340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM FRONTIER THERAPIES II, LLC
DSH010033 UNIVERSITY OF ALABAMA HOSPITAL
Print
Covered Entity Details
Entity Name
UNIVERSITY OF ALABAMA HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010033
Entity Address
619 S. 19th Street
BIRMINGHAM, AL 35249
Medicare Provider Number
010033
Participating Start Date
12/1/1992
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
OPTUM FRONTIER THERAPIES II, LLC
Pharmacy Address
6425 SANTA MARGARITA ST UNIT 110
LAS VEGAS, NV 89118-1913
Pharmacy Comments
Contract Details
Approval Date
4/16/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/11/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
WILL FERNIANY, CEO, UAB HEALTH SYSTEM
(205) 975-4844
Contract Pharmacy Representative
Optum RX
Joseph Iovino, VP
(412) 445-4495
Signed By Date
4/16/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session