340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

10/18/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kristi Nagengast, Vice President of Finance
(231) 672-3802

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

10/18/2019