340B Drug Pricing Program Database

Pharmacy Name

MYMICHIGAN MEDICAL CENTER MIDLAND

Pharmacy Address

DBA MYMICHIGAN MEDICAL CENTER MT. PLEASA
4851 E PICKARD ST
MOUNT PLEASANT, MI 48858

Pharmacy Comments

Approval Date

8/2/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/31/2024
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Heather R Wager, Director of Finance
(989) 466-3281

Contract Pharmacy Representative

MidMichigan Health System
Kenneth P Spencer, Manager Pharmacy Informatics
(989) 839-1522

Signed By Date

7/17/2023