340B Drug Pricing Program Database
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
STD330563 Optimal Health Foundation Inc - information as of 4/30/2025 12:42:40 AM
Covered Entity Details
Entity Name
Optimal Health Foundation Inc
Subdivision Name
Optimal Health Foundation
Type
Sexually Transmitted Diseases
340B ID
STD330563
Entity Address
17235 NW 27th Avenue
Miami Gardens, FL 33056
Grant Number
NH25PS005131
Participating Start Date
4/1/2021
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
CAREMARK NEW JERSEY SPECIALTY PHCY, LLC
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004
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
Brittney Roy, Director of Operations
(305) 705-4024
Contract Pharmacy Representative
CVS
Alex Hazard, Account Manager
(315) 886-5406
Signed By Date
4/15/2024
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