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ACCREDO HEALTH GROUP, INC.
DSH390164 UPMC - PRESBYTERIAN SHADYSIDE
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Covered Entity Details
Entity Name
UPMC - PRESBYTERIAN SHADYSIDE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390164
Entity Address
200 LOTHROP STREET
PITTSBURGH, PA 15213
Medicare Provider Number
390164
Participating Start Date
4/1/2020
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP, INC.
Pharmacy Address
2825 W PERIMETER RD STE 112
INDIANAPOLIS, IN 46241
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Jared Weiner, CFO, UPMC Presbyterian Shadyside
(412) 864-7000
Contract Pharmacy Representative
Accredo Specialty Pharmacy
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500
Signed By Date
7/13/2022
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