340B Drug Pricing Program Database

Pharmacy Name

JACOBI MEDICAL CENTER

Pharmacy Address

NYC-HEALTH & HOSP.CORP
ATTN: PHARMACY DEPARTMENT
1400 PELHAM PKWY SOUTH
BRONX, NY 10461

Pharmacy Comments

Approval Date

4/15/2020

Contract Begin Date

4/17/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/10/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Paul Albertson, Vice President
(212) 748-2256

Contract Pharmacy Representative

NYCH+H
Rosemarie Leighton, Director of Pharmacy
(718) 918-3089

Signed By Date

4/15/2020