340B Drug Pricing Program Database

Pharmacy Name

ACORN USA, INC.

Pharmacy Address

DBA SUNWEST PHARMACY
1300 N. 12TH STREET
SUITE 555
PHOENIX, AZ 85006

Pharmacy Comments

4/17/2013 - OPA request to change DEA number

Approval Date

11/28/2012

Contract Begin Date

1/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/17/2016
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Dennis Dahlen, Senior Vice President, CFO
(602) 747-4727

Contract Pharmacy Representative

Megan Conner, VP of Sunwest Pharmacy
(602) 595-3555

Signed By Date

10/1/2012