340B Drug Pricing Program Database

Pharmacy Name

OPTUM INFUSION SERVICES 101, INC.

Pharmacy Address

931 CONKLIN ST STE D
FARMINGDALE, NY 11735-2429

Pharmacy Comments

Approval Date

1/13/2022

Contract Begin Date

1/24/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Michele L Cusack, Executive Vice President
(516) 321-6058

Contract Pharmacy Representative

Optum
Avani Patel, VP, 340B Operations
(763) 330-5555

Signed By Date

1/13/2022