Contract Pharmacy Details

CAREMARK, L.L.C.
STD336092 26Health, Inc

Covered Entity Details

Entity Name

26Health, Inc

Subdivision Name

LoCicero Medical Group

Type

Sexually Transmitted Diseases

340B ID

STD336092

Entity Address

2605 W Swann Ave
2605 W Swann Ave, , Ste 600
Ste 600
Tampa, FL 33609

Grant Number

1H25PS004342-02

Participating Start Date

1/1/2024

Last Recertification Date

Entity Termination Date

7/1/2024

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

11/17/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

David Baker-Hargrove, President/Co-CEO
(321) 800-2922

Contract Pharmacy Representative

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

Signed By Date

10/13/2021

340B Drug Pricing Program Database