340B Drug Pricing Program Database

Pharmacy Name

CAREMARK ILLINOIS SPECIALTY PHARMACY, LL

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056

Pharmacy Comments

Approval Date

5/15/2023

Contract Begin Date

6/12/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Priya Rajkumar, Chief Executive Officer
(727) 321-3854 Ext: 1230

Contract Pharmacy Representative

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

Signed By Date

4/14/2023