340B Drug Pricing Program Database
MEDICAP PHARMACY - information as of 5/3/2025 11:35:43 PM
Export
Name
MEDICAP PHARMACY
Address
GRX HOLDINGS, LLC
403 STORY STREET
BOONE, IA 50036-3533
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CAH161372-00
BOONE COUNTY HOSPITAL
Critical Access Hospital
1015 UNION STREET
BOONE
IA
01/01/2017
12/30/2024
12/30/2024 12:01 AM
Details
DSH160083
CATHOLIC HEALTH INITIATIVES - IOWA, CORP
MERCYONE DES MOINES MEDICAL CENTER
Disproportionate Share Hospital
1111 6th Avenue
DES MOINES
IA
04/01/2023
4/1/2023 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
10/7/2016 3:08 PM
Details
Is Deleted
Insert
False
10/7/2016 3:08 PM
Addresses
Pharmacy Address
Insert
MEDICAP PHARMACY GRX HOLDINGS, LLC 403 STORY STREET BOONE, IA 50036-3533
10/7/2016 3:08 PM
Details
Name
Insert
MEDICAP PHARMACY
10/7/2016 3:08 PM
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