340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM INFUSION SERVICES 500, INC.
HM84112 IHC HEALTH SERVICES, INC.
Print
Covered Entity Details
Entity Name
IHC HEALTH SERVICES, INC.
Subdivision Name
Utah Center for Bleeding and Clotting Disorders
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM84112
Entity Address
Sugar House Health Center, U of U Health
1280 East Stringham Avenue
Salt Lake City, UT 84106
Grant Number
H30MC24049
Participating Start Date
7/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
OPTUM INFUSION SERVICES 500, INC.
Pharmacy Address
4900 RIVERGRADE RD STE E120
IRWINDALE, CA 91706-1419
Pharmacy Comments
Contract Details
Approval Date
4/27/2022
Contract Begin Date
4/28/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/2/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Sidney Norton, Finance AVP - Pediatrics
(801) 662-6277
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/27/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session