340B Drug Pricing Program Database

Pharmacy Name

HY-VEE DRUGSTORE 2 PHCY #7082

Pharmacy Address

1010 60TH STREET
WEST DES MOINES, IA 50266

Pharmacy Comments

Approval Date

1/14/2021

Contract Begin Date

4/1/2021

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

1/14/2021