340B Drug Pricing Program Database
EXPRESS SCRIPTS PHARMACY, INC.
CAH331303-00 Garnet Health Medical Center - Catskills - information as of 6/1/2025 4:36:34 AM
Covered Entity Details
Entity Name
Garnet Health Medical Center - Catskills
Subdivision Name
Grover M Hermann Hospital Division
Type
Critical Access Hospital
340B ID
CAH331303-00
Entity Address
8881 State Route 97
Callicoon, NY 12723-5052
Medicare Provider Number
331303
Participating Start Date
5/2/2013
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS PHARMACY, INC.
Pharmacy Address
DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075
Pharmacy Comments
Contract Details
Approval Date
4/5/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/17/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jonathan David Schiller, Chief Executive Officer
(845) 794-3300 Ext: 2100
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/5/2022
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