Contract Pharmacy Details

CAREMARK, L.L.C.
STD347411 26Health, Inc.

Covered Entity Details

Entity Name

26Health, Inc.

Subdivision Name

West Orange Nephrology, LLC

Type

Sexually Transmitted Diseases

340B ID

STD347411

Entity Address

1975 S. John Young Pkwy
101
Kissimmee, FL 34741

Grant Number

1H25PS004342-02

Participating Start Date

1/1/2019

Last Recertification Date

5/4/2020

Entity Termination Date

7/1/2021

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

4/13/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2021
Covered Entity Terminated

Contacts

Covered Entity Signing Official

David Baker-Hargrove, President/Co-CEO
(321) 800-2922

Contract Pharmacy Representative

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

Signed By Date

4/13/2021

340B Drug Pricing Program Database