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

1/17/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

RONALD J. WERTHMAN, CFO
(410) 735-6505

Contract Pharmacy Representative

The Johns Hopkins Hospital
Shirley Geize, Assistant Director, Purchasing and Contracting for Pharmacy
(410) 955-0382

Signed By Date

1/17/2017