340B Drug Pricing Program Database

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

52 W PLEASANT ST STE P
CLAREMONT, NH 03743

Pharmacy Comments

Approval Date

10/16/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lester G. Peck, Director of Pharmacy
(802) 885-7571

Contract Pharmacy Representative

Optum
Shehan Welihindha, National Account Manager
(916) 233-7775

Signed By Date

10/16/2022