340B Drug Pricing Program Database
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DSH360003CQ University of Cincinnati Medical Center LLC (Terminated)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
CLINIC - CANCER -HEMATOLOGY ONCOLOGY HOSPITAL BASED-CARDIO ONC BC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003CQ
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/17/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/3/2023
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
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
3151 Bellevue Avenue
Suite B
Cincinnati, OH 45219
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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