340B Drug Pricing Program Database


HY-VEE PHARMACY FULFILLMENT CENTER 4016 - information as of 4/28/2025 1:59:08 AM


HY-VEE PHARMACY FULFILLMENT CENTER 4016

HY-VEE INC
4707 FLUER DR
DES MOINES, IA 50321

11-22-2013 Address correction


  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH161300-00BAUM HARMON MERCY HOSPITAL DBA MERCYONE PRIMGHAR MEDICAL CENTER Critical Access Hospital255 NORTH WELCH AVENUE
PRIMGHARIA04/01/202010/01/202410/1/2024 12:01 AM
DetailsCAH161326-00MADISON COUNTY MEMORIAL HOSPITAL Critical Access Hospital300 W. HUTCHINGS STREET
WINTERSETIA04/01/201701/11/20241/18/2024 2:56 PM
DetailsCAH161327-00DAVIS COUNTY HOSPITAL Critical Access Hospital509 N. MADISON ST.
BLOOMFIELDIA07/01/201410/01/202110/1/2021 2:58 PM
DetailsCAH161331-00Mercy Medical Center New Hampton Critical Access Hospital308 NORTH MAPLE AVENUE
NEW HAMPTONIA10/01/202010/01/202210/1/2022 12:01 AM
DetailsCAH161334-00Humboldt County Memorial Hospital Critical Access Hospital1000 North 15th Street
HumboldtIA01/01/201403/23/20223/23/2022 12:01 AM
DetailsCAH161337-00VAN BUREN COUNTY HOSPITAL Critical Access Hospital304 FRANKLIN STREET
KEOSAUQUAIA04/01/2019 4/1/2019 12:05 AM
DetailsCAH161339-00WAVERLY HEALTH CENTER Critical Access Hospital312 9TH ST SW
WAVERLYIA01/01/2014 3/20/2015 1:40 PM
DetailsCAH161341-00Lucas County Health Center Critical Access Hospital1200 N 7th St
CharitonIA10/01/2016 7/16/2016 8:29 AM
DetailsCAH161342-00Monroe County Hospital Critical Access Hospital6580 165th Street
AlbiaIA01/01/201407/01/20254/14/2025 2:28 PM
DetailsCAH161344-00WASHINGTON COUNTY HOSPITAL Critical Access Hospital400 E POLK ST.
WASHINGTONIA01/01/2014 11/9/2015 5:46 PM
DetailsCAH161346-00SIOUX CENTER HEALTH Critical Access Hospital1101 9th St SE
SIOUX CENTERIA01/01/201412/16/20152/16/2016 2:14 PM
DetailsCAH161347-00FLOYD COUNTY HOSPITAL Critical Access Hospital800 11th Street
CHARLES CITYIA10/01/201806/14/20196/14/2019 3:33 PM
DetailsCAH161348-00CLARKE COUNTY PUBLIC HOSPITAL Critical Access Hospital800 S FILLMORE ST
OSCEOLAIA01/01/201703/01/20176/26/2017 9:31 AM
DetailsCAH161348-00CLARKE COUNTY PUBLIC HOSPITAL Critical Access Hospital800 S FILLMORE ST
OSCEOLAIA07/01/2019 7/1/2019 12:05 AM
DetailsCAH161349-00Virginia Gay Hospital Critical Access Hospital502 N 9th Ave
VintonIA07/01/2020 7/1/2020 12:01 AM
