340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 702, LLC
CAH281322-00 FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE
Print
Covered Entity Details
Entity Name
FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH281322-00
Entity Address
430 NORTH MONITOR STREET
WEST POINT, NE 68788
Medicare Provider Number
281322
Participating Start Date
7/1/2011
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
10/2/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/16/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alisa Ann Brunsing, CFO
(402) 372-6717
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
10/2/2019
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