340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

EXPRESS SCRIPTS PHARMACY, INC.
CAH051337-00 HAZEL HAWKINS MEM. HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH051337-00
911 SUNSET DRIVE
HOLLISTER, CA 95023
051337
10/1/2021
9/3/2024


Pharmacy Details

DBA EXPRESS SCRIPTS
4750 E. 450 S.
WHITESTOWN, IN 46075

Contract Details

10/15/2021
1/1/2022

12/12/2022
Business decision by covered entity and/or pharmacy


Contacts


MARK ROBINSON, CFO
(831) 636-2604



Accredo
Ava Lowry, Vice President
(901) 381-7141
10/15/2021