DetailsCAH161351-00Avera Holy Family Health Critical Access Hospital826 N 8TH ST
ESTHERVILLEIA01/01/201412/16/20152/12/2016 4:30 PM
DetailsCAH161352-00CLARINDA REGIONAL HEALTH CENTER Critical Access Hospital220 Essie Davison Drive
ClarindaIA04/01/2014 5/19/2015 3:06 PM
DetailsCAH161355-00KNOXVILLE COMMUNITY HOSPITAL INC. Critical Access Hospital1002 S LINCOLN
KNOXVILLEIA07/01/2014 4/15/2014 2:41 PM
DetailsCAH161357-00PALO ALTO COUNTY HOSPITAL Critical Access Hospital3201 FIRST STREET
EMMETSBURGIA10/01/2017 9/29/2017 11:10 AM
DetailsCAH161361-00Hamilton County Public Hospital d/b/a Van Diest Medical Center Critical Access Hospital2350 Hospital Drive
Webster CityIA07/01/2017 4/18/2017 9:21 PM
DetailsCAH161362-00SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION D/B/A CHEROKEE REGIONAL MEDICAL CENTER Critical Access Hospital300 SIOUX VALLEY DRIVE
CHEROKEEIA07/01/2014 8/24/2018 9:14 AM
DetailsCAH161363-00Montgomery County Memorial Hospital Critical Access Hospital2301 Eastern Avenue
Red OakIA10/01/201907/01/20227/1/2022 12:01 AM
DetailsCAH161364-00JEFFERSON COUNTY HEALTH CENTER Critical Access Hospital2000 SOUTH MAIN STREET
FAIRFIELDIA07/01/2017 9/21/2020 8:05 AM
DetailsCAH161365-00GREATER REGIONAL MEDICAL CENTERDBA GREATER REGIONAL MEDICAL CENTERCritical Access Hospital1700 WEST TOWNLINE ST
CRESTONIA01/01/2014 10/28/2013 12:31 PM
DetailsCAH161366-00Shenandoah Medical Center Critical Access Hospital300 Pershing Ave
ShenandoahIA07/01/2014 4/16/2014 8:52 AM
DetailsCAH161367-00PELLA REGIONAL HEALTH CENTER Critical Access Hospital404 JEFFERSON ST.
PELLAIA01/01/201412/15/202312/15/2023 12:01 AM
DetailsCAH161368-00FLOYD VALLEY HOSPITAL Critical Access Hospital714 LINCOLN ST NE
LE MARSIA01/01/201412/16/20152/12/2016 11:14 AM
DetailsCAH161369-00CRAWFORD COUNTY MEMORIAL HOSPITAL Critical Access Hospital100 MEDICAL PARKWAY
DENISONIA01/01/2014 10/29/2013 10:54 AM
DetailsCAH161374-00SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITALDBA MYRTUE MEDICAL CENTERCritical Access Hospital1213 GARFIELD AVE
HARLANIA07/01/201407/12/20152/22/2017 5:55 PM
DetailsCAH161374-00SHELBY CO CHRIS A MYRTUE MEMORIAL HOSPITALDBA MYRTUE MEDICAL CENTERCritical Access Hospital1213 GARFIELD AVE
HARLANIA10/01/2016 2/22/2017 5:55 PM
DetailsCAH161375-00BUENA VISTA REGIONAL MEDICAL CENTER Critical Access Hospital1525 W. 5TH ST.
