340B Drug Pricing Program Database

Pharmacy Name

OHIO CVS STORES, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06100
5811 COLERAIN AVE.
CINCINNATI, OH 45239

Pharmacy Comments

Approval Date

1/4/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/28/2023
Pharmacy closed

Covered Entity Signing Official

Michael Crofton, Sr. Vice President & CFO
(513) 569-6577

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

1/4/2019