340B Drug Pricing Program Database

Pharmacy Name

SSM HEALTH PHARMACY

Pharmacy Address

SSM HEALTH CARE ST. LOUIS (SM-SL)
1035 BELLEVUE AVE
BELLEVUE MEDICAL CTR EAST
SAINT LOUIS, MO 63117-1854

Pharmacy Comments

Approval Date

7/11/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Eileen Lamm, Regional Vice President-Finance
(314) 994-6219

Contract Pharmacy Representative

SSM Health
Nicole Maywright, Phamaccy Team Leader
(636) 669-2223

Signed By Date

7/11/2022