340B Drug Pricing Program Database

Pharmacy Name

HY-VEE PHARMACY #1281

Pharmacy Address

1720 WATERFRONT DRIVE
IOWA CITY, IA 52240

Pharmacy Comments

Approval Date

7/17/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Michael Brownlee, Chief Pharmacy Officer
(319) 384-9371

Contract Pharmacy Representative

Hy-vee Inc.
Marshall Sanders, 340B Program Manager
(515) 267-6009

Signed By Date

7/17/2018