Contract Pharmacy Details

OPTUM PHARMACY 701, LLC
STD328062 Bliss Cares

Covered Entity Details

Entity Name

Bliss Cares

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD328062

Entity Address

3901 E Colonial Drive
ORLANDO, FL 32803

Grant Number

NH25PS005131

Participating Start Date

7/1/2016

Last Recertification Date

5/5/2025

Pharmacy Details

Pharmacy Name

OPTUM PHARMACY 701, LLC

Pharmacy Address

4015 SHOPTON RD STE 600
CHARLOTTE, NC 28217-3025

Pharmacy Comments

Contract Details

Approval Date

1/14/2022

Contract Begin Date

1/26/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Juan Rodriguez, Executive Director
(407) 761-3361

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

1/14/2022

340B Drug Pricing Program Database