340B Drug Pricing Program Database

Pharmacy Name

CONNECTICUT CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 01060
326 MAIN STREET
SOUTHINGTON, CT 06489

Pharmacy Comments

Approval Date

5/9/2023

Contract Begin Date

6/8/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/14/2025
Covered Entity Terminated

Covered Entity Signing Official

Jami Dybik, Vice President
(843) 814-5177

Contract Pharmacy Representative

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

Signed By Date

4/25/2023