340B Drug Pricing Program Database

Pharmacy Name

BELMONT COUNTY HEALTH SERVICES, INC.

Pharmacy Address

DBA CUSTER PHARMACY
241 S MAIN ST
CADIZ, OH 43907

Pharmacy Comments

Approval Date

10/2/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/15/2018
Ownership change

Covered Entity Signing Official

James Murdy, CFO
(304) 243-3681

Contract Pharmacy Representative

Harrison Community Hospital
Jason Backel, Owner
(740) 942-2726

Signed By Date

10/2/2018