340B Drug Pricing Program Database


OPTUM INFUSION SERVICES 500, INC. - information as of 6/24/2025 12:27:43 AM


OPTUM INFUSION SERVICES 500, INC.

4900 RIVERGRADE RD STE E120
IRWINDALE, CA 91706-1419



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH061325-00PIONEERS MEDICAL CENTER Critical Access Hospital100 PIONEERS MEDICAL CENTER DRIVE
MEEKERCO01/01/202207/29/20226/20/2023 3:30 PM
DetailsCAN100079-00UNIVERSITY OF MIAMI HOSPITAL AND CLINICS Free Standing Cancer Hospital1475 NW 12th Avenue
2080A
MiamiFL10/01/202108/31/20224/27/2023 9:18 AM
DetailsDSH030014HONORHEALTH JOHN C. LINCOLN MED CTR Disproportionate Share Hospital250 E Dunlap Ave
PhoenixAZ01/01/202207/14/20227/15/2022 9:53 AM
DetailsDSH050315KERN MEDICAL CENTER Disproportionate Share Hospital1700 MT. VERNON AVE.
BAKERSFIELDCA04/01/202107/01/20247/16/2024 4:32 PM
DetailsDSH050396SANTA BARBARA COTTAGE HOSPITAL Disproportionate Share Hospital400 WEST PUEBLO STREET
SANTA BARBARACA07/01/202107/12/20227/13/2022 1:34 PM
DetailsDSH100006ORLANDO HEALTH Disproportionate Share Hospital52 W. Underwood St
ORLANDOFL01/01/2022 1/1/2022 12:01 AM
DetailsDSH100012LEE HEALTH SYSTEM, INC. DBA LEE HEALTH Disproportionate Share Hospital2776 CLEVELAND AVENUE
FORT MYERSFL10/01/202110/02/202310/30/2023 4:03 PM
DetailsDSH100017HALIFAX HEALTH MEDICAL CENTER Disproportionate Share Hospital303 N CLYDE MORRIS BLVD
DAYTONA BEACHFL04/01/202207/30/20221/16/2025 3:09 PM
DetailsDSH220077BAYSTATE MEDICAL CENTERBAYSTATE NORTH CAMPUSDisproportionate Share Hospital759 CHESTNUT STREET
SPRINGFIELDMA01/01/202208/02/20229/6/2022 3:33 PM
DetailsDSH260070PEMISCOT COUNTY MEMORIAL HOSPITAL Disproportionate Share Hospital946 East Reed
HAYTIMO10/01/202108/02/20228/2/2022 10:31 AM
DetailsDSH320002ST. VINCENT HOSPITAL Disproportionate Share Hospital455 ST. MICHAELS DRIVE
SANTA FENM06/08/202007/01/20228/25/2022 12:38 PM
DetailsDSH360137UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER Disproportionate Share Hospital11100 EUCLID AVE.
