Contract Pharmacy Details

EXACT CARE PHARMACY, LLC
CAH151333-00 PUTNAM COUNTY HOSPITAL

Covered Entity Details

Entity Name

PUTNAM COUNTY HOSPITAL

Subdivision Name

Type

Critical Access Hospital

340B ID

CAH151333-00

Entity Address

1542 S BLOOMINGTON ST
GREENCASTLE, IN 46135-2297

Medicare Provider Number

151333

Participating Start Date

8/18/2010

Last Recertification Date

8/20/2024

Pharmacy Details

Pharmacy Name

EXACT CARE PHARMACY, LLC

Pharmacy Address

8333 ROCKSIDE RD
CLEVELAND, OH 44125

Pharmacy Comments

Contract Details

Approval Date

10/15/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/16/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

DENNIS WEATHERFORD, CEO
(765) 301-7525 Ext: 7524

Contract Pharmacy Representative

BioPlus Specialty Pharmacy, Inc.
Ryan Rushing, Vice President of 340B Programs
(512) 541-0665

Signed By Date

10/15/2021

340B Drug Pricing Program Database