340B Drug Pricing Program Database

Pharmacy Name

HEALTH DELIVERY MANAGEMENT LLC

Pharmacy Address

DBA RUSH LISLE INFUSION PHARMACY
2455 CORPORATE WEST DR STE 201
LISLE, IL 60532

Pharmacy Comments

Approval Date

3/14/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

John Mordach, Chief Financial Officer
(312) 942-5600

Contract Pharmacy Representative

Rush University Medical Center
Scott Sonnenschein, Vice President Hospital Operations
(312) 563-2093

Signed By Date

1/25/2013