340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KENTUCKY CVS PHARMACY, L.L.C.
DSH180103 Baptist Health Lexington
Print
Covered Entity Details
Entity Name
Baptist Health Lexington
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180103
Entity Address
1740 NICHOLASVILLE ROAD
LEXINGTON, KY 40503
Medicare Provider Number
180103
Participating Start Date
7/1/2007
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06334
199 LEXINGTON ST
VERSAILLES, KY 40383
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Christopher M. Roty, President
(859) 260-6104
Contract Pharmacy Representative
Caremark L.L.C.
Christian reid, 340b Program Director
(401) 770-2118
Signed By Date
7/14/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session