Contract Pharmacy Details

CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
STD850153 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

AZ Suite 6

Type

Sexually Transmitted Diseases

340B ID

STD850153

Entity Address

4350 N 19th Avenue
Suite 6
Phoenix, AZ 85015

Grant Number

6 NU62PS924818-01-01

Participating Start Date

1/1/2020

Last Recertification Date

5/28/2025

Pharmacy Details

Pharmacy Name

CVS/SPECIALTY OR CARELONRX SPECIALTY PHA

Pharmacy Address

CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028

Pharmacy Comments

Contract Details

Approval Date

1/12/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

1/12/2022

340B Drug Pricing Program Database