340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

1/15/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Linda Watson, Director of Operations
(207) 239-2386

Contract Pharmacy Representative

OptumRX
Erin Hawley, National Account Manager
(810) 701-7104

Signed By Date

1/15/2021