CLEVELANDOH10/01/202107/15/20227/21/2022 9:03 AM
DetailsDSH390174THOMAS JEFFERSON UNIVERSITY HOSPITAL Disproportionate Share Hospital111 South 11th Street
PhiladelphiaPA08/03/202108/02/202210/13/2022 12:10 PM
DetailsDSH460009University of Utah Disproportionate Share Hospital50 North Medical Drive
Salt Lake CityUT10/01/202109/30/20229/30/2022 12:01 AM
DetailsDSH510001WEST VIRGINIA UNIVERSITY HOSPITALS, INC. Disproportionate Share Hospital1 MEDICAL CENTER DRIVE
MORGANTOWNWV10/01/202204/01/20235/3/2023 7:08 AM
DetailsDSH510022CHARLESTON AREA MEDICAL CENTER (CAMC) Disproportionate Share Hospital501 MORRIS STREET
CHARLESTONWV04/01/202208/02/20228/11/2022 8:41 AM
DetailsFQHCLA347FAMILIES TOGETHER OF ORANGE COUNTYFamilies Together of Orange CountyHealth Center Program Look-Alike661 W. 1st St., Ste. G
TustinCA10/01/202108/02/20228/2/2022 12:01 AM
DetailsHM01655UMass Memorial HealthcareNEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIALComprehensive Hemophilia Treatment Center55 Lake Avenue HI-759B
WORCESTERMA03/07/2022 3/7/2022 11:51 AM
DetailsHM04101MAINE MEDICAL CENTERMAINE HEMOPHILIA AND THROMBOSIS CENTERComprehensive Hemophilia Treatment Center22 BRAMHALL ST
PORTLANDME07/01/202204/05/20234/6/2023 10:45 AM
DetailsHM06030University of Connecticut Hemophilia Treatment Center Comprehensive Hemophilia Treatment Center263 Farmington Ave Neag Cancer Center
FarmingtonCT01/01/202207/15/20227/27/2022 7:50 AM
DetailsHM11963UNIVERSITY OF ARIZONA-Department of MedicineARIZONA HEMOSTASIS & THROMBOSIS CENTERComprehensive Hemophilia Treatment CenterArizona Hemostasis & Thrombosis Center 1515 N Campbell Ave
TUCSONAZ10/01/202108/02/20228/2/2022 12:01 AM
DetailsHM13093LEHIGH VALLEY HOSPITALHEMOPHILIA TREATMENT CENTERComprehensive Hemophilia Treatment Center2545 Schoenersville Road, Suite 300
BethlehemPA07/01/202207/06/20227/7/2022 9:22 AM
DetailsHM13099THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUNDDBA THE LOUISIANA CENTER FOR BLEEDING & CLOTTING DISORDERSComprehensive Hemophilia Treatment CenterTulane University School of Medicine, Louisiana Center for Bleeding and Clotting Disorders 131 S Robertson Street, 10th Floor Murphy Building
New OrleansLA01/14/202207/01/20228/11/2022 10:12 AM
DetailsHM1589CHILDREN'S HOSPITAL OF PHILADELPHIAHEMOPHILIA PROGRAM AND INFUSION CENTERComprehensive Hemophilia Treatment Center3500 Civic Center Blvd Children's Hospital of Philadelphia, Division of Hematology
Buerger Center for Advanced Pediatric Care, 3rd Floor
PHILADELPHIAPA04/01/202212/01/20221/17/2023 10:17 AM
DetailsHM1592CHILDREN'S MEDICAL CENTER OF DALLASNORTH TEXAS HEMOPHILIA CENTERComprehensive Hemophilia Treatment Center1935 Medical District Drive
DALLASTX10/01/2021 10/1/2021 12:01 AM
DetailsHM18103Lehigh Valley HospitalHemophilia Treatment Program (CC)Comprehensive Hemophilia Treatment Center1240 South Cedar Crest Boulevard, Suite 310
AllentownPA07/01/202207/06/20227/7/2022 9:22 AM
DetailsHM29203Prisma HealthDBA Hemostasis and Thrombosis Center of South CarolinaComprehensive Hemophilia Treatment Center14 Richland Medical Park Drive
Suite 410
COLUMBIASC07/01/202207/15/20227/15/2022 12:26 PM
DetailsHM29601Prisma HealthDBA Hemostasis and Thrombosis Center of South Carolina - UpstateComprehensive Hemophilia Treatment Center900 West Faris Road 2nd floor
GreenvilleSC07/01/202207/15/20227/15/2022 12:26 PM
DetailsHM43203The Ohio State University Hemostasis and Thrombosis Center at the James Care East Comprehensive Hemophilia Treatment Center181 Taylor Ave
