340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

10/9/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Michael Stern, SVP, Chief of Staff
(216) 778-5772

Contract Pharmacy Representative

Briova Rx
Joe Iovino, Manager
(412) 445-4495

Signed By Date

10/9/2018