Contract Pharmacy Details

OPTUMRX
CHC28977-00 TRIANGLE AREA NETWORK, INC.

Covered Entity Details

Entity Name

TRIANGLE AREA NETWORK, INC.

Subdivision Name

Triangle Area Network - Orange

Type

HRSA-Funded Health Center

340B ID

CHC28977-00

Entity Address

3727 N. 16th St.
Orange, TX 77632

Grant Number

H80CS28977

Participating Start Date

4/1/2017

Last Recertification Date

2/17/2025

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

1/17/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Dena Gray Hughes, CEO
(409) 832-8338 Ext: 222

Contract Pharmacy Representative

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

Signed By Date

1/17/2023

340B Drug Pricing Program Database