STORM LAKEIA07/01/201410/10/20153/24/2022 10:41 AM
DetailsCAH161376-00CASS COUNTY MEMORIAL HOSPITAL Critical Access Hospital1501 EAST 10TH STREET
ATLANTICIA07/01/201410/28/202410/28/2024 10:10 AM
DetailsCAH161377-00MercyOne Centerville Medical Center Critical Access HospitalONE ST. JOSEPH'S DRIVE
CENTERVILLEIA10/01/2019 10/1/2019 12:05 AM
DetailsCAH161377-01MercyOne Centerville Medical CenterMERCY RURAL HEALTH CLINIC DBA MercyOne Centerville Medical ClinicCritical Access Hospital19942 ST. JOSEPH'S DRIVE
CENTERVILLEIA10/01/2019 10/1/2019 12:05 AM
DetailsCAH161379-00Mahaska County Hospital d/b/a Mahaska Health Partnership Critical Access Hospital1229 C Avenue East
OskaloosaIA01/01/201407/01/20227/1/2022 12:01 AM
DetailsCAH161380-00ELLSWORTH MUNICIPAL HOSPITAL Critical Access Hospital920 S OAK ST DBA HANSEN FAMILY HOSPITAL
IOWA FALLSIA10/01/201410/13/201610/13/2016 2:40 PM
DetailsCAH161381-00SANFORD SHELDON MEDICAL CENTER  Critical Access Hospital118 N. 7TH AVE
SHELDONIA10/01/201608/01/20178/9/2017 3:24 PM
DetailsCAH161381-00SANFORD SHELDON MEDICAL CENTER  Critical Access Hospital118 N. 7TH AVE
SHELDONIA01/01/2019 1/1/2019 12:05 AM
DetailsCAH241359-00AVERA MARSHALL Critical Access Hospital300 S BRUCE STREET
MARSHALLMN01/01/201412/16/20152/5/2016 11:45 AM
DetailsCAH261309-00Saint Luke's Hospital of Trenton DBA WRIGHT MEMORIAL HOSPITAL Critical Access Hospital191 IOWA BLVD
TRENTONMO01/01/201408/29/20152/29/2016 3:57 PM
DetailsCAH261309-00Saint Luke's Hospital of Trenton DBA WRIGHT MEMORIAL HOSPITAL Critical Access Hospital191 IOWA BLVD
TRENTONMO10/01/2019 10/1/2019 12:05 AM
DetailsCAH261312-00HARRISON COUNTY COMMUNITY HOSPITAL Critical Access Hospital2600 MILLER STREET
BETHANYMO01/01/201411/14/20171/2/2018 4:37 PM
DetailsCAH261312-00HARRISON COUNTY COMMUNITY HOSPITAL Critical Access Hospital2600 MILLER STREET
BETHANYMO04/01/202004/01/20224/1/2022 12:01 AM
DetailsCAH261321-00Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center Critical Access Hospital2799 N Washington
CHILLICOTHEMO01/01/201405/29/20152/12/2016 4:11 PM
DetailsCAH261321-00Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center Critical Access Hospital2799 N Washington
CHILLICOTHEMO10/01/201904/30/20235/1/2023 2:37 PM
DetailsCAH261321-00Saint Luke's Hospital of Chillicothe DBA Hedrick Medical Center Critical Access Hospital2799 N Washington
CHILLICOTHEMO07/01/2023 7/1/2023 12:01 AM
DetailsCAH261340-00Mosaic Medical Center Maryville Critical Access Hospital2016 S. Main
MaryvilleMO04/01/2025 4/1/2025 12:01 AM
DetailsCAH431336-00SANFORD VERMILLION MEDICAL CENTER Critical Access Hospital20 S. PLUM ST
VERMILLIONSD07/01/2020 7/1/2020 12:01 AM
DetailsCH00456ERURAL HEALTH CARE, INC.Access Health - Fort PierreHRSA-Funded Health Center202 Island Dr STE 1
