340B Drug Pricing Program Database

Pharmacy Name

FRANCISCAN ALLIANCE INC

Pharmacy Address

DBA FRANCISCAN OUTPATIENT PHARMACY - IND
8111 S EMERSON AVE
INDIANAPOLIS, IN 46237

Pharmacy Comments

Approval Date

4/26/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/6/2025
Ownership change

Covered Entity Signing Official

Keith Lauter, CFO - Central Indiana
(317) 528-8953

Contract Pharmacy Representative

Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900

Signed By Date

4/14/2021