Contract Pharmacy Details

OPTUMRX
CH099010 BORREGO COMMUNITY HEALTH FOUNDATION

Covered Entity Details

Entity Name

BORREGO COMMUNITY HEALTH FOUNDATION

Subdivision Name

BORREGO COMMUNITY HEALTH FOUNDATION

Type

HRSA-Funded Health Center

340B ID

CH099010

Entity Address

4343 YAQUI PASS ROAD
BORREGO SPRINGS, CA 92004-2369

Grant Number

H80CS00287

Participating Start Date

1/1/2003

Last Recertification Date

2/13/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

OPTUMRX

Pharmacy Address

OPTUMRX INC
6800 W 115TH ST STE 600
OVERLAND PARK, KS 66211-9838

Pharmacy Comments

Contract Details

Approval Date

4/15/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Edgar Bulloch, Interim CEO
(760) 767-6641

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

4/15/2021

340B Drug Pricing Program Database