Fort PierreSD01/01/2019 1/1/2019 12:05 AM
DetailsCH0712430Infinity HealthInfinity HealthHRSA-Funded Health Center302 NE 14th St
LeonIA07/01/2014 4/11/2014 5:52 PM
DetailsCH071243BInfinity HealthInfinity Health - Lamoni OfficeHRSA-Funded Health Center802 Ackerly St
LamoniIA07/01/2014 4/11/2014 6:07 PM
DetailsCH075660RIVER HILLS COMMUNITY HEALTH CENTER, IncRiver Hills Community Health Center, IncHRSA-Funded Health Center201 SOUTH MARKET ST
OTTUMWAIA01/01/2017 10/20/2016 9:26 AM
DetailsCH07720AADVOCATES FOR A HEALTHY COMMUNITY INCJordan Valley Community Health Center - TampaHRSA-Funded Health Center440 E Tampa St
SpringfieldMO10/01/2020 10/1/2020 12:01 AM
DetailsDSH140280TRINITY ROCK ISLAND Disproportionate Share Hospital2701 17TH STREET
ROCK ISLANDIL01/01/201710/24/201710/24/2017 1:11 PM
DetailsDSH160028ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM d/b/a CHI Health Mercy Council Bluffs Disproportionate Share Hospital800 MERCY DRIVE
COUNCIL BLUFFSIA01/01/201408/01/20168/2/2016 11:57 AM
DetailsDSH160057ASoutheast Iowa Regional Medical CenterORTHOPEDICS-SOUTHEAST IOWA REGIONAL - OrthopedicsDisproportionate Share Hospital1401 W AGENCY RD STE 101
WEST BURLINGTONIA04/01/202211/17/202211/17/2022 4:46 PM
DetailsDSH160057AASoutheast Iowa Regional Medical CenterMENTAL HEALTH-SOUTHEAST IOWA REGION - Mental HealthDisproportionate Share Hospital1225 S GEAR AVE STE 251
WEST BURLINGTONIA04/01/202204/01/20229/30/2022 9:36 AM
DetailsDSH160057ABSoutheast Iowa Regional Medical CenterHEMATOLOGY AND ONCOLOGY - SOUTHEAST - Hematology and OncologyDisproportionate Share Hospital1225 S GEAR AVE STE 152
WEST BURLINGTONIA04/01/202204/01/20229/30/2022 9:36 AM
DetailsDSH160057ACSoutheast Iowa Regional Medical CenterWOUND CARE-SOUTHEAST IOWA REGIONAL - Wound CareDisproportionate Share Hospital1401 W AGENCY RD STE 172
WEST BURLINGTONIA04/01/202204/01/20229/30/2022 9:35 AM
DetailsDSH160057ADSoutheast Iowa Regional Medical CenterFAMILY MEDICINE-SOUTHEAST IOWA REGI - Family MedicineDisproportionate Share Hospital1201 W AGENCY RD
WEST BURLINGTONIA04/01/202204/01/20229/30/2022 9:35 AM
DetailsDSH160057AESoutheast Iowa Regional Medical CenterRADIATION ONCOLOGY-SOUTHEAST IOWA R - Radiation OncologyDisproportionate Share Hospital1315 W AGENCY RD STE 151
WEST BURLINGTONIA04/01/202204/01/20229/30/2022 9:36 AM
DetailsDSH160057AFSoutheast Iowa Regional Medical CenterFAMILY MEDICINE, MERCY-SOUTHEAST IO - Family Medicine, MercyDisproportionate Share Hospital1225 S GEAR AVE STE 159
WEST BURLINGTONIA04/01/202204/01/20229/30/2022 9:36 AM
DetailsDSH160057AGSoutheast Iowa Regional Medical CenterOCCUPATIONAL HEALTH - SOUTHEAST IOWA REGIONAL MEDICAL CENTER - Occupational HealthDisproportionate Share Hospital1401 West Agency Road
West BurlingtonIA04/01/202204/01/20229/30/2022 9:37 AM
