Contract Pharmacy Details

CAREMARK, L.L.C.
DSH220116 TUFTS MEDICAL CENTER

Covered Entity Details

Entity Name

TUFTS MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH220116

Entity Address

800 WASHINGTON STREET
BOSTON, MA 02111

Medicare Provider Number

220116

Participating Start Date

10/1/2003

Last Recertification Date

8/13/2024

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

10/9/2020

Contract Begin Date

10/23/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kristine Hanscom, CFO
(617) 636-7767

Contract Pharmacy Representative

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

Signed By Date

10/9/2020

340B Drug Pricing Program Database