340B Drug Pricing Program Database
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DSH360003EX University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
CLINIC - IMMUNOLOGY - HOSPITAL BASED CLINIC - RHEUM - INFUSION - WCH
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003EX
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/13/2024
Last Recertification Date
Contacts
Authorizing Official
University of Cincinnati Medical Center
Jeffrey Akers, VP Pharmacy Administration UC Health
(513) 585-8005
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
7690 DISCOVERY DRIVE
3100
WEST CHESTER, OH 45069
Billing Address
UC Health
3200 Burnet Ave
Attn: 3 East, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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