340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

5/6/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Joseph Wooldridge, Chief Financial Officer
(325) 657-5303

Contract Pharmacy Representative

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

Signed By Date

4/15/2022