340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

8/24/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Mitchell J Amado, VP, Senior, Finance & CFO
(518) 926-5113

Contract Pharmacy Representative

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

Signed By Date

7/13/2022