Contract Pharmacy Details

CAREMARK, L.L.C.
DSH450024 UNIVERSITY MEDICAL CENTER OF EL PASO

Covered Entity Details

Entity Name

UNIVERSITY MEDICAL CENTER OF EL PASO

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH450024

Entity Address

4815 ALAMEDA AVE.
EL PASO, TX 79905

Medicare Provider Number

450024

Participating Start Date

12/1/1992

Last Recertification Date

8/15/2024

Pharmacy Details

Pharmacy Name

CAREMARK, L.L.C.

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119

Pharmacy Comments

Contract Details

Approval Date

4/9/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

MICHAEL NUNEZ, CFO
(915) 521-7626

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/9/2023

340B Drug Pricing Program Database