340B Drug Pricing Program Database
ACCREDO HEALTH GROUP INC
DSH310084 Monmouth Medical Center Southern Campus - information as of 4/29/2025 11:06:35 PM
Covered Entity Details
Entity Name
Monmouth Medical Center Southern Campus
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH310084
Entity Address
600 RIVER AVE
LAKEWOOD, NJ 08701
Medicare Provider Number
310084
Participating Start Date
1/1/2015
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
1620 CENTURY CENTER PKWY
# 109
MEMPHIS, TN 38134-8849
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cory Lasker, V.P. Financial Services
(732) 923-6289
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/15/2024
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