340B Drug Pricing Program Database

Pharmacy Name

CVS/SPECIALTY OR CARELONRX SPECIALTY PHA

Pharmacy Address

CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028

Pharmacy Comments

Approval Date

1/17/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Robin Harrell Smith, Pharmacy Site Leader/Technician
(910) 718-5200

Contract Pharmacy Representative

Goshen Medical Center, Inc.
Brooke Cottle Hall, Pharmacy Program Manager
(910) 267-0421 Ext: 1139

Signed By Date

1/17/2023