Contract Pharmacy Details

CAREMARK, L.L.C.
HV01710C AIDS Arms, Inc., d/b/a Prism Health North Texas

Covered Entity Details

Entity Name

AIDS Arms, Inc., d/b/a Prism Health North Texas

Subdivision Name

Oak Lawn Health Center

Type

Ryan White Part C

340B ID

HV01710C

Entity Address

2801 Lemmon Ave
Suite 200
Dallas, TX 75204

Grant Number

H76HA01710

Participating Start Date

10/1/2019

Last Recertification Date

3/3/2025

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

10/21/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

John T. Carlo, CEO
(214) 521-5191

Contract Pharmacy Representative

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

Signed By Date

10/21/2020

340B Drug Pricing Program Database