DetailsDSH160057SSoutheast Iowa Regional Medical CenterINTERNAL MEDICINE-SOUTHEAST IOWA RE - Internal MedicineDisproportionate Share Hospital1223 S GEAR AVE STE 108
WEST BURLINGTONIA04/01/202204/01/20224/1/2022 12:01 AM
DetailsDSH160064MercyOne North Iowa Medical Center Disproportionate Share Hospital1000 4TH STREET SW
MASON CITYIA10/01/201906/22/20237/26/2023 11:39 AM
DetailsDSH160067MercyOne Waterloo Medical Center Disproportionate Share Hospital3421 W 9TH STREET
WATERLOOIA01/01/201407/31/20157/21/2017 7:13 PM
DetailsDSH160080MERCY MEDICAL CENTER-CLINTON INC D/B/A MercyOne Clinton Medical Center Disproportionate Share Hospital1410 N FOURTH STREET
CLINTONIA04/01/202003/04/20214/8/2021 4:10 PM
DetailsDSH160082IOWA METHODIST MEDICAL CENTER Disproportionate Share Hospital1200 PLEASANT STREET
DES MOINESIA10/01/201704/01/20195/14/2019 4:11 PM
DetailsDSH160083CATHOLIC HEALTH INITIATIVES - IOWA, CORPMERCYONE DES MOINES MEDICAL CENTERDisproportionate Share Hospital1111 6th Avenue
DES MOINESIA01/01/201404/19/201511/20/2015 3:57 PM
DetailsDSH160122Fort Madison Community Hospital Disproportionate Share Hospital5445 Avenue O
Fort MadisonIA01/01/201707/01/20217/1/2021 12:58 PM
DetailsDSH240006OLMSTED MEDICAL CENTER Disproportionate Share Hospital1650 4TH STREET SE
ROCHESTERMN04/01/2017 4/12/2017 6:22 AM
DetailsDSH240022SANFORD WORTHINGTON MEDICAL CENTER Disproportionate Share Hospital1018 6TH AVENUE
WORTHINGTONMN04/01/201412/31/20154/26/2016 4:27 PM
DetailsDSH240022SANFORD WORTHINGTON MEDICAL CENTER Disproportionate Share Hospital1018 6TH AVENUE
WORTHINGTONMN10/01/201608/01/20178/9/2017 3:33 PM
DetailsDSH240022SANFORD WORTHINGTON MEDICAL CENTER Disproportionate Share Hospital1018 6TH AVENUE
WORTHINGTONMN01/01/201912/14/202212/16/2022 10:08 AM
DetailsDSH260006HEARTLAND REGIONAL MEDICAL CENTER Disproportionate Share Hospital5325 FARAON
ST. JOSEPHMO07/01/202010/01/202010/1/2020 12:01 AM
DetailsDSH260006HEARTLAND REGIONAL MEDICAL CENTER Disproportionate Share Hospital5325 FARAON
ST. JOSEPHMO01/01/2024 1/1/2024 12:01 AM
DetailsDSH260048Truman Medical Center, Incorporated dba University Health Truman Medical Center Disproportionate Share Hospital2301 Holmes Street
Kansas CityMO07/01/2017 7/24/2017 6:23 PM
DetailsDSH260102Truman Medical Center, Incorporated dba University Health Lakewood Medical Center Disproportionate Share Hospital7900 Lee's Summit Road
Kansas CityMO07/01/2017 4/18/2017 8:24 AM
DetailsDSH260141University of Missouri Health Care Disproportionate Share HospitalOne Hospital Drive
ColumbiaMO07/01/2017 7/27/2017 2:21 PM
DetailsDSH280013THE NEBRASKA MEDICAL CENTER Disproportionate Share Hospital989200 Nebraska Medical Center
OmahaNE10/01/201704/16/20184/17/2018 5:06 PM
DetailsDSH430016AVERA MCKENNAN Disproportionate Share Hospital1325 S. CLIFF AVE.
