340B Drug Pricing Program Database

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

228 NE JEFFERSON AVE STE 207
PEORIA, IL 61603

Pharmacy Comments

Approval Date

4/17/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Holly Henline, VP of Ancillary Services & Corporate Compliance Officer
(309) 647-5240 Ext: 2709

Contract Pharmacy Representative

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

Signed By Date

4/17/2023