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ACCREDO HEALTH GROUP, INC.
HM29203 Prisma Health
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Covered Entity Details
Entity Name
Prisma Health
Subdivision Name
DBA Hemostasis and Thrombosis Center of South Carolina
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM29203
Entity Address
14 Richland Medical Park Drive
Suite 410
COLUMBIA, SC 29203
Grant Number
H30MC24046
Participating Start Date
10/1/2009
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie Ambrose, Medical Director - Hemophilia Treatment Center
(803) 434-3508
Contract Pharmacy Representative
Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
4/15/2020
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