340B Drug Pricing Program Database

Pharmacy Name

MYMICHIGAN MEDICAL CENTER MIDLAND

Pharmacy Address

4000 WELLNESS DR
MIDLAND, MI 48670

Pharmacy Comments

Approval Date

10/3/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

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

Contract Pharmacy Representative

MyMichigan Health
Brooke Peterson, Manager, Pharmacy
(989) 596-9190

Signed By Date

10/3/2023