340B Drug Pricing Program Database

Pharmacy Name

OPTUM INFUSION SERVICES 302, LLC

Pharmacy Address

8720 S 114TH ST STE 106
LA VISTA, NE 68128-5585

Pharmacy Comments

Approval Date

7/13/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Eileen Lamm, Regional Vice President-Finance
(314) 994-6219

Contract Pharmacy Representative

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

Signed By Date

7/13/2020