Contract Pharmacy Details

CAREMARK, L.L.C.
DSH390329 EINSTEIN MEDICAL CENTER MONTGOMERY

Covered Entity Details

Entity Name

EINSTEIN MEDICAL CENTER MONTGOMERY

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH390329

Entity Address

559 WEST GERMANTOWN PIKE
EAST NORRITON, PA 19403

Medicare Provider Number

390329

Participating Start Date

7/1/2016

Last Recertification Date

8/20/2024

Entity Termination Date

1/1/2025

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

4/13/2021

Contract Begin Date

5/3/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Beth Duffy, Chief Operating Officer
(484) 622-7004

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