340B Drug Pricing Program Database

Pharmacy Name

FAIRVIEW GENERAL HOSPITAL

Pharmacy Address

Health Center Pharmacy
18101 Lorain Ave
Cleveland, OH 44111

Pharmacy Comments

Approval Date

10/15/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Neil P. Smith, President - Fairview Hospital
(216) 476-4499

Contract Pharmacy Representative

Cleveland Clinic
Donald Carroll, Associate Chief Pharmacy Officer
(216) 374-3584

Signed By Date

10/15/2018