ColumbusOH08/16/202107/15/20227/15/2022 12:12 PM
DetailsHM441061University Hospitals Cleveland Medical CenterHemophilia Treatment CenterComprehensive Hemophilia Treatment Center11100 Euclid Ave, Mailstop 6054
ClevelandOH10/01/202107/15/20227/21/2022 9:05 AM
DetailsHM4799HEMOPHILIA OF GEORGIA, INC. Comprehensive Hemophilia Treatment Center8607 Roberts Drive Suite 150
Sandy SpringsGA10/01/202107/12/20217/13/2022 3:23 PM
DetailsHM6415LUCILE SALTER PACKARD CHILDREN'S HOSPITAHEMOPHILIA PROGRAMComprehensive Hemophilia Treatment Center725 WELCH ROAD
PALO ALTOCA07/01/202208/02/20228/25/2022 12:01 PM
DetailsHM683Versiti Wisconsin, Inc. Comprehensive Hemophilia Treatment Center638 N 18TH STREET
MILWAUKEEWI10/01/202110/07/202210/14/2022 1:42 PM
DetailsHM8395The Ohio State University Hemostasis and Thrombosis Center at the JamesHEMOPHILIA TREATMENT CENTERComprehensive Hemophilia Treatment Center460 W. 10th Avenue
COLUMBUSOH08/16/202107/15/20227/15/2022 12:14 PM
DetailsHM84112IHC HEALTH SERVICES, INC.Utah Center for Bleeding and Clotting DisordersComprehensive Hemophilia Treatment CenterSugar House Health Center, U of U Health 1280 East Stringham Avenue
Salt Lake CityUT04/28/202208/02/20228/2/2022 12:01 AM
DetailsHM84113IHC HEALTH SERVICES, INC.DBA PRIMARY CHILDREN'S HOSPITAL - ON BEHALF OF Utah Center for Bleeding and Clotting DisordersComprehensive Hemophilia Treatment CenterPrimary Children's Hospital, 100 N MARIO CAPECCHI DRIVE
SALT LAKE CITYUT04/28/202208/02/20228/2/2022 12:01 AM
DetailsHM8764HEMOPHILIA CTR OF CENTRAL PENNSYLVANIATHE MILTON S. HERSHEY MEDICAL CENTERComprehensive Hemophilia Treatment Center500 University Drive
HERSHEYPA07/01/202210/01/202210/5/2022 9:58 AM
DetailsHM89178Hemostasis and Thrombosis Center of Nevada Comprehensive Hemophilia Treatment Center8352 W. Warm Springs Rd. Suite 200
Las VegasNV07/16/202108/11/20228/11/2022 3:03 PM
DetailsPED053305-00LUCILE PACKARD CHILDREN'S HOSPITAL Children's Hospital725 WELCH ROAD
PALO ALTOCA07/01/202208/02/20228/25/2022 11:59 AM
DetailsPED063301-00Children's Hospital Colorado Children's Hospital13123 EAST 16TH AVENUE
AURORACO07/01/202208/02/20228/2/2022 12:01 AM
DetailsPED363302-00UNIVERSITY HOSPITALS RAINBOW BABIES AND CHILDREN'S HOSPITAL Children's Hospital11100 EUCLID AVENUE
CLEVELANDOH10/01/202107/15/20227/21/2022 9:04 AM
DetailsPED393303-00THE CHILDREN'S HOSPITAL OF PHILADELPHIA Children's Hospital3401 Civic Center Blvd
PHILADELPHIAPA04/01/202212/01/20221/13/2023 6:28 AM
DetailsPED453300-00COOK CHILDREN'S MEDICAL CENTER Children's Hospital801 SEVENTH AVENUE
FORT WORTHTX10/01/202101/05/20231/9/2023 12:53 PM
DetailsPED463301-00IHC HEALTH SERVICES, INC. INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL Children's Hospital100 NORTH MARIO CAPECCHI DRIVE
SALT LAKE CITYUT01/19/202208/02/20228/2/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  OPTUM INFUSION SERVICES 500, INC. 4900 RIVERGRADE RD STE E120 IRWINDALE, CA 91706-14194/28/2020 1:24 PM
DetailsNameUpdate BRIOVARX INFUSION SERVICES INC.OPTUM INFUSION SERVICES 500, INC.4/28/2020 1:24 PM
DetailsCommentsInsert   12/7/2018 4:03 PM
DetailsIs DeletedInsert  False12/7/2018 4:03 PM
AddressesPharmacy AddressInsert  BRIOVARX INFUSION SERVICES INC. 4900 RIVERGRADE RD STE E120 IRWINDALE, CA 91706-141912/7/2018 4:03 PM
DetailsNameInsert  BRIOVARX INFUSION SERVICES INC.12/7/2018 4:03 PM