Contract Pharmacy Details

POSITUDES INC
HM12019 UNIVERSITY OF TEXAS

Covered Entity Details

Entity Name

UNIVERSITY OF TEXAS

Subdivision Name

SOUTHWESTERN MEDICAL CENTER

Type

Comprehensive Hemophilia Treatment Center

340B ID

HM12019

Entity Address

UT SOUTHWESTERN HEMOPHILIA CARE
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390-8872

Grant Number

H30MC24051

Participating Start Date

7/1/2003

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

POSITUDES INC

Pharmacy Address

44 BOND ST
WESTBURY, NY 11590

Pharmacy Comments

Contract Details

Approval Date

10/1/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Arnim E. Dontes, Executive Vice President for Business Affairs
(214) 648-3572

Contract Pharmacy Representative

University of Texas Southwestern Medical Center at Dallas
Tracy Bonebrake, Operations Program Manager
(214) 648-1937

Signed By Date

10/1/2020

340B Drug Pricing Program Database