Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH0719300 COMPASS HEALTH, INC

Covered Entity Details

Entity Name

COMPASS HEALTH, INC

Subdivision Name

Compass Health Inc.

Type

HRSA-Funded Health Center

340B ID

CH0719300

Entity Address

1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836

Grant Number

H80CS26563

Participating Start Date

9/1/2008

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

CVS/PHARMACY #11114
2800 ENTERPRISE ST STE 5
INDIANAPOLIS, IN 46219-1106

Pharmacy Comments

Contract Details

Approval Date

7/1/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/30/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Jake Matthew Krafve, Chief Financial Officer
(636) 332-8392

Contract Pharmacy Representative

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

Signed By Date

7/1/2021

340B Drug Pricing Program Database