340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 706, INC.

Pharmacy Address

30-30 47TH AVENUE
SUITE 410
LONG ISLAND CITY, NY 11101

Pharmacy Comments

Approval Date

4/7/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Mary Wakefield, Senior VP and CFO
(401) 444-7093

Contract Pharmacy Representative

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

Signed By Date

4/7/2020