340B Drug Pricing Program Database

Pharmacy Name

Hy-Vee Pharmacy Fulfillment Center #4016

Pharmacy Address

Hy-Vee Inc
4707 Fleur Dr
Des Moines, IA 50321

Pharmacy Comments

Approval Date

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Randall Rubin, Senior Vice President Chief Financial Officer
(515) 643-2860

Contract Pharmacy Representative

Catholic Health Initiatives, Iowa Corp
Candace Marie Jordan, Mkt Director of Pharmacy
(515) 247-3262

Signed By Date

7/15/2020