
| Castle Medical Center | Adventist Health Castle | Laie | Rural Health Clinic |
| EC Home Aid Supply LLC | NA | Waipahu | DMEPOS |
| EC Home Aid Supply LLC | NA | Waipahu | DMEPOS |
| Five Mountains Hawaii Inc | Kipuka o ke Ola | Kamuela | Rural Health Clinic |
| Five Mountains Hawaii Inc | Kipuka o ke Ola | Kamuela | Rural Health Clinic |
| Hana Care Inc. | NA | Honolulu | DMEPOS; Orthotics & Prosthetics |
| Happy Care, Inc. | Happy Pharmacy | Honolulu | Community Rx; DMEPOS |
| Happy Care, Inc. | Happy Pharmacy | Honolulu | Community Rx; DMEPOS |
| Independent Living Equipment and Services Inc. | PacMed | Honolulu | DMEPOS |
| Independent Living Equipment and Services Inc. | PacMed | Honolulu | DMEPOS |
| Ka'u Hospital | East Hawaii Clinic at 1285 Waianuenue | Hilo | Rural Health Clinic |
| Ka'u Hospital | East Hawaii Clinic at 1285 Waianuenue | Hilo | Rural Health Clinic |
| Ka'u Hospital | East Hawaii Health Clinic at 1190 Waianuenue | Hilo | Rural Health Clinic |
| Ka'u Hospital | East Hawaii Health Clinic at 1190 Waianuenue | Hilo | Rural Health Clinic |
| Ka'u Hospital | East Hawaii Health Clinic at Kea'au | Keaau | Rural Health Clinic |
| Ka'u Hospital | Ka'u Hospital Rural Health Clinic | Pahala | Rural Health Clinic |
| Ka'u Hospital | East Hawaii Health Clinic at Kea'au | Keaau | Rural Health Clinic |
| Ka'u Hospital | Ka'u Hospital Rural Health Clinic | Pahala | Rural Health Clinic |
| Ka'u Hospital | Puna Community Medical Center | Pahoa | Rural Health Clinic |
| Ka'u Hospital | Puna Community Medical Center | Pahoa | Rural Health Clinic |
| Pharmacare International Inc. | Pharmacare No. 4 | Aiea | Community Rx; DMEPOS |
| Pharmacare International Inc. | Pharmacare No. 4 | Aiea | Community Rx; DMEPOS |
| Pharmacy Partners Hawaii, LLC | Pharmacare LTC | Honolulu | Long Term Care Pharmacy |
| Pharmacy Partners Hawaii, LLC | Pharmacare LTC | Honolulu | Long Term Care Pharmacy |
| Promed Inc. | Cade Medical | Honolulu | DMEPOS |
| Promed Inc. | Cade Medical | Honolulu | DMEPOS |
| Queen's North Hawaii Community Hospital | Primary Care Clinic | Kamuela | Rural Health Clinic |
| Queen's North Hawaii Community Hospital | Primary Care Clinic | Kamuela | Rural Health Clinic |
| Queen's North Hawaii Community Hospital | Women's Center | Kamuela | Rural Health Clinic |
| Queen's North Hawaii Community Hospital | Women's Center | Kamuela | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Kalaheo | Kalaheo | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Kalaheo | Kalaheo | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Poipu | Poipu | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Specialty Clinic at Kalaheo | Kalaheo | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Poipu | Poipu | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Specialty Clinic at Kalaheo | Kalaheo | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics Urgent Care at Poipu | Koloa | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics Urgent Care at Poipu | Koloa | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Kapaa | Kapaa | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Port Allen | Eleele | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Kapaa | Kapaa | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Port Allen | Eleele | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Waimea | Waimea | Rural Health Clinic |
| Samuel Mahelona Memorial Hospital | HHSC - Kauai Region Clinics The Clinic at Waimea | Waimea | Rural Health Clinic |
| Value Drug Ltd. | Pharmacare | Honolulu | DMEPOS; Home Infusion Therapy; Infusion Services; Specialty Pharmacy; Sterile Compounding |
| Value Drug Ltd. | Pharmacare | Hilo | DMEPOS; Infusion Services |
| Value Drug Ltd. | Pharmacare | Hilo | DMEPOS; Infusion Services |
| Value Drug Ltd. | Pharmacare | Honolulu | DMEPOS; Specialty Pharmacy; Home Infusion Therapy; Sterile Compounding; Infusion Services |
| Value Drug Ltd. | Pharmacare | Honolulu | Home Infusion Therapy |
| Value Drug Ltd. | Pharmacare | Honolulu | Home Infusion Therapy |