Contract Pharmacy Details

CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
CHC33642-01 AIDS Action Coalition of Huntsville

Covered Entity Details

Entity Name

AIDS Action Coalition of Huntsville

Subdivision Name

Thrive Alabama

Type

HRSA-Funded Health Center

340B ID

CHC33642-01

Entity Address

600 St. Clair Avenue, Building 7, Suite 18
Huntsville, AL 35801

Grant Number

H80CS33642

Participating Start Date

1/1/2020

Last Recertification Date

2/7/2022

Entity Termination Date

1/1/2023

Pharmacy Details

Pharmacy Name

CAREMARK ILLINOIS SPECIALTY PHARMACY, LL

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056

Pharmacy Comments

Contract Details

Approval Date

1/14/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Mary Elizabeth Marr, CEO
(256) 337-8283

Contract Pharmacy Representative

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

Signed By Date

1/14/2020

340B Drug Pricing Program Database