Contract Pharmacy Details

OPTUM PHARMACY 801, INC.
CH0719300 COMPASS HEALTH, INC

Covered Entity Details

Entity Name

COMPASS HEALTH, INC

Subdivision Name

Compass Health Inc.

Type

HRSA-Funded Health Center

340B ID

CH0719300

Entity Address

1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836

Grant Number

H80CS26563

Participating Start Date

9/1/2008

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

OPTUM PHARMACY 801, INC.

Pharmacy Address

24416 N 19TH AVE
STE. 100
PHOENIX, AZ 85085

Pharmacy Comments

Contract Details

Approval Date

10/11/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jake Matthew Krafve, Chief Financial Officer
(636) 332-8392

Contract Pharmacy Representative

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

Signed By Date

10/11/2022

340B Drug Pricing Program Database