Contract Pharmacy Details

EXPRESS SCRIPTS PHARMACY, INC.
CH011190 OUTER CAPE HEALTH SERVICES, INC.

Covered Entity Details

Entity Name

OUTER CAPE HEALTH SERVICES, INC.

Subdivision Name

PROVINCETOWN HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH011190

Entity Address

49 Harry Kemp Way
Provincetown, MA 02657-1618

Grant Number

H80CS00468

Participating Start Date

4/1/2002

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

EXPRESS SCRIPTS PHARMACY, INC.

Pharmacy Address

DBA EXPRESS SCRIPTS
2040 ROUTE 130 NORTH
BURLINGTON, NJ 08016

Pharmacy Comments

Contract Details

Approval Date

7/14/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Patricia Nadle, CEO
(508) 905-2800

Contract Pharmacy Representative

Express Scripts
Gene McCabe, Lead Director, 340B Client Sales
(615) 943-7500

Signed By Date

7/14/2023

340B Drug Pricing Program Database