340B Drug Pricing Program Database


OPTUM INFUSION SERVICES 500, INC. - information as of 6/23/2025 12:43:00 AM


OPTUM INFUSION SERVICES 500, INC.

4620 S SAM HOUSTON PKWY W STE 440
HOUSTON, TX 77053



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH451356-00MEMORIAL MEDICAL CENTER Critical Access Hospital815 N VIRGINIA STREET
PORT LAVACATX10/01/2021 10/1/2021 12:01 AM
DetailsCAH451381-00MOTHER FRANCES HOSPITAL-WINNSBORO Critical Access Hospital719 WEST COKE ROAD
WINNSBOROTX06/08/202007/12/20247/22/2024 5:11 PM
DetailsDSH030014HONORHEALTH JOHN C. LINCOLN MED CTR Disproportionate Share Hospital250 E Dunlap Ave
PhoenixAZ04/01/202302/29/20243/1/2024 3:44 PM
DetailsDSH320002ST. VINCENT HOSPITAL Disproportionate Share Hospital455 ST. MICHAELS DRIVE
SANTA FENM06/08/202007/23/20248/7/2024 4:25 PM
DetailsDSH450034CHRISTUS HOSPITAL Disproportionate Share Hospital2830 CALDER STREET
BEAUMONTTX05/28/202107/23/20247/29/2024 4:35 PM
DetailsDSH450046CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE Disproportionate Share Hospital600 Elizabeth St.
CORPUS CHRISTITX06/10/202007/23/20248/9/2024 12:50 PM
DetailsDSH450054SCOTT AND WHITE MEMORIAL HOSPITAL Disproportionate Share Hospital2401 S 31ST ST
TEMPLETX07/01/2021 7/1/2021 12:01 AM
DetailsDSH450056Ascension Seton d/b/a Ascension Seton Medical Center Austin Disproportionate Share Hospital1201 WEST 38TH STREET
AUSTINTX01/01/2025 1/1/2025 12:01 AM
DetailsDSH450068Memorial Hermann Texas Medical CenterMemorial Hermann Texas Medical CenterDisproportionate Share Hospital6411 Fannin St.
HoustonTX01/01/2021 1/1/2021 12:01 AM
DetailsDSH450082CHRISTUS SPOHN HOSPITAL BEEVILLE Disproportionate Share Hospital1500 E. HOUSTON
BEEVILLETX06/10/202007/01/20248/9/2024 1:03 PM
DetailsDSH450102CHRISTUS MOTHER FRANCES HOSP-TYLER Disproportionate Share Hospital800 EAST DAWSON
TYLERTX03/10/2022 3/10/2022 2:00 PM
DetailsDSH450163CHRISTUS SPOHN HOSPITAL KLEBERG Disproportionate Share Hospital1311 E. GENERAL CAVAZOS BLVD
KINGSVILLETX06/10/202007/01/20248/9/2024 12:25 PM
DetailsDSH450184MEMORIAL HERMANN HOSPITAL SYSTEMMemorial Hermann Southwest HospitalDisproportionate Share Hospital7600 Beechnut
HoustonTX10/01/2020 10/1/2020 12:01 AM
DetailsDSH450237SANTA ROSA HEALTHCARECHRISTUS SANTA ROSA HOSPITAL MEDICAL CENTERDisproportionate Share Hospital11212 State Highway 151
San AntonioTX07/01/202307/01/20248/7/2024 4:58 PM
DetailsDSH450573CHRISTUS JASPER MEMORIAL HOSPITAL Disproportionate Share Hospital1275 MARVIN HANCOCK DRIVE
JASPERTX06/08/202006/01/20248/14/2024 3:13 PM
DetailsDSH450684MEMORIAL HERMANN NORTHEAST HOSPITAL Disproportionate Share Hospital18951 N. Memorial Drive
HumbleTX10/01/2020 10/1/2020 12:01 AM
DetailsDSH450801CHRISTUS ST MICHAEL Disproportionate Share Hospital2600 ST MICHAEL DRIVE
