Contract Pharmacy Details

OPTUMRX
CH10002A ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.

Covered Entity Details

Entity Name

ANCHORAGE NEIGHBORHOOD HEALTH CENTER, INC.

Subdivision Name

Anchorage Neighborhood Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH10002A

Entity Address

4951 Business Park Blvd
Anchorage, AK 99503-7174

Grant Number

H80CS00146

Participating Start Date

4/1/1999

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

OPTUMRX

Pharmacy Address

OPTUMRX INC
6800 W 115TH ST STE 600
OVERLAND PARK, KS 66211-9838

Pharmacy Comments

Contract Details

Approval Date

1/4/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lisa DH Aquino, CEO
(907) 743-7305

Contract Pharmacy Representative

Optum
Avani Patel, VP, 340B Operations
(763) 330-5555

Signed By Date

1/4/2023

340B Drug Pricing Program Database