340B Drug Pricing Program Database

Pharmacy Name

OPTUM INFUSION SERVICES 550, LLC

Pharmacy Address

1819 ASTON AVE STE 104
CARLSBAD, CA 92008

Pharmacy Comments

Approval Date

10/5/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lillian Montoya, President and CEO
(505) 913-5258

Contract Pharmacy Representative

Optum
Jeff Noone, National Account Manager
(412) 973-2453

Signed By Date

10/5/2022