340B Drug Pricing Program Database

Pharmacy Name

CONNECTICUT CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08249
57 PROVIDENCE PIKE
PUTNAM, CT 06260

Pharmacy Comments

Approval Date

7/1/2020

Contract Begin Date

7/10/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/30/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Paul A. Beaudoin, Chief Financial Officer
(860) 928-6541 Ext: 2113

Contract Pharmacy Representative

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

Signed By Date

7/1/2020