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OPTUM PHARMACY 702, LLC
HM11987 UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
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Covered Entity Details
Entity Name
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
Subdivision Name
GREAT PLAINS REGIONAL HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM11987
Entity Address
200 HAWKINS DRIVE
IOWA CITY, IA 52242
Grant Number
H30MC24051
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 702, LLC
Pharmacy Address
1050 PATROL RD
JEFFERSONVILLE, IN 47130
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/26/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Brownlee, Chief Pharmacy Officer
(319) 384-9371
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
7/15/2022
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