340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

7/12/2021

Contract Begin Date

3/15/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Nathan M Coburn, CFO
(406) 444-2122

Contract Pharmacy Representative

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

Signed By Date

7/12/2021