340B Drug Pricing Program Database

Pharmacy Name

VERMONT CVS PHARMACY, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #10216
69 MOUNTIAN VIEW DRIVE
COLCHESTER, VT 05446-5919

Pharmacy Comments

Approval Date

4/11/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/1/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Andrew M Fuqua, Senior Vice President and General Counsel
(617) 665-1000

Contract Pharmacy Representative

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

Signed By Date

4/11/2019