Contract Pharmacy Details

CAREMARK, L.L.C.
DSH380009 OREGON HLTH SCIENCE CENTER

Covered Entity Details

Entity Name

OREGON HLTH SCIENCE CENTER

Subdivision Name

UNIVERSITY HOSPITAL

Type

Disproportionate Share Hospital

340B ID

DSH380009

Entity Address

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Medicare Provider Number

380009

Participating Start Date

9/1/1993

Last Recertification Date

9/6/2024

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

10/14/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

DIANA GERNHART, HOSPITAL CFO
(503) 494-8744

Contract Pharmacy Representative

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

Signed By Date

10/14/2021

340B Drug Pricing Program Database