Contract Pharmacy Details

CAREMARK, L.L.C.
RWI07960 EDGE New Jersey

Covered Entity Details

Entity Name

EDGE New Jersey

Subdivision Name

Type

Ryan White Part A

340B ID

RWI07960

Entity Address

35 WATERVIEW BLVD
Suite 201
Parsippany, NJ 07054

Grant Number

H89HA00003

Participating Start Date

7/1/2016

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

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Laurie Litt, Chief Executive Officer
(973) 285-0006 Ext: 15

Contract Pharmacy Representative

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

Signed By Date

7/15/2020

340B Drug Pricing Program Database