TEXARKANATX06/11/202007/12/20247/22/2024 3:41 PM
DetailsDSH450828CHRISTUS SPOHN HOSPITAL ALICE Disproportionate Share Hospital2500 EAST MAIN ST.
ALICETX06/10/202007/23/20248/9/2024 12:42 PM
DetailsHM1592CHILDREN'S MEDICAL CENTER OF DALLASNORTH TEXAS HEMOPHILIA CENTERComprehensive Hemophilia Treatment Center1935 Medical District Drive
DALLASTX07/01/2025 4/7/2025 5:46 PM
DetailsHM78723Ascension SetonCentral Texas Center for Bleeding and Clotting Disorders, Children's Blood and Cancer Center of Central TexasComprehensive Hemophilia Treatment Center4910 Mueller Blvd
200
AustinTX01/01/2025 1/1/2025 12:01 AM
DetailsPED453304-00Texas Children's Hospital Children's Hospital6621 Fannin Street
HoustonTX04/01/2023 4/1/2023 12:01 AM
DetailsPED453310-00Ascension Seton d/b/a Dell Children's Medical Center of Central Texas Children's Hospital4900 MUELLER BOULEVARD
AUSTINTX01/01/2025 1/1/2025 12:01 AM
DetailsPED453315-00CHRISTUS Children's Children's Hospital333 North Santa Rosa Street
San AntonioTX01/01/2023 1/1/2023 12:01 AM
DetailsRRC450034-00CHRISTUS HOSPITAL Rural Referral Center2830 CALDER STREET
BEAUMONTTX06/08/202005/25/20215/25/2021 12:01 AM
DetailsRRC450102-00CHRISTUS MOTHER FRANCES HOSP-TYLER Rural Referral Center800 EAST DAWSON ST.
TYLERTX10/14/202003/10/20223/10/2022 10:10 AM
DetailsRRC450237-00CHRISTUS SANTA ROSA HEALTH SYSTEMCHRISTUS SANTA ROSA HOSPITAL MEDICAL CENTERRural Referral Center2827 BABCOCK ROAD
SAN ANTONIOTX06/08/202007/01/20237/1/2023 12:01 AM
DetailsRW431241San Antonio AIDS Foundation Ryan White Part D818 E. Grayson St.
San AntonioTX01/01/202305/15/20245/21/2024 7:21 PM
DetailsRWI78208San Antonio AIDS Foundation Ryan White Part A818 East Grayson Street
San AntonioTX01/01/202305/15/20245/21/2024 7:20 PM
DetailsRWII78208San Antonio AIDS Foundation Ryan White Part B818 East Grayson Street
San AntonioTX01/01/202305/15/20245/21/2024 7:20 PM
DetailsSTD78208San Antonio AIDS Foundation Sexually Transmitted Diseases818 E. Grayson St
San AntonioTX01/01/202305/15/20245/21/2024 7:20 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate OPTUM INFUSION SERVICES 500, INC. 8888 INTERCHANGE DR RM 119 HOUSTON, TX 77054OPTUM INFUSION SERVICES 500, INC. 4620 S SAM HOUSTON PKWY W STE 440 HOUSTON, TX 7705312/16/2024 4:49 PM
AddressesPharmacy AddressInsert  OPTUM INFUSION SERVICES 500, INC. 8888 INTERCHANGE DR RM 119 HOUSTON, TX 770543/26/2020 9:35 AM
DetailsNameUpdate BRIOVARX INFUSION SERVICES, INC.OPTUM INFUSION SERVICES 500, INC.3/26/2020 9:35 AM
DetailsCommentsInsert   6/25/2018 1:56 PM
DetailsIs DeletedInsert  False6/25/2018 1:56 PM
AddressesPharmacy AddressInsert  BRIOVARX INFUSION SERVICES, INC. 8888 INTERCHANGE DR RM 119 HOUSTON, TX 770546/25/2018 1:56 PM
DetailsNameInsert  BRIOVARX INFUSION SERVICES, INC.6/25/2018 1:56 PM