SIOUX FALLSSD01/01/201412/16/20158/3/2017 11:37 AM
DetailsDSH430027Sanford USD Medical Center Disproportionate Share Hospital1305 W 18th Street
Sioux FallsSD04/01/201411/05/201511/5/2015 10:56 AM
DetailsRRC160057-00Southeast Iowa Regional Medical Center Rural Referral Center1221 S. GEAR
WEST BURLINGTONIA07/01/201904/01/20224/1/2022 12:01 AM
DetailsSCH140001-00GRAHAM HOSPITAL ASSOCIATION Sole Community Hospital210 W. Walnut Street
CantonIL01/01/2017 10/17/2022 10:10 PM
DetailsSCH140015-00BLESSING HOSPITAL Sole Community Hospital1005 BROADWAY
QUINCYIL07/01/202404/01/20244/10/2024 7:35 AM
DetailsSCH140089-00MCDONOUGH DISTRICT HOSPITAL Sole Community Hospital525 E. GRANT
MACOMBIL01/01/2020 1/1/2020 12:05 AM
DetailsSCH160001-00UNITYPOINT HEALTH-MARSHALLTOWN Sole Community Hospital3 SOUTH 4TH AVENUE
MARSHALLTOWNIA04/01/201407/01/20166/14/2016 10:53 AM
DetailsSCH160013-00UNITY HEALTHCARE D/B/A TRINITY MUSCATINE Sole Community Hospital1518 MULBERRY AVE
MUSCATINEIA01/01/201710/24/201710/24/2017 1:10 PM
DetailsSCH160064-00MERCYONE NORTH IOWA MEDICAL CENTER Sole Community Hospital1000 4TH STREET SW
MASON CITYIA01/01/201410/26/201511/3/2016 2:33 PM
DetailsSCH160080-00Mercy Medical Center  Sole Community Hospital1410 North 4th St
ClintonIA01/01/202004/01/20204/1/2020 12:06 AM
DetailsSCH160080-02Mercy Medical Center CLINTON / Renal DialysisSole Community Hospital638 S BLUFF BLVD
CLINTONIA01/01/202004/01/20204/1/2020 12:06 AM
DetailsSCH260006-00HEARTLAND REGIONAL MEDICAL CENTER Sole Community Hospital5325 FARAON
ST. JOSEPHMO01/01/201408/17/20167/7/2017 6:22 PM
DetailsSCH260006-00HEARTLAND REGIONAL MEDICAL CENTER Sole Community Hospital5325 FARAON
ST. JOSEPHMO10/01/201707/01/20207/1/2020 12:01 AM
DetailsSCH260006-00HEARTLAND REGIONAL MEDICAL CENTER Sole Community Hospital5325 FARAON
ST. JOSEPHMO10/01/202001/01/20241/1/2024 12:01 AM
DetailsSCH260050-00Mosaic Medical Center Maryville Sole Community Hospital2016 S. Main
MaryvilleMO01/01/201704/01/20254/1/2025 12:01 AM
DetailsSCH430012-00AVERA SACRED HEART HOSPITAL Sole Community Hospital501 SUMMIT ST
YANKTONSD01/01/201412/16/20152/5/2016 1:55 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLEUR DR DES MOINES, IA 50321HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 5032110/7/2016 3:08 PM
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 45032-1000HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLEUR DR DES MOINES, IA 503219/30/2016 1:47 PM
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 50321HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 45032-10001/13/2014 5:20 PM
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER 4016 7801 HY-VEE INC 4707 FLUER DR DES MOINES, IA 45032-1000HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 5032112/2/2013 3:26 PM
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 50321-0000HY-VEE PHARMACY FULFILLMENT CENTER 4016 7801 HY-VEE INC 4707 FLUER DR DES MOINES, IA 45032-100011/22/2013 1:40 PM
DetailsCommentsUpdate  11-22-2013 Address correction11/22/2013 12:53 PM
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER 4016 7801 HY-VEE INC 4707 FLUER DR DES MOINES, IA 45032-1000HY-VEE PHARMACY FULFILLMENT CENTER 4016 HY-VEE INC 4707 FLUER DR DES MOINES, IA 50321-000011/22/2013 12:53 PM
AddressesPharmacy AddressUpdate HY-VEE PHARMACY FULFILLMENT CENTER (4016) HY-VEE INC 4707 FLUER DR DES MOINES, IA 50321HY-VEE PHARMACY FULFILLMENT CENTER 4016 7801 HY-VEE INC 4707 FLUER DR DES MOINES, IA 45032-100011/22/2013 12:46 PM
DetailsNameUpdate HY-VEE PHARMACY FULFILLMENT CENTER (4016)HY-VEE PHARMACY FULFILLMENT CENTER 401611/22/2013 12:46 PM
DetailsCommentsInsert   10/28/2013 12:10 PM