340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 701, LLC
DSH150051 IU HEALTH BLOOMINGTON HOSPITAL
Print
Covered Entity Details
Entity Name
IU HEALTH BLOOMINGTON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150051
Entity Address
2651 EAST DISCOVERY PARKWAY
BLOOMINGTON, IN 47408
Medicare Provider Number
150051
Participating Start Date
10/1/2016
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
4100 S SAGINAW ST STE D
FLINT, MI 48507
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
1/13/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
1/11/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session