Contract Pharmacy Details

OPTION CARE
HM11968 UNIVERSITY OF CALIFORNIA, DAVIS

Covered Entity Details

Entity Name

UNIVERSITY OF CALIFORNIA, DAVIS

Subdivision Name

HEMOPHILIA TREATMENT CENTER

Type

Comprehensive Hemophilia Treatment Center

340B ID

HM11968

Entity Address

2000 STOCKTON BLVD, SUITE 202
SACRAMENTO, CA 95817

Grant Number

H30MC24045

Participating Start Date

4/1/2005

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

OPTION CARE

Pharmacy Address

OPTION CARE ENTERPRISES, INC.
132 MISSION RANCH BLVD.
CHICO, CA 95926-2186

Pharmacy Comments

Contract Details

Approval Date

10/10/2019

Contract Begin Date

10/10/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055

Contract Pharmacy Representative

Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283

Signed By Date

10/10/2019

340B Drug Pricing Program Database