Contract Pharmacy Details

CAREMARK, L.L.C.
RWI48216 Health Emergency Lifeline Program

Covered Entity Details

Entity Name

Health Emergency Lifeline Program

Subdivision Name

Type

Ryan White Part A

340B ID

RWI48216

Entity Address

1726 Howard St
Detroit, MI 48216

Grant Number

H89HA00021

Participating Start Date

1/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

Pharmacy Comments

Contract Details

Approval Date

7/1/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Anthony Williams, Chief Executive Officer
(313) 832-3300 Ext: 215

Contract Pharmacy Representative

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

Signed By Date

7/1/2020

340B Drug